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Displaying 71 - 80 of 84 results
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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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Maternity early warning system (MEWS) short-stay maternity vital signs chart (MVSC)
The national maternity early warning system (MEWS) short-stay maternity vital signs chart (MVSC) supports the recognition of and response to deteriorating women in short-stay/assessment areas, such as women’s assessment units...
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National summary of adverse events reported to the Health Quality & Safety Commission 1 July 2019 to 30 June 2020
A national summary of adverse events reported to the Health Quality & Safety Commission 1 July 2019 to 30 June 2020.
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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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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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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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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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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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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.