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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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Our consumer advisory group
- Femicide: Deaths resulting from gender-based violence in Aotearoa New Zealand
- Review
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ALERT: Prescribing by weight in children
This alert was developed in response to a request by the Health and Disability Commissioner following a case where the dose of medicine for a baby was calculated using a weight recorded as being kilograms when it was actually pounds and ounces.
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Aotearoa Patient Safety Day 2025
Aotearoa Patient Safety Day is a commitment to consumers and healthcare workers that our health services strive to provide the best and safest care possible, every time. This year we will be marking the day on Monday, 17 November.
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Aotearoa Patient Safety Day 2026
Aotearoa Patient Safety Day is a commitment to consumers and healthcare workers that our health services strive to provide the best and safest care possible, every time. This year we will be marking the day on Tuesday, 17 November.
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Care Guide for Health Care Assistants in aged residential care webinar
Te Tāhū Hauora Health Quality & Safety Commission invites you to a free webinar introducing the new Care Guide for Health Care Assistants in aged residential care
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Aotearoa Patient Safety Day
Aotearoa Patient Safety Day, celebrated each November, is a commitment to consumers, whānau and healthcare workers that our health services strive to provide the best and safest care possible, every time.
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Code of expectations for health entities' engagement with consumers and whānau [web version]
The code of expectations for health entities’ engagement with consumers and whānau sets the expectations for how health entities must work with consumers, whānau and communities in the planning, design, delivery and evaluation of health services.