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Displaying 41 - 50 of 63 results
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Serious and Sentinel Events in New Zealand Hospitals 2007–2008
Serious and Sentinel Events in New Zealand Hospitals 2007–2008.
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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.
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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
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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
- Learning review template
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Systems Analysis of Clinical Incidents: The London Protocol
The purpose of the London Protocol is to ensure a comprehensive and thoughtful investigation and analysis of a clinical incident.
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New e-learning resource available – Human Factors | Ngā Āhua Tangata in health care
The Health Quality & Safety Commission (the Commission) today released a new e-learning module on Human Factors | Ngā Āhua Tangata in health care.
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Pono consumer story: Nicola Peeperkoorn
Nicola Peeperkoorn explores her family’s experience of the mental health and addiction event review process.
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National adverse events reporting policy 2017
This is the annual adverse events report 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.