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Attitudes towards the Surgical Safety Checklist and its use in New Zealand operating theatres
Report from Litmus on attitudes towards the Surgical Safety Checklist and its use in New Zealand operating theatres.
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Healing and learning from harm
Pou hihiri, Pou o te aroha | Healing and learning from harm was developed by the Diana Unwin Chair in Restorative Justice and Stella Maris productions in consultation with several health sector and Māori partners, and funded by the Commission.
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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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National summary of adverse events reported to the Health Quality & Safety Commission 1 July 2019 to 30 June 2020
A national summary of adverse events reported to the Health Quality & Safety Commission 1 July 2019 to 30 June 2020.
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Ngā Taero a Kupe: Whānau Māori experiences of in-hospital adverse events
A report based on the information gathered during a research project of whānau Māori experiences of in-hospital adverse events.
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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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Representing the consumer voice in an adverse event review
Sheila from Te Pukaea (Whanganui DHB's consumer council) talks about her experience as an independent consumer representative on adverse event review panels.
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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.