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Displaying 1 - 10 of 84 results
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Pono consumer story: Nicola Peeperkoorn
Nicola Peeperkoorn explores her family’s experience of the mental health and addiction event review process.
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New film focuses on healing and learning from health care harm
A new film, Pou hihiri, Pou o te aroha | Healing and learning from harm, features consumers, clinicians and researchers talking about the benefits of following a restorative approach after a harmful event occurs in health care.
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More providers to follow adverse events policy from February 2022
The range of health providers who have to follow the Health Quality & Safety Commission’s National Adverse Event Reporting Policy is broadening from 28 February 2022, when the new Ngā Paerewa Health and Disability Services Standard comes into effect.
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Adverse events exception reporting 2020/21: Thematic analysis involving always report and review events
This thematic analysis reviewed all wrong consumer and wrong site always review and report events, reported to Te Tāhū Hauora Health Quality & Safety Commission by district health boards between 1 July 2017 and 30 June 2021.
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Learning from harm programme restorative responses workbook
This workbook is an introduction to restorative responses in the context of adverse events. A restorative response is a relational approach that is guided by a need to address harm, meet needs, restore trust, prevent repetition and promote repair.
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E-learning module: Human Factors | Ngā Āhua Tangata
The e-learning module, Human Factors | Ngā Āhua Tangata in health care includes seven videos and is available free to all in health care professionals via the LearnOnline platform.
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Adverse events reports for quarters 1, 2 and 3 of 2020/21 released
Each year the Health Quality & Safety Commission collects information about adverse events that occur in hospitals and other health care providers and reports on the findings. This is the data for quarter one, two and three of 2020/2021.
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Learning from adverse events report 2017–18
This 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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Learning review workshop with Dr Ivan Pupulidy and Prof Crista Vesel
An in-person learning review workshop with the developers of the method, Dr Ivan Pupulidy and Prof Crista Vesel.
- Learning from harms terms of reference template