Displaying 31 - 40 of 67 results
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Representing the consumer voice in an adverse event reviewSheila from Te Pukaea (Whanganui DHB's consumer council) talks about her experience as an independent consumer representative on adverse event review panels.
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Always Report and Review list 2021–22The Always Report and Review list is a subset of adverse events that health providers should report and review in the same way as SAC 1 and 2 rated events, irrespective of whether or not there was harm to the consumer.
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National adverse events reporting policy 2017This 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.
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National summary of adverse events reported to the Health Quality & Safety Commission 1 July 2019 to 30 June 2020A national summary of adverse events reported to the Health Quality & Safety Commission 1 July 2019 to 30 June 2020.
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Open Book: Interventions or procedures performed outside operating theatre settings – wrong procedure/wrong site/wrong person (Oct 2017)This report alerts providers to key findings and actions following review of preventable events relating to interventional procedures. The aim is to learn from the events to prevent future similar events.
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Open Book: Alert for prescribing error – dabigatran and enoxaparin (July 2017)This report alerts providers to adverse event cases reported to the Commission’s Adverse Events Learning Programme.
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The Global Trigger Tool: A review of the evidenceThis report reviews the literature associated with the development and use of trigger tools to determine rates of harm in health care settings, with particular attention on the Institute of Healthcare Improvement's Global Trigger Tool.
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Open4Results – December 2018Our six-monthly report on the harm prevented, and money saved, in areas the Health Quality & Safety Commission focuses on or raises awareness about.
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Open4Results – June 2019Our six-monthly report on the harm prevented, and money saved, in areas the Health Quality & Safety Commission focuses on or raises awareness about.
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Maternity early warning system (MEWS) short-stay maternity vital signs chart (MVSC)The national maternity early warning system (MEWS) short-stay maternity vital signs chart (MVSC) supports the recognition of and response to deteriorating women in short-stay/assessment areas, such as women’s assessment units...