The Health Quality & Safety Commission has today released their November 2012 report titled 'Making Our Hospitals Safer'.
Reporting Serious and Sentinel Events (SSEs) is an important step to improving health outcomes for New Zealanders.
In 2011/12 DHBs were asked by the Health Quality and Safety Commission to report all events, regardless of whether they were considered preventable.
This is a significant change from previous years, where some DHBs reported only those SSEs which were considered to have a preventable element.
The Bay of Plenty District Health Board reported 11 falls in the year, of which four were deemed unpreventable.