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Open4Results – December 2018
Our six-monthly report on the harm prevented, and money saved, in areas the Health Quality & Safety Commission focuses on or raises awareness about.
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Tauākī Koronga | Statement of Intent 2020–24
The Health Quality & Safety Commission's Statement of Intent for the period 2020–24.
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User guide to the Atlas in Healthcare Variation
The Atlas is a powerful tool which allows us to look at heath care variation in New Zealand. The Atlas is quite simple to use but we recommend you read the following guidance on creating reports first to ensure you get the best out of it.
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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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The Global Trigger Tool: A review of the evidence
This report reviews the literature associated with the development and use of trigger tools to determine rates of harm in health care settings, with particular attention on the Institute of Healthcare Improvement's Global Trigger Tool.
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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