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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.
- Open communication
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Healthcare-associated Staphylococcus aureus bacteraemia (HA-SAB) source data collection training resources
This presentation was developed as a training tool for infection prevention and control professionals in public hospitals who collect HA-SAB source data and submit to the Commission.
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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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Guide to using the quality and safety markers dashboard
The national quality and safety marker report moved to a dashboard format in December 2020. This guide has been created to help people use and understand the QSM dashboard and its features.
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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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John's story: Managing warfarin safely
Hear John Smith tell his story of how he became seriously ill after taking warfarin and what has changed in the management of his warfarin as a result.
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Antimicrobial Stewardship in New Zealand
Interviews involving experts from across the health sector were conducted in April and May 2013 to investigate the context and recommendations for antimicrobial stewardship (AMS) in New Zealand.
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From PES to PDSA – Workbook: Using adult hospital inpatient experience survey data for quality improvement
This workbook is designed to help you use data from the Aotearoa New Zealand adult hospital inpatient experience survey to conduct quality improvement initiatives and track the progress of these initiatives.
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A good start in life: practical guidance
This resource is about whānau, community and services working together to ensure children with disabilities get a good start in life.