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Displaying 1 - 10 of 55 results
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Learning from adverse events report 2018/19
This is the annual learning from adverse events report for 2018/19, published by the Health Quality & Safety Commission. The report covers adverse events reported by New Zealand's 20 district health boards (DHBs) and other providers.
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Severity assessment code (SAC) examples
Examples of the severity assessment codes for adverse event reporting are available below.
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Adverse events exception reporting 2020/21: Thematic analysis involving Māori and Pacific peoples
This paper presents a thematic analysis of severity assessment code (SAC)-1 and 2 adverse events involving Māori and Pacific peoples reported to Te Tāhū Hauora Health Quality & Safety Commission from 1 July 2017 to 30 June 2021.
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Gillian Robb talks about the IHI Global Trigger Tool
The Global Trigger Tool (GTT) is a methodology developed by the Institute for Healthcare Improvement to identify patient harm that occurs in health care organisations.
- Learning from harms terms of reference template
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Residential Disability Support Services Severity Assessment Code (SAC) examples 2025
This list is for guidance only. All events should be rated on actual outcome for the consumer.
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Thematic analysis of maternity adverse events reported 1 July 2018–30 June 2023
This report is an analysis of maternity-specific data from a 5-year period (1 July 2018–30 June 2023).
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Learning from adverse events annual reports
Annual national summaries of adverse events reported to Te Tāhū Hauora Health Quality & Safety Commission.
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Learning from harm programme restorative responses workbook
This workbook is an introduction to restorative responses in the context of adverse events. A restorative response is a relational approach that is guided by a need to address harm, meet needs, restore trust, prevent repetition and promote repair.
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Maternity early warning system (MEWS) short-stay maternity vital signs chart (MVSC)
The national maternity early warning system (MEWS) short-stay maternity vital signs chart (MVSC) supports the recognition of and response to deteriorating women in short-stay/assessment areas, such as women’s assessment units...