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National Adverse Events policy 2017
National Adverse Events policy 2017
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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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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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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.