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Displaying 51 - 60 of 85 results
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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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Using restorative approaches to heal and learn: Humanising harm
Have you observed or been affected by health care harm? For example, a complaint, adverse event, or conflict?
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Commission releases annual summary of adverse events data from 2019/20
The annual summary of adverse events data from 2019/20 has been released by the Health Quality & Safety Commission.
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Adverse events report signals stronger focus on learning from consumers
The latest Learning from adverse events report recommends putting consumers at the centre when reporting, reviewing and learning from adverse events.
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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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National adverse events reporting policy 2017
This is the annual adverse events report 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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Severity Assessment Criteria tables
The likelihood and consequences tables are used by district health boards (DHBs) to assist with the classification of incidents by DHB quality and risk managers.
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Adverse events learning programme now delivered online
The COVID-19 pandemic challenged us to think about how we deliver learning programmes to make them more accessible. The adverse events learning review workshop is now delivered online.
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2018/19 adverse events report released
The annual Learning from adverse events report from the Health Quality & Safety Commission has been released.
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National adverse events policy 2023 feedback summary
A summary of the feedback and responses from public consultation on the revised Healing, learning and improving from harm: national adverse events policy 2023 is now available.