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• Presentations from Delivering resilient health care: A workshop with Professor Erik Hollnagel
  Resource | Published: 7 Dec 2021

  Presentations from the Health Quality & Safety Commission's workshop with Professor Erik Hollnagel: Delivering resilient health care.

• Healthcare-associated infection Severity Assessment Code (SAC) examples 2024-25
  Resource | Published: 27 May 2025

  This list is for guidance only. All events should be rated on actual outcome for the consumer.

  Harm (adverse) events
• Anticoagulation stewardship
  General page

  The anticoagulation stewardship programme started in September 2022.

• Health quality & safety news: Issue #45
  News
• Submit an expression of interest
  Resource

• I love music
  General page
• Low speed run over mortality report
  Resource | Published: 15 Dec 2011

  In its Fifth Report to the Minister of Health (2009), the Child and Youth Mortality Review Committee (CYMRC) noted that systems to review non-traffic deaths are inconsistent and less well developed compared with systems to review traffic deaths.

  Mortality Review
• Hand Hygiene information for children
  Resource | Published: 19 Jul 2023

  Information from organisations including the Ministry of Health, on hand hygiene practices for staff and children in schools.

  Infection prevention and control
• Development of patient experience indicators for New Zealand
  Resource | Published: 30 Aug 2013

  KPMG has developed a report on the development of patient experience indicators for New Zealand for the Commission.

  Patient experience
• Ehlers-Danlos syndrome video series: how a multidisciplinary team helped improve patient outcomes
  Resource | Published: 26 Jan 2022
  Consumer