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Fifth report of the Perioperative Mortality Review Committee
In this fifth report, the Perioperative Mortality Review Committee has examined perioperative mortality in New Zealand during 2009–2013 for two new clinical areas of interest.
- Video: Introducing the safe use of opioids collaborative
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Evaluation of the surgical site infection improvement programme
Evaluation of the surgical site infection improvement programme – final summative report.
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Systems Analysis of Clinical Incidents: The London Protocol
The purpose of the London Protocol is to ensure a comprehensive and thoughtful investigation and analysis of a clinical incident.
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Presentations from the all-of-Commission consumer's forum
On 22 May 2019, the Health Quality & Safety Commission's Partners-in-Care programme held an all-of-Commission consumer forum.
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The health care experience of disabled people during COVID-19: Summary of findings from the COVID-19 patient experience survey
The Health Quality & Safety Commission runs two national surveys every three months to gather information about how people experience health care in Aotearoa New Zealand hospitals and in primary care (going to the doctor or pharmacy).
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Restorative practice
We focus on restorative practice and hohou te rongo, which is peace-making from a te ao Māori world view. This mahi appreciates that relationships make us human; they can be positive or harmful, and they are important in healing.
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Te Whatu Ora Taranaki case study: Improving discharge processes after traumatic brain injury
A case study from Te Whatu Ora Taranaki, who identified that many people were not receiving the required discharge information or referrals for follow-up when they were discharged from hospital following a traumatic brain injury (TBI).
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Getting the story right: reflecting on an indigenous rubric to guide the interpretation of mortality data
Cram F, Cannell H, Gulliver P
Journal of Interpersonal Violence -
Open4Results – December 2017
The Health Quality & Safety Commission has released the latest update of its Open4Results report.