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Video: Implementing briefing and debriefing sessions at Hutt Valley DHB
Lis Browne talks about implementation of briefing and debriefing sessions at Hutt Valley District Health Board.
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Introduction to human factors and maternity systems presentation
This is a video recording of a presentation by Professor Paul Bowie about human factors and maternity systems.
- Factsheet: Capabilities for recognising and responding to acute deterioration in hospital
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Helen McKernan discusses mother's hospital treatment
Helen McKernan talks about her mother’s death, following a hospital medication error. Helen's mother was given the wrong medication for four days because of a chart mix up and inadequate checking.
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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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Webinar: Men who use violence
The Family Violence Death Review Committee held a webinar in partnership with the New Zealand Family Violence Clearinghouse to present the findings of the FVRDC Sixth Report 'Men who use violence'.
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Improving health outcomes: Pacific consumer group’s talanoa on Bula Sautu
This document is a thematic analysis of feedback on the Health Quality & Safety Commission’s report, Bula Sautu – A window on quality 2021: Pacific health in the year of COVID-19.
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Patient story: Matthew Gunter
Matthew was 16 years old when he developed appendicitis. His mum, Heather, took him to the local emergency department and he had surgery that night to remove his appendix.
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Winning posters from the 2018 antibiotic awareness poster competition
Copies of the winning entries from the 2018 antibiotic awareness poster competition.
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Just and fair culture
This training video illustrates the principles of a just and fair culture; in a just culture, people feel safe and secure to speak up when an error occurs.