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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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Second annual report of the Maternal Morbidity Working Group
This is the MMWG’s second annual report. It outlines the work of the MMWG and provides an update on what we have achieved this year and an overview of next steps.
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Vicki Culling discusses the Perinatal and Maternal Mortality Review Committee
Vicki Culling from the Perinatal and Maternal Mortality Review Committee (PMMRC) discusses the loss of her first baby from a still birth, and her involvement as a consumer representative on the PMMRC.
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Executive summary: A window on quality 2021 (Part 1) | Whakarāpopototanga matua: He tirohanga kounga 2021 (Wāhanga 1)
This year’s A window on quality 2021 explores the secondary impacts of our response on selected aspects of the functioning of our health system so we can learn from that experience and shape resilient system responses in the future.
- Factsheet: Capabilities for recognising and responding to acute deterioration in hospital
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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.
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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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Taking Your Medicine Safely pamphlet
A medication safety pamphlet for patients.