Displaying 241 - 250 of 605 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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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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The deteriorating adult patient: evidence summaryThis is an evidence summary of three potential interventions relating to the deteriorating adult patient.
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The deteriorating adult patient: Current practice and emerging themesThis paper provides a ‘snapshot’ of current practice in the recognition and management of the deteriorating adult inpatient in New Zealand. It also includes health sector views on emerging themes from international literature.
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Investment case for the deteriorating patientThis investment case for a quality improvement programme to reduce harm caused by clinical deterioration was prepared for the Health Quality & Safety Commission by Sapere Research group.