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- Case for change
- Interventions
- Patient Safety Week 2019 | Understanding bias in health care
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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.
- Review of the national reportable events policy 2012: Summary of stakeholder feedback
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National Adverse Events policy 2017
National Adverse Events policy 2017
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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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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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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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Serious and Sentinel Events in New Zealand Hospitals 2007–2008
Serious and Sentinel Events in New Zealand Hospitals 2007–2008.