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Surgical briefing case studies
Start-of-list briefings improve teamwork, camaraderie and efficiency. These case studies from Counties Manukau Health outline how making start-of-list briefings a standard part of the surgical list, was an easy choice.
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Checklists, briefings and debriefings: an evidence summary
This document provides evidence for the use of checklists, briefings and debriefings, providing an overview of research and studies undertaken in various hospitals.
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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
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Partners in Care co-design programme: Participant feedback report
The report below contains a summary of feedback from participants in the Health Quality & Safety Commission’s 2020/21 co-design in primary care programme.