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Displaying 21 - 30 of 54 results
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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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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...
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Presentations from learning session one of the Te ako mai i ngā pāmamaetanga me te wheako tāngata whaiora me te whānau | Learning from adverse events and consumer, family and whānau experience project
Presentations from learning session one of the Te ako mai i ngā pāmamaetanga me te wheako tāngata whaiora me te whānau | Learning from adverse events and consumer, family and whānau experience project held on 12–13 February 2020.
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Open4Results – June 2019
Our six-monthly report on the harm prevented, and money saved, in areas the Health Quality & Safety Commission focuses on or raises awareness about.
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Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap
This paper (Social Science and Medicine 73 (2011) 217-225) examines the challenges of investigating clinical incidents through the use of Root Cause Analysis.
- A guide to the national adverse events reporting policy 2017
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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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E-learning module: Human Factors | Ngā Āhua Tangata
The e-learning module, Human Factors | Ngā Āhua Tangata in health care includes seven videos and is available free to all in health care professionals via the LearnOnline platform.
- Shared learning tool
- Review of the national reportable events policy 2012: Summary of stakeholder feedback