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- Human factors and Ergonomics
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Including whānau voices in family violence homicide in-depth reviews
Since 2019, the Family Violence Death Review Committee has been seeking the input of surviving family and whānau members as part of the in-depth review process. This article is a reflection on the process and how we can improve it.
- Aotearoa Patient Safety Day 2021
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Primary care patient experience survey: Foundation standard / Cornerstone accreditation
A summary of the foundation standard / Cornerstone accreditation for general practices participating in the primary care patient experience survey.
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Development of patient experience indicators for New Zealand
KPMG has developed a report on the development of patient experience indicators for New Zealand for the Commission.
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Fifth report of the Perioperative Mortality Review Committee
In this fifth report, the Perioperative Mortality Review Committee has examined perioperative mortality in New Zealand during 2009–2013 for two new clinical areas of interest.
- Footer pages
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Annual Report 2014/15 | Pūrongo ā-tau 2014/15
The Commission's annual report for the period 1 July 2014 to 30 June 2015 is available to download below.
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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.