Resource library

The action list template is part of the maternal morbidity review toolkit for maternity services.

The maternal morbidity review template is part of the maternal morbidity review toolkit for maternity services.

Tools and resources provided by the mental health and addiction quality improvement programme's Māori advisory group.

This Open Book introduces the Learning Review, a process originally developed in the United States Forest Service.

This 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.

This 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.

Purpose: To highlight the risks for patients on heparin and to promote safer practice.

This alert highlights that patient harm and death have occurred when the weekly dosing schedule of methotrexate is inadvertently prescribed, dispensed or administered as an incorrect daily dose.

The Medication Safety Expert Advisory Group is developing a full alert following release of a safety signal issued in October 2012 on oral metoprolol administration.

Frequently asked questions about the Commission's pressure injury measurement project.