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Displaying 31 - 40 of 53 results
- Shared learning tool
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Adverse events exception reporting
These documents summarise adverse event exception reporting for the 2020/21 and 2021/22 financial years.
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Ngā Taero a Kupe: Whānau Māori experiences of in-hospital adverse events
A report based on the information gathered during a research project of whānau Māori experiences of in-hospital adverse events.
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Global trigger tool: Using data for improvement
This presentation given by global trigger tool clinical lead, Gillian Robb, provides an update on the use of trigger tools in New Zealand.
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The Global Trigger Tool: A review of the evidence
This report reviews the literature associated with the development and use of trigger tools to determine rates of harm in health care settings, with particular attention on the Institute of Healthcare Improvement's Global Trigger Tool.
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National Adverse Events policy 2017
National Adverse Events policy 2017
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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.
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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.
- Review of the national reportable events policy 2012: Summary of stakeholder feedback
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Adverse events shared learning tool
This tool is for sharing learning from events that are not otherwise reported to the Health Quality & Safety Commission under the National Adverse Events Reporting Policy.