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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 recording: Doing things differently
Recording of the webinar 'Doing things differently' held by the Perinatal and Maternal Mortality Review Committee on 23 February 2021, to present data from its 14th annual report.
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Taking Your Medicine Safely pamphlet
A medication safety pamphlet for patients.
- Video: Introducing the safe use of opioids collaborative
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Speaking up for patient safety
This video talks about the importance of speaking up for patient safety – being vocal is necessary because many times, patients can't speak for themselves.
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Actively listening for patient safety
This video talks about the importance of actively listening for patient safety – ensuring all viewpoints are heard and that mistakes are avoided.
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Surgical briefings support practical decision making
Alisa Ili, theatre nurse manager and Dr Andrew Connolly, general surgeon at Counties Manukau Health, share how start-of-list briefings support their decision making.
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Surgical briefings are an efficient way to start the day
Briefings take just five minutes and have a significant and positive impact on patient safety by improving communication and teamwork, reducing delays and identifying potential risks prior to surgery.
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Video: Surgical safety checklist (full length, 10min 58sec)
A video from the Commission outlining the use of the World Health Organization's surgical safety checklist.