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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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Using survey data for quality improvement
Use patient experience survey data to improve care. Access tools and guides to support quality improvement and co-designed service changes.
- 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.
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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.
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Workshop report: Strengthening connections – the new landscape for reducing preventable deaths
Summary report from the 2023 workshop, held for perinatal and maternal mortality review and child and youth mortality review local coordinators and chairs and Te Aka Whai Ora and Te Whatu Ora leaders.
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Maternal mental health birth plan template
This document is a template of a maternal mental health birth plan. It was developed by the Maternal Mortality Review Working Group, a sub-group of the Perinatal and Maternal Mortality Review Committee.
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Opioids
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.
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Chronic Obstructive Pulmonary Disease in people aged 45 and over
The goal of this Atlas domain is to highlight variation in the prevalence, admissions, and medicine use of people estimated to have Chronic Obstructive Pulmonary Disease (COPD).