Adverse event reports
Hawke’s Bay District Health Board is committed to patient safety and the delivery of high quality patient care. Ensuring adverse events are captured, investigated and reported is important in building a culture of safety, minimising errors and avoidable harm and learning from the errors that do occur.
National adverse event reporting
The 2019-20 annual national adverse event report has been released by the Health Quality and Safety Commission (HQSC) and can be viewed here.
DHBs are required to report all adverse events (events that meet criteria for Severity Assessment Code (SAC) 1 or 2).
HBDHB is responsible for 41 of the 627 adverse events reported nationally.
Of those 41, just over 50 percent (24 events) involved clinical management issues.
Chief Medical and Dental Officer Robin Whyman said everyone wants to do the best they can to help consumers, and that includes learning from adverse events so systems can be put in place to prevent the same event from happening again.
The Patient Safety team works with those involved to review these events so that we can help prevent anyone else from being harmed, he said.