Displaying 291 - 300 of 843 results
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Presentations from the third learning session for Zero seclusion: towards eliminating seclusion by 2020Below are the available videos of speaker presentations, from the third learning session on eliminating seclusion by 2020.
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Presentations and videos from the co-design workshop on learning from adverse eventsPresentations from the first co-design workshop for Te ako mai i ngā pāmamaetanga me te wheako tāngata whaiora me te whānau | Learning from adverse events and consumer, family and whānau experience project.
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Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gapThis paper (Social Science and Medicine 73 (2011) 217-225) examines the challenges of investigating clinical incidents through the use of Root Cause Analysis.
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Helen McKernan discusses mother's hospital treatmentHelen McKernan talks about her mother’s death, following a hospital medication error. Helen's mother was given the wrong medication for four days because of a chart mix up and inadequate checking.
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5 questions to ask about your medications – consumer safety posterConsumer poster available in English and te reo Māori to help patients, caregivers, families and whānau talk about medication with their health care providers.
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Learning from adverse events report 2018/19This is the annual learning from adverse events report for 2018/19, 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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Introduction to human factors and maternity systems presentationThis is a video recording of a presentation by Professor Paul Bowie about human factors and maternity systems.
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Surgical checklist videoThis video outlines the steps of using the World Health Organization's surgical safety checklist – sign in, time out and sign out.
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Video: Implementing briefing and debriefing sessions at Hutt Valley DHBLis Browne talks about implementation of briefing and debriefing sessions at Hutt Valley District Health Board.
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Video: Surgical briefing and debriefingsThis video from the Commission's Reducing Perioperative Harm programme demonstrates best practice for briefing and debriefing sessions, based on the World Health Organization's surgical safety checklist.