Displaying 471 - 480 of 605 results
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Learning from adverse events report 2017–18This is the annual learning from adverse events report for 2017–18, 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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Open Book: Dispensing errors: Learning from the national primary care patient experience survey (Jan 2019)This report alerts providers to key medication-related findings from the national primary care patient experience survey, and includes some recommendations for improvement.
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Open Book: Learning Review (March 2021)This Open Book introduces the Learning Review, a process originally developed in the United States Forest Service.
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Open Book: Hypoxic cardiac arrest during attempted percutaneous tracheostomyThis report alerts providers of the risk of hypoxic cardiac arrest during percutaneous tracheostomy. The aim is to learn from the event and establish a standard operating procedure to prevent future similar events.
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Open Book: Extravasation injury during surgeryThis Open Book alerts providers to the key findings of a recent review of an incident where a patient suffered an extravasation injury that required skin grafts to repair.
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Patient COVID-19 Serious Illness Conversation Guide – guide to support conversations with patientsThis guide was developed to support clinicians to have conversations with patients about their COVID-19 diagnosis and what that might mean for them.
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Attitudes towards the Surgical Safety Checklist and its use in New Zealand operating theatresReport from Litmus on attitudes towards the Surgical Safety Checklist and its use in New Zealand operating theatres.
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Keeping you safe during surgery – surgical safety brochure for patientsBrochure for patients to explain the various elements of the surgical safety checklist.
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What is perioperative harm and how can we reduce it?Presentation from Perioperative Harm Advisory Group clinical lead Mr Ian Civil – What is perioperative harm and how can we reduce it?
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Webinar recording 'Beyond the tickbox' with Dr William BerryRecording of the 'Beyond the tickbox' webinar with Dr William Berry, held on Friday 11 July 2014.