[현재위치]: 홈> 뉴질랜드

뉴질랜드 New Zealand

• Adverse Events in New Zealand Public Hospitals: Principal Findings from a National Survey

  • Objectives:

    • To assess the occurrence, impact and preventability of adverse events recorded in New Zealand public hospitals.

  • Methods:

    • A two-stage retrospective review was carried out on 6,579 medical records.

    • These were selected by systematic list sample from admissions for 1998 occurring in 13 public hospitals throughout New Zealand providing acute care and with over 100 beds, excluding specialist institutions.

    • Following initial screening, medical records were subject to structured implicit review (that is, the guided exercise of professional judgment) by a team of trained medical officers using a standardised protocol.

    • review procedure

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  • Results:

    • The information available in the sampled medical records was of a quality that permitted the adequate identification and analysis of adverse events.

    • The processes and instruments used in comparator studies internationally were applied in the New Zealand setting with little difficulty.

    • Reliability and validity measures displayed only moderate levels of agreement, however.

    • Analysis of the 850 adverse events identified revealed a distribution, impact, and clinical context comparable with other studies.

    • Adverse events (which may have occurred either within or outside public hospitals) were associated with 12.9 percent of admissions.

    • Approximately 35 percent of adverse events were classified as highly preventable.

    • Although less than 15 percent of adverse events resulted in permanent disability or death, an average of over nine days per event was added to hospital stay.

    • Nearly a fifth of events originated from outside public hospitals, only a quarter of which arose in another institutional context.

    • Patient age was an important risk factor for an adverse event.

    • There were distinct patterns according to clinical and administrative context.

    • Systems errors featured prominently in the analysis of areas for the prevention of recurrence.

  • Conclusions:

    • The study provides the base parameters necessary to inform our understanding of patient safety and the quality of care in New Zealand public hospitals.

    • These data have important managerial and clinical implications.

    • Further work could be done on sub-groups of patients and on the clinical detail available in the data.

    • The investigation provides a baseline for more targeted studies and for quality improvement interventions.

    • It also points to the importance of similar research on the sources and characteristics of adverse events outside public hospitals.

  • full text

• 참고문헌 및 웹사이트

  • New Zealand Ministry of Health

  • HEALTH ACT 1956

  • "compensation for medical injury in New Zealand' - Pubmed

• 기타

  • http://www.moh.govt.nz/quality - Welcome to the Ministry of Health's web page dedicated to providing information to enable enhanced quality improvement in the New Zealand public and private health and disability system. This site is designed to promote the sharing of ideas and information to support a vision of citizens receiving people-centred, safe and high-quality services that continually improve. The site contains information on all aspects of quality improvement including current action areas, specific projects, and upcoming events. The site will continue to be developed over the coming months and contributions relating to the safety and quality agenda are encouraged.

  • http://www.legislation.govt.nz/ - This website provides free public access to unofficial versions of New Zealand statutes (Public, Local, and Private Acts) and Statutory Regulations. You can search and browse this material free of charge.

  • http://www.acc.co.nz - The Accident Compensation Corporation (ACC) administers New Zealand’s accident compensation scheme, which provides personal injury cover for all New Zealand citizens, residents and temporary visitors to New Zealand. In return people do not have the right to sue for personal injury, other than for exemplary damages.

  • The Injury Prevention, Rehabilitation, and Compensation Act is the principal Act under which ACC operates. The Accident Compensation Corporation (ACC) administers the scheme.

  • http://www.nzhis.govt.nz/

    • NZHIS receives data in many ways from many parts of the health sector, encompassing a high proportion of the various occasions on which New Zealanders interact with their health system. Use of the National Health Index numbering system for registering patients and the Health Practitioner Index system for registering medical practitioners ensures that the records are accurate while protecting the privacy of individuals.

    • The data is checked by NZHIS for errors, and stored in a number of computer databases. For a list of these databases and information about the types of data held on them, see the data and services section of this site.

    • One of the main parts of this web site is the technical documentation section, which contains detailed specifications that enable health services such as District Health Boards to provide their health data in an agreed format.

    • From the data it has available, NZHIS is able to supply anyone who needs it with detailed and official information about the health of the country’s population. A number of statistical publications are produced each year, and more immediate provisional information is given in the health statistics section of this site.

    • The data held by NZHIS is important for policy-makers because it provides vital feedback on the performance of the health system, while for medical researchers it can give an indication of trends in the prevalence of diseases and the effectiveness of treatments.

  • Legislation

    • Medical Practitioners Act 1995

    • Medicines Act 1981

    • Health Act 1956

    • Health and Disabilities Commissioner Act 1994

    • Health and Safety in Employment Act 1992

    • Dental Act 1988

    • Hospitals Act 1957

    • Injury Prevention, Rehabilitation and Compensation Act 2001

    • Mental Health (Compulsory Assessment and Treatment) Act 1992

    • Physiotherapy Act 1949

    • http://www.nyulawglobal.org/globalex/New_Zealand.htm