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Displaying 1 - 10 of 85 results
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Using trigger tools in primary care
An article published in the New Zealand Medical Journal recently, shows that trigger tools are a useful way of measuring and tracking events that result in patient harm in primary care.
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Open Book reports share lessons learned from adverse events
The Health Quality & Safety Commission’s Adverse Events Learning programme is working with providers to share lessons learned following review of adverse events.
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Web-based learning packages for serious incident review and open disclosure
The Commission has been working with the wider health and disability sector to develop two web-based learning packages to provide guidance for two key subjects: serious incident review and open disclosure.
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Serious Adverse Events Report 2012–13
The Health Quality & Safety Commission has released the 2012–13 report of serious adverse events (SAEs) reported by district health boards (DHBs) and other health providers.
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Thematic analysis of maternity adverse events reported 1 July 2018–30 June 2023
This report is an analysis of maternity-specific data from a 5-year period (1 July 2018–30 June 2023).
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Open Book: CVC removal (July 2015)
This report alerts providers to key findings of a recent review, and highlights changes put in place to stop such an event happening again.
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Severity assessment code (SAC) examples
Examples of the severity assessment codes for adverse event reporting are available below.
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Open4Results – June 2019
Our six-monthly report on the harm prevented, and money saved, in areas the Health Quality & Safety Commission focuses on or raises awareness about.
- Severity Assessment Code (SAC) rating and process tools
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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.