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Health Quality & Safety Commission New Zealand Annual Summary of Adverse Events Data From 2019/20

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In December 2020, the Health Quality & Safety Commission New Zealand released the annual summary of adverse events data from 2019/20.

Each year, serious health care adverse events are reported to the Commission by district health boards (DHBs) and other health care providers in New Zealand. A serious adverse event is one that results in serious harm or death. The Commission works with providers to encourage an open culture of reporting, to learn from what happened, and to put in place systems to reduce the risk of recurrence.

Between 1 July 2019 and 30 June 2020, a total of 975 (916 in 2018/19) serious adverse events were reported to the Commission. Of these, 627 were reported by DHBs (566 in 2018/19). Clinical management events continue to make up the majority of reported adverse events. This includes pressure injuries, delayed diagnosis or treatment, deterioration, and complications.

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