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Displaying 21 - 30 of 55 results
- Systems Engineering Initiative for Patient Safety Human Factors tool
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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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Guide to doing a learning review
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Adverse events exception reporting 2020/21: Thematic analysis involving always report and review events
This thematic analysis reviewed all wrong consumer and wrong site always review and report events, reported to Te Tāhū Hauora Health Quality & Safety Commission by district health boards between 1 July 2017 and 30 June 2021.
- Shared learning tool
- Always Report and Review list
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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.
- Policy implementation assessment tool
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Falls review template 2024
This optional template is available to assist with reviews of falls.
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Always Report and Review list 2021–22
The Always Report and Review list is a subset of adverse events that health providers should report and review in the same way as SAC 1 and 2 rated events, irrespective of whether or not there was harm to the consumer.