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Eighth report of the Perioperative Mortality Review Committee
The eighth Perioperative Mortality Review Committee report presents data and information on perioperative mortality in Aotearoa New Zealand between 2012 and 2017. In particular, it focuses on mortality following emergency laparotomy outcomes for Māor
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The path of making things right
Trauma services, community rehabilitation and kaupapa Māori providers are taking part in a quality improvement project focused on strengthening post-acute rehabilitation and support for patients (tūroro) with major trauma.
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Maternity
The New Zealand maternity clinical indicators are the result of collaboration between the Ministry of Health and maternity stakeholders representing consumer, midwifery, obstetric, general practice, paediatric and anaesthetic perspectives.
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Aged residential care analysis of harm (adverse) events 2024/2025
Analysis of aged residential care reporting of serious harm events during 2024/25. Considers reported harms and learning opportunities identified through harm event reviews. Highlights opportunities for system-focused learning and wider reporting.
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Evaluation report: Test of the national paediatric early warning system implementation
This document outlines an evaluation of the early implementation of the national paediatric early warning system (PEWS).
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Representing the consumer voice in an adverse event review
Sheila from Te Pukaea (Whanganui DHB's consumer council) talks about her experience as an independent consumer representative on adverse event review panels.
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Suicide post-vention | An example: ‘Fusion’, Te Tai Tokerau
This report is a brief introduction to the post-vention work of Fusion in Te Tai Tokerau. It primarily uses the voices of those involved in delivering the work with the agencies and communities, to describe its challenges and successes.
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Video: Post-mortem for babies in Aotearoa NZ
Information for parents, family and whānau about post-mortem for babies in New Zealand.
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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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Frontline Ownership workshop with Dr Michael Gardam
Seven videos discuss different techniques to tackling hand hygiene problems and other challenging issues.