Sapere Research Group undertook a cost benefit analysis of the WHO surgical safety checklist for the Health Quality & Safety Commission. The report concludes there is scope for more consistent use of the surgical safety checklist within the New Zealand health system and that the cost of this improvement is likely to be low. Systematic use of the checklist is likely to lead to a net financial...
The Excellence through Patient and Family Centred Care Project aims to identify best practices and bring about system changes that enable the Bay of Plenty Health Board (BOPDHB) and other organisations to become and remain patient and family centred by bringing the perspectives of patients and families directly into the planning, delivery and evaluation of health care and by building on our...
The purpose of this environmental scan, carried out by the New Zealand Guidelines Group (NZGG), is to provide examples of important health literacy processes and initiatives underway in New Zealand which are associated with medication safety. This report details results of the scan and covers health literacy tools, resources, systems, repositories, processes, personnel and/or other methods...
While it is commonly accepted that alcohol misuse is harmful, very little is known about the effects of alcohol on the lives of children in New Zealand, particularly those under the age of 16. This special report was commissioned to investigate the role that alcohol consumption plays in the deaths of children and young people in New Zealand.
This report examines 357 deaths of children and...
In its Fifth Report to the Minister of Health (2009), the Child and Youth Mortality Review Committee (CYMRC) noted that systems to review non-traffic deaths are inconsistent and less well developed compared with systems to review traffic deaths. As a result, ‘children and young people on farms, off-road in all-terrain vehicles or in driveways may die with no organisation maintaining a systematic...
LECG was contracted by the Health Quality and Safety Commission to review the Incident Management and Reporting Programme – a workstream funded via the now disbanded Quality Improvement Committee (QIC).
We were asked to report on:
the current range of activities;
the state of progress against the original programme objectives;
options for next steps;
options for collaboration of...
The purpose of recording and investigating preventable adverse events in hospitals is to understand why these events occurred, which then provides a basis for taking action to try to prevent similar events from happening in the future. The overall aim is to improve patient safety.
In February 2008 the Quality Improvement Committee released the first sentinel and serious events report. Although...