Displaying 681 - 690 of 844 results
-
Zero seclusion case studies: How DHBs are successfully reducing the use of seclusionThis document features the experiences of six health professionals who have successfully reduced the use of seclusion in their district health board's mental health and addiction services.
-
Serious and Sentinel Events in New Zealand Hospitals 2006–2007Commentary on serious and sentinel events reported by District Health Boards in 2006–2007.
-
Serious and Sentinel Events in New Zealand Hospitals 2007–2008Serious and Sentinel Events in New Zealand Hospitals 2007–2008.
-
Serious and Sentinel Events in New Zealand Hospitals 2008–2009In this year three in 10,000 admissions to DHBs involved a potentially preventable serious or sentinel event. Of these 39 percent were a result of a clinical mismanagement problem
-
Gillian Robb talks about the IHI Global Trigger ToolThe Global Trigger Tool (GTT) is a methodology developed by the Institute for Healthcare Improvement to identify patient harm that occurs in health care organisations.
-
Global trigger tool: Using data for improvementThis presentation given by global trigger tool clinical lead, Gillian Robb, provides an update on the use of trigger tools in New Zealand.
-
National Adverse Events policy 2017National Adverse Events policy 2017
-
Adverse events shared learning toolThis tool is for sharing learning from events that are not otherwise reported to the Health Quality & Safety Commission under the National Adverse Events Reporting Policy.
-
Systems Analysis of Clinical Incidents: The London ProtocolThe purpose of the London Protocol is to ensure a comprehensive and thoughtful investigation and analysis of a clinical incident.