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Learning from adverse events report 2018/19
This is the annual learning from adverse events report for 2018/19, published by the Health Quality & Safety Commission. The report covers adverse events reported by New Zealand's 20 district health boards (DHBs) and other providers.
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Presentations from Delivering resilient health care: A workshop with Professor Erik Hollnagel
Presentations from the Health Quality & Safety Commission's workshop with Professor Erik Hollnagel: Delivering resilient health care.
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About the Health Quality & Safety Commission
We play a critical role as an independent and expert monitor of quality and safety across our health system.
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Consumer and whānau engagement workshop
Sharing examples of what great engagement with people using health services and their whānau looks like was one of the highlights of a workshop held in Wellington this month.
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Pou hihiri, Pou o te aroha | Healing and learning from harm
Pou hihiri, Pou o te aroha | Healing and learning from harm was developed by the Diana Unwin Chair in Restorative Justice and Stella Maris productions in consultation with several health sector and Māori partners, and funded by the Commission.
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Collaborating for quality: A framework for clinical governance
This guidance document sets out a high-level framework for clinical governance in health services in Aotearoa New Zealand.
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Highlights in 2024/25
Some of the work highlighted in our Annual report
- Statement of Performance Expectations | Tauākī o Ngā Mahi Ka Whāia 2021/22
- Leg ulcer care | Te maimoatanga o te kōmaoa o te waewae (Frailty care guides 2023)
- Event of harm review tool 2025