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Search results for "sentinel"

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Learning from adverse events report 2018/19

PUBLICATION: 21 Nov 2019, Adverse Events

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.

Learning from adverse events report 2017–18

PUBLICATION: 7 Dec 2018, Adverse Events

This is the annual learning from adverse events report for 2017–18, 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.

Learning from adverse events report 2016–17

PUBLICATION: 24 Nov 2017, Adverse Events

This is the annual adverse events report 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.

Tairawhiti DHB has 'obligation' to learn from experience

NEWS: 21 Nov 2013, Adverse Events

Tairawhiti District Health has made changes to its falls assessment and care planning processes following investigations into four serious adverse events in the 2012/2013 financial year, one fewer than the previous year.

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Serious and Sentinel Events 2011/12 Media Release

NEWS: 20 Nov 2012, Adverse Events

The Health Quality & Safety Commission has released the 2011/12 report of serious and sentinel events (SSEs) in District Health Board hospitals. The report shows 360 SSEs were reported, 3 percent fewer than the 370 recorded in 2010/11

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Serious and Sentinel Events 2011/12

MEDIA RELEASE: 20 Nov 2012, Adverse Events

The Health Quality & Safety Commission has released the 2011/12 report of serious and sentinel events (SSEs) in District Health Board hospitals. The report shows 360 SSEs were reported, 3 percent fewer than the 370 recorded in 2010/11.

A Collaborative National Approach to Reducing Preventable Harm

PUBLICATION: 1 Nov 2012, Reducing Harm from Falls

This report, A Collaborative National Approach to Reducing Preventable Harm: Quality of care indicator mapping: Falls injury prevention and pressure injury prevention, is for all District Health Boards.

David Sage
Clinical Lead for Reportable Events programme appointed

NEWS: 5 Oct 2012, Adverse Events

Dr David Sage has been appointed Clinical Lead for the national reportable events programme. This includes the national reportable events policy, and reporting of serious and sentinel events by district health boards (DHBs).

Clinical Lead for Global Trigger Tools programme appointed

NEWS: 28 Jun 2012, Adverse Events

Gillian Robb has been appointed as the Clinical Lead for the Commission’s Global Trigger Tools work programme. Gillian is a professional teaching fellow at Auckland University, and a Senior Quality Manager at Counties Manukau DHB

Clinical Lead for Falls Programme appointed

NEWS: 28 Jun 2012, Reducing Harm from Falls

Sandy Blake has been appointed as Clinical Lead for the National Falls Harm Prevention Programme. She is the Director of Nursing, Patient Safety and Quality, at Whanganui District Health Board.