Source: Health Quality and Safety Commission A virtual workshop was held recently for representatives from the mental health and addiction (MHA) sector about the essential components of a high-quality adverse event review. Topics covered included the consumer experience, open communication, incident review processes, just culture, and crafting and implementing useful recommendations. The workshop was attended by over 40 MHA representatives from 19 district health boards (DHBs) and one non-governmental organisation, and facilitated by the Health Quality & Safety Commission. At the workshop, Hector Matthews, executive director, Māori and Pacific Health at Canterbury DHB, emphasised the importance of meeting the cultural needs of Māori in adverse event review. Key takeaway points were: