Displaying 211 - 220 of 803 results
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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.
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Helen McKernan discusses mother's hospital treatmentHelen McKernan talks about her mother’s death, following a hospital medication error. Helen's mother was given the wrong medication for four days because of a chart mix up and inadequate checking.
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5 questions to ask about your medications – consumer safety posterConsumer poster available in English and te reo Māori to help patients, caregivers, families and whānau talk about medication with their health care providers.
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Arthur Te Anini's storyThe Kia kōrero | Let’s talk advance care planning campaign encourages people to plan for their future health care, with a focus on what matters to them. It features the personal stories of six New Zealanders at different stages of life and wellness.
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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.
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Introduction to human factors and maternity systems presentationThis is a video recording of a presentation by Professor Paul Bowie about human factors and maternity systems.
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Surgical checklist videoThis video outlines the steps of using the World Health Organization's surgical safety checklist – sign in, time out and sign out.
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Video: Implementing briefing and debriefing sessions at Hutt Valley DHBLis Browne talks about implementation of briefing and debriefing sessions at Hutt Valley District Health Board.
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Video: Surgical briefing and debriefingsThis video from the Commission's Reducing Perioperative Harm programme demonstrates best practice for briefing and debriefing sessions, based on the World Health Organization's surgical safety checklist.
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Shared goals of care forms for use in hospitalThere are three shared goals of care forms. As we wanted to make these forms available as quickly as possible, we have not been able to complete our usual robust quality improvement approach.