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Quality Improvement & Innovation

Reportable Events - Resources

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Downloads

Reportable Event Brief form: This is the form by which an undesirable event can be reported to the national events-reporting function.

Reporting Events brochure: A quick reference guide with basic information around the requirements for reporting adverse events.

Reporting Events brochure (PDF, 830 KB)

National Policy for the Management of Healthcare Incidents: The policy for the management of healthcare incidents has been drafted, consulted on, and feedback taken into account. That policy requires all incidents involving preventable death and/or significant harm to be reported to the national central events-reporting function using a Reportable Event Brief and within five working days.

National Policy for the Management of Healthcare Incidents (PDF, 904 KB)

Consultation Document on the specifications for an information system that will support the New Zealand Incident Management System: This document provides a draft set of specifications for an IT based information system that will support the national policy for the Management of Healthcare Incidents.

Consultation Document on the specifications for an information system that will support the New Zealand Incident Management System (PDF, 668 KB)

Incident management training material

For updates on the progress of the New Zealand Incident Management System please see the website http://nzsip.communiogroup.com/

Links

Sentinel Events Workbook 2001 (www.standards.co.nz)
This workbook promotes a positive approach to addressing and investigating sentinel events. It assists in developing an understanding of the root causes of a sentinel event and improving safety through effective reporting. The processes in the workbook promote a culture of safety, where discovering and reporting mistakes, errors and close calls is rewarded and not punished.

Towards Clinical Excellence: Learning From Experience 2001
This resource gives an historical background of the progression of a central repository for reportable events.

Veterens Affairs NCPS Root Cause Analysis Tool (www.va.gov)
In depth information on root cause analysis provided by National Center for Patient Safety in the United States.

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Page last updated: 6 August 2009