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Seventh Annual Report of the Perinatal and Maternal Mortality Review Committee
This is the seventh annual report of the Perinatal and Maternal Mortality Review Committee (PMMRC). The aim of this committee is to identify areas in maternity and newborn care where improvements could be made.
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Sixth Annual Report of the Perinatal and Maternal Mortality Review Committee
This is the sixth annual report of the Perinatal and Maternal Mortality Review Committee (PMMRC). The aim of this committee is to identify areas in maternity and newborn care where improvements could be made.
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System safety
The way we think about safety in the health sector has changed over recent years. We are increasingly recognising the health care system is a complex system that constantly adapts to change.
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The Global Trigger Tool: A review of the evidence
This report reviews the literature associated with the development and use of trigger tools to determine rates of harm in health care settings, with particular attention on the Institute of Healthcare Improvement's Global Trigger Tool.
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Co-design programme evaluation and case studies 2015–16
The 2015–16 co-design programme was delivered in two DHBs over an eight-month period from October 2015 to May 2016. The evaluation report, interviews and case studies from the programme are now available.
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Patient Deterioration
We work with hospitals to establish recognition and response systems for managing the care of acutely deteriorating patients.
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Surgical safety culture survey report 2019
The 2019 surgical safety culture survey was undertaken by Mobius Research and Strategy, to assist in evaluation of the Health Quality & Safety Commission's Safe Surgery NZ programme. This report presents the results of the 2019 survey.
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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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Disability data gaps leave health inequities hidden, new report finds
New report exposes major gaps in NZ health data, leaving disabled people’s needs invisible. Linked data reveals systemic barriers, poorer outcomes, and urgent need for better data to drive equitable care improvements.
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Annual Report 2014/15 | Pūrongo ā-tau 2014/15
The Commission's annual report for the period 1 July 2014 to 30 June 2015 is available to download below.