Displaying 331 - 340 of 730 results
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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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Open Book: Lessons learnt from reviewing patient falls (March 2017)Falls are one of the most common causes of injury to patients in hospital, community and residential care settings.
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Presentations from the workshop Zero Seclusion: towards eliminating seclusion by 2020Copies of presentations from the workshop Zero Seclusion: towards eliminating seclusion by 2020 held on 7 March 2018.
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Presentations and photos from the mental health and addiction learning session – 13 September 2018Presentations and photos from the mental health and addiction learning session held on 13 September 2018.
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Primary care improvement case study: Improving eczema management and care at Hauora HeretaungaHauora Heretaunga developed a Whakakotahi quality improvement project to improve the wellbeing of Māori children aged 0–4 years suffering physically and emotionally with eczema.
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Patient deterioration programme charter: Recognising and responding togetherThis document sets out work by the Health Quality & Safety Commission on the patient deterioration programme. It identifies what our programme aims to achieve over five years and how it will do this. It will be supported by annual programme plans.
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Presentations from the special one-day workshop with Jeanne M. HuddlestonIn partnership with the Health Roundtable, the Health Quality & Safety Commission hosted Associate Professor Jeanne M. Huddleston from the Mayo Clinic for a full-day interactive workshop.