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Early implementation evaluation report
Between October 2017 and June 2018, the Commission worked with six early implementation sites to make improvements to their systems through testing the national vital signs chart, New Zealand early warning score and other tools and guidance.
- Video: Health literacy among Māori
- Aotearoa Patient Safety Day 2024
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Patient deterioration escalation sticker
This A6 sticker can be used to notify activation of the early warning score pathway.
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The deteriorating adult patient: evidence summary
This is an evidence summary of three potential interventions relating to the deteriorating adult patient.
- Health Quality Intelligence
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National review of avoidable deaths
Our role is to reduce avoidable deaths in New Zealand. We examine what contributes to a person’s death, and work with families and whānau, communities, clinicians, health services and other parts of government to prevent avoidable deaths.
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The Seventh Report on the Activities of the Child and Youth Mortality Review Committee: 2011–16
This seventh activities report presents the activities of the Child and Youth Mortality Review Committee (CYMRC) from 1 July 2011 to 30 June 2016.
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2024/25 Health and disability sector harm (adverse) events infographic
An annual infographic summary of harm (adverse) events reported across New Zealand's health sector in 2024/25. Highlighting most frequent sources of harm by various health services and ethnicity and opportunities for system learning and improvement.
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Learning from harm programme restorative responses workbook
This workbook is an introduction to restorative responses in the context of adverse events. A restorative response is a relational approach that is guided by a need to address harm, meet needs, restore trust, prevent repetition and promote repair.