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Displaying 41 - 50 of 53 results
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Representing the consumer voice in an adverse event review
Sheila from Te Pukaea (Whanganui DHB's consumer council) talks about her experience as an independent consumer representative on adverse event review panels.
- Review of the national reportable events policy 2012: Summary of stakeholder feedback
- Severity Assessment Code (SAC) rating and process tools
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Serious and Sentinel Events in New Zealand Hospitals 2008–2009
In 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
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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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Systems Analysis of Clinical Incidents: The London Protocol
The purpose of the London Protocol is to ensure a comprehensive and thoughtful investigation and analysis of a clinical incident.
- Always Report and Review list
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Severity assessment code (SAC) examples
Examples of the severity assessment codes for adverse event reporting are available below.
- Shared learning tool
- Learning from harms terms of reference template