Displaying 21 - 30 of 67 results
-
Adverse events exception reporting 2020/21: Thematic analysis involving always report and review eventsThis thematic analysis reviewed all wrong consumer and wrong site always review and report events, reported to Te Tāhū Hauora Health Quality & Safety Commission by district health boards between 1 July 2017 and 30 June 2021.
-
E-learning module: Human Factors | Ngā Āhua TangataThe e-learning module, Human Factors | Ngā Āhua Tangata in health care includes seven videos and is available free to all in health care professionals via the LearnOnline platform.
-
Healthcare-associated infection Severity Assessment Code (SAC) examples 2022–23This list is for guidance only. All events should be rated on actual outcome for the consumer.
-
Pono consumer story: Anne-Marie DouglasAnne-Marie Douglas shares her experience of mental health challenges that led to a review process.
-
Pono consumer story: Nicola PeeperkoornNicola Peeperkoorn explores her family’s experience of the mental health and addiction event review process.
-
Reporting and reviewing adverse events involving consumers of mental health and addiction servicesThis purpose of this document is to provide guidance to the MHA sector and clarify its obligations under the national policy. Note: This is an interim document pending the update of the National Adverse Events Reporting Policy in 2022.
-
Patient story: Matthew GunterMatthew was 16 years old when he developed appendicitis. His mum, Heather, took him to the local emergency department and he had surgery that night to remove his appendix.
-
Presentations and videos from the co-design workshop on learning from adverse eventsPresentations from the first co-design workshop for Te ako mai i ngā pāmamaetanga me te wheako tāngata whaiora me te whānau | Learning from adverse events and consumer, family and whānau experience project.
-
Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gapThis paper (Social Science and Medicine 73 (2011) 217-225) examines the challenges of investigating clinical incidents through the use of Root Cause Analysis.
-
Learning from adverse events report 2018/19This 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.