Displaying 241 - 250 of 642 results
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A window on quality 2021: COVID-19 and impacts on our broader health system – Part 1 | He tirohanga kounga 2021: me ngā pānga ki te pūnaha hauora whānui – Wāhanga 1This year’s A window on quality explores the secondary impacts of our response on selected aspects of the functioning of our health system so we can learn from that experience and shape resilient system responses in the future.
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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.