The Health Quality & Safety Commission has developed a national paediatric early warning system (PEWS) to help clinicians identify hospitalised tamariki with the potential to become more unwell, so they can respond quickly.

The system includes:

  • four standardised paediatric vital signs charts (or electronic equivalent), banded by age, with early warning scores
  • a localised escalation pathway
  • effective clinical governance and leadership
  • clinical and non-technical education and training resources
  • ongoing measurement for improvement
  • an escalation process for clinician, tamariki and whānau concerns.

The paediatric vital signs charts are similar to those in the existing national adult early warning system, which the Commission has introduced to hospitals as part of its patient deterioration programme. They use seven vital sign parameters to calculate a paediatric early warning score. When the score is reached, it triggers a response following the local escalation pathway, so the appropriate actions can be taken to manage the tamariki’s condition.

This eLearning module has been developed to help health and disability providers meet the requirements relating to Te Tiriti o Waitangi in the updated Ngā Paerewa Health and Disability Services Standard NZS 8134:2021 (“Ngā Paerewa”).

The members of Te Apārangi: Māori Partnership Alliance and Manatū Hauora (the Ministry of Health) acknowledge that the updated requirements will be an iterative process for providers. This module will help you and people within your organisation feel confident to take the first steps to make a meaningful difference for whānau Māori using or working in your services.

Course contact: Send email inquiry to certification@health.govt.nz


This course introduces you to what the Official Information Act is, why this piece of legislation is important, and how it impacts your work at Te Whatu Ora / Te Aka Whai Ora. It will help you understand what information is covered and explains what your obligations are as an employee, as well as who to contact if you have questions.

The overall aim of this course is to assist health care professionals to administer the two forms of paliperidone palmitate in a safe manner to ensure effective and therapeutic treatment for the patient.

Paliperidone palmitate is indicated for the acute and maintenance treatment of schizophrenia in adults.

On completion you will be able to:

  • Identify the clinical particulars of the medication
  • Successfully identify the correct needle size for the patient type
  • Successfully administer the medication correctly
  • Describe the potential patient outcome if the medication is not administered correctly.

No matter what your role is, you are likely to come across personal and health information in the course of your work. This 20 minute interactive course introduces you to how privacy law applies to personal and health information. It gives an overview of the principles in the Privacy Act (2020) and the rules in the Health Information Privacy Code (2020). It also covers guiding principles of the Data Protection and Use Policy (DPUP) which focuses on developing a way of working that respects people, their personal information and their stories.

Patients deteriorate in hospital for many reasons. Failures to recognise, escalate and respond appropriately can cause preventable harm. The Health Quality & Safety Commission is working with hospitals to improve their systems for managing the care of patients who deteriorate. Shared goals of care is part of that work programme.

This learning package aims to:

  • share the importance of early person-centric discussions about goals of care for hospital admissions
  • introduce you to the serious illness conversation guide, a tool to support shared goals of care discussions
  • share three case studies to deepen your understanding of the conversation guide and how it can help you with shared goals of care discussions
  • show you how to document discussions using the shared goals of care form