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Displaying 51 - 55 of 55 results
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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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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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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.
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Gillian Robb talks about the IHI Global Trigger Tool
The Global Trigger Tool (GTT) is a methodology developed by the Institute for Healthcare Improvement to identify patient harm that occurs in health care organisations.
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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.