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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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Deterioration Early Warning System (DEWS)
The Deterioration Early Warning System (DEWS) supports aged residential care facilities to identify and respond to acute deterioration in people living in aged care.
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Introduction of a standardised maternity early warning system: indicative data from a before-and-after study at a large pilot site before national rollout in Aotearoa New Zealand
Drake M, Austin G, Dann L, Li Y, Shuker C, Psirides A
Anaesthesia -
Sixth report of the Perioperative Mortality Review Committee
In this sixth report, the Perioperative Mortality Review Committee has examined perioperative mortality in New Zealand during 2010–2014 for two new areas of interest.
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Board members
Our board members are appointed under section 28 of the Crown Entities Act 2004.
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A window on quality 2022 (Part 2)
In this report, we use perspectives from respondents in the health and disability sector and hard data to continue important lines of enquiry we began in A window on quality 2021: COVID-19 and its impacts on our broader health system (Part 1).
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Towards quality improvement at scale in the New Zealand primary care setting: Findings from consumer and health service engagement
This document, Towards quality improvement at scale in the New Zealand primary care setting, was commissioned to help us plan how to achieve quality improvement at scale in primary care.
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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.