In this lunch lecture, Karina Aase focuses on how the health service works with learning after adverse events, and what challenges can arise when good intentions are to be translated into lasting improvement.
The lecture is based on how causal assessments are used in quality and improvement work. The participants gain insight into how incidents are analysed, which measures are often suggested, and why certain improvement measures have limited effect over time. A key question is how organizations can go from describing what went wrong to understanding what conditions in the system contributed to the incident.
Examples from patient safety work shed light on the relationship between root cause analyses and system improvements. The lecture challenges the participants to reflect on whether traditional approaches to incident follow-up always provide the learning one wants, or whether there is a need for new perspectives on improvement work. The topic is linked to both causal assessments, improvement measures and assessment of the effect of the measures that are implemented.
The lecture is particularly relevant for biomedical laboratory technicians who work with quality management, deviation management, patient safety and continuous improvement, but will also be useful for others who are concerned with how organizations can learn from mistakes and improve their work processes. The target group is biomedical laboratory technicians and others with an interest in quality work.
The lunch lecture will be held on Teams. A link will be sent by email in advance of the event. Recordings are also made, so that it is possible to watch it afterwards.
Lecturer Karina Aase
Professor of Patient Safety, University of Stavanger
Course Committee NITO BFI Quality Management
Yngve Berre
Coordinator
