Latest articles and events

Clear patient protocols must be followed to avoid gaps in care

Published: May 2019
This article considers two recent HDC cases about inadequate assessments and subsequent delays in diagnoses of cancer, which serve as useful reminders of the need to do the basics well.

The impact of communication failures

Published: March 2019
When considering systems it is important to be mindful of the effect that breakdowns in communications within and between teams can have on patient safety. The risk of communication failure is exacerbated by siloed teams and hierarchical structures that prevent the free exchange of information. Co-ordination, communication, and shared responsibilities are more able to be achieved when clinicians respond to one another as partners, not as competitors, and work together collaboratively.

Time for action on medicine mistakes

Published: February 2019
Medication is the most common intervention in health care. Most New Zealanders who are prescribed, dispensed, and administered medication will receive safe and effective care. However, when medication errors do occur they have the potential to cause significant harm. It is therefore vital that the contributing factors are analysed, and that lessons are learned, preventative action taken, and systems strengthened to ensure that such errors do not occur again.