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Displaying 21 - 30 of 63 results
- Always Report and Review list 2023 –24
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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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Always report and review list 2018–19
The always report and review list is a subset of adverse events that should be reported and reviewed in the same way as SAC 1 and 2 rated events, irrespective of whether or not there was harm to the consumer/patient.
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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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Pressure injury review template 2024
This optional template is available to assist with reviews of pressure injuries.
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Falls review template 2024
This optional template is available to assist with reviews of falls.
- Shared learning tool
- Event of harm review tool 2025
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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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Serious and Sentinel Events in New Zealand Hospitals 2008–2009
In this year three in 10,000 admissions to DHBs involved a potentially preventable serious or sentinel event. Of these 39 percent were a result of a clinical mismanagement problem