Displaying 251 - 260 of 647 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.