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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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Sudden unexpected death in infancy (SUDI) workshop presentations
Presentations from the SUDI workshop held in Wellington on 4 and 5 May 2006.
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Let’s plan to leave hospital | Me whakamahere i te wehenga i te hōhipera
Hospital staff want you to leave feeling well informed and with answers to any questions you may have. This sheet will help.
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Mapping allied health activity after major trauma
This page explains how health information from seriously injured people may be safely used, without individual consent, to understand trauma rehabilitation services and identify opportunities for improvement.
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Webinar: Deterioration Early Warning System (DEWS) for aged residential care
In May Te Tāhū Hauora Health Quality & Safety Commission held a webinar to introduce: Deterioration Early Warning System (DEWS) – a feasibility study in aged residential care.
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Pharmac leaflet explaining medicine brand changes
This leaflet from Pharmac explains why brand names, appearance and packaging of your medicines may have changed.
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Patient deterioration
The goal of this Atlas domain is to identify whether there is wide variation in rates of patient deterioration, which may highlight areas for further local investigation and improvement.
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Presentations from the HHNZ hand hygiene workshop
Presentations from the Health Quality & Safety Commission and Hand Hygiene New Zealand's half-day workshop on hand hygiene, held in Auckland on 15 October 2017.
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Results of the all-of-Commission consumer forum survey
The Health Quality & Safety Commission’s Partners in Care team held an all-of-Commission consumer forum in May 2019.
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System safety
The way we think about safety in the health sector has changed over recent years. We are increasingly recognising the health care system is a complex system that constantly adapts to change.