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Serious and Sentinel Events Reported By District Health Boards - 2008/09

Summary


Sentinel and Serious Events Reported by District Health Boards in the 2008/09 year provides the third consolidated report about serious and sentinel events across New Zealand’s 21 District Health Boards.

A serious or sentinel event has, or has the potential to result in, serious lasting disability or death, not related to the natural course of the patient’s illness or underlying condition.

For the reporting year 2008/09 District Health Boards reported 308 people treated in their hospitals were involved in an adverse clinical event that was actually or potentially preventable. Of this total, 92 died during the admission or shortly afterwards, though not necessarily as a result of the event.

Over the same period, over 925,000 people were treated and discharged by hospital staff working very hard to relieve suffering and improve health and quality.


This report is released annually by the Quality Improvement Committee.
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Media Statement and Questions and Answers


Media Statement: National reporting framework for serious and sentinel events 2008/09 (Word, 136 KB)

Questions and Answers (Word, 138 KB)
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The QIC Serious and Sentinel Event Report 2007/08


The QIC report is are available in Word and PDF format below:

Serious and Sentinel Events in New Zealand Hospitals 2008/09 (Word, 331 KB)
Serious and Sentinel Events in New Zealand Hospitals 2008/09 (PDF, 145 KB)
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Event Summaries by District Health Board


The DHB event reports are available in Word and PDF format below:

DHB Summary of Serious & Sentinel Event Report 2008/09 (Word, 990 KB)
DHB Summary of Serious & Sentinel Event Report 2008/09 (PDF, 307 KB)
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Page last updated: 30 November 2009



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