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- About
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Adverse events exception reporting 2020/21: Thematic analysis involving always report and review events
This thematic analysis reviewed all wrong consumer and wrong site always review and report events, reported to Te Tāhū Hauora Health Quality & Safety Commission by district health boards between 1 July 2017 and 30 June 2021.
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Seventh report: A duty to care | Pūrongo tuawhitu: Me manaaki te tangata
The Seventh report of the Family Violence Death Review Committee draws attention to the concept of a duty to care. It includes a short companion piece that explores the kaupapa of the report and includes reflective points for agencies and services.
- Cardiovascular Disease
- Findings from Family Violence Death Review data relating to stalking: January 2020 - June 2024
- System accountability
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Including whānau voices in family violence homicide in-depth reviews
Since 2019, the Family Violence Death Review Committee has been seeking the input of surviving family and whānau members as part of the in-depth review process. This article is a reflection on the process and how we can improve it.
- Engage stakeholders
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Top tips for a successful co-design project
Between July 2017 and June 2018, we worked with Ko Awatea’s Dr Lynne Maher and the four Kōrero mai lead sites to co-design patient, family and whānau escalation of care processes.
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Learning from harm education
The Learning from harm education programme educates participants how to review health care harm, understand work that supports healing and create quality improvement actions to reduce the risk of harm.