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• Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap
  Resource | Published: 1 Jul 2022

  This paper (Social Science and Medicine 73 (2011) 217-225) examines the challenges of investigating clinical incidents through the use of Root Cause Analysis.

  Harm (adverse) events
• Measures Library
  General page

  The Measures Library provides an overview and detailed technical specifications of health care quality and safety measures to support improvement of the sector. It is for technical and non-technical users of health care quality and safety measures.

• Child and Youth Mortality Review Committee: 15th data report: 2015–19 | Te Rōpū Arotake Auau Mate o te Hunga Tamariki, Taiohi: Te pūrongo raraunga 15: 2015–19
  Resource | Published: 22 Sep 2021
  Child & Youth Mortality Review
• Instructions for reviewing and correcting Surgical Site Infection Improvement Programme (SSIIP) data in National Monitor
  Resource | Published: 24 Aug 2022

  This document has been developed as a guide for SSIIP champions to review and correct SSIIP data in National Monitor (the data entry platform for the Health Quality & Safety Commission’s surveillance).

  Infection prevention and control
• Surgical site infection rate is higher following hip and knee arthroplasty when cefazolin is underdosed
  Resource | Published: 18 Nov 2021

  This paper by Dr Arthur Morris, Dr Sally Roberts, Nikki Grae and Dr Chris Frampton highlights increased rates of infection following hip and knee arthroplasty when cefazolin is underdosed.

  Infection prevention and control Safe Surgery NZ
• Opioids
  General page

  The opioids domain of the Atlas of Healthcare Variation gives an overview on the dispensing of opioids by demographics and health district to identify areas of wide variation.

• E-learning module: Human Factors | Ngā Āhua Tangata
  Resource | Published: 20 Feb 2023

  The e-learning module, Human Factors | Ngā Āhua Tangata in health care includes seven videos and is available free to all in health care professionals via the LearnOnline platform.

  Resilient health care Harm (adverse) events Restorative practice
• National hand hygiene compliance report 1 November 2019–29 February 2020
  Resource | Published: 18 Nov 2021

  National hand hygiene compliance report for the period of 1 November 2019 to 29 February 2020.

  Infection prevention and control Hand hygiene
• National hand hygiene compliance report 1 November 2018–31 March 2019
  Resource | Published: 18 Nov 2021

  National hand hygiene compliance report for the period of 1 November 2018–31 March 2019.

  Infection prevention and control Hand hygiene
• How to use the Hand Hygiene Compliance Application (guide for auditors)
  Resource | Published: 1 Jul 2022

  This presentation outlines how to use the Hand Hygiene Compliance Application for auditors.

  Infection prevention and control Hand hygiene