The Health Quality & Safety Commission released the Learning from Adverse Events annual report for the 2018/19 year.

The report presents a summary of adverse events reported to the Commission by health service providers across Aotearoa between 1 July 2018 and 30 June 2019.

Every adverse event carries the potential for harm and distress to consumers, whānau, and staff. We have a duty to those who are harmed to listen, to learn from what happened and to improve systems to prevent further harm to others.