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Patient, family and whānau escalation: Kōrero mai projects – what we know so far
Case study from the three test sites exploring the complexity of communication relating to escalation.
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Infection prevention and control (IPC) walk rounds: Toolkit and implementation guide
This resource is designed to help hospital staff plan and engage executive and senior leaders in IPC walk rounds, capture issues and suggestions, and develop and implement improvements.
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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.
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Serious and Sentinel Events in New Zealand Hospitals 2006–2007
Commentary on serious and sentinel events reported by District Health Boards in 2006–2007.