Caroline Tilah
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Healing, Learning and Improving from Harm
System safety is an approach that recognises that adverse events are emergent outcomes that arise from the relationships and interactions between people and the context they work in. The shift focuses us on learning about and understanding the realities of everyday work in a complex adaptive health system, how people normally navigate risks and in what situations risks become more difficult to manage. In addition to helping us explain how an adverse event arose, this may enable us to identify solutions that better support safe care. This approach requires us to look at wider system factors that influence care, with the aim of making visible the system drivers that create ongoing risk for the future. It encourages the health and disability sector to move away from the previous linear retrospective thinking that is searching for cause and effect, to rather consider the complex sociotechnical system. This brings a focus on relationships that humans have within various aspects of the system, the tasks, technologies and tools that they use and the internal and external influences.
He toki ngao matariki Aotearoa (the practice of resilient healthcare) incorporates the weaving of mātauranga Māori and principles of safety science. It acknowledges that high-quality care is founded on the ability to recognise and anticipate changing conditions, to respond flexibly to different contexts, and to share what we learn. It takes a relational approach to healthcare that is designed to meet the needs of all people within the system (consumers whānau and health care workers). It brings together multiple viewpoints and different perspectives.
System safety is an approach that recognises that adverse events are emergent outcomes that arise from the relationships and interactions between people and the context they work in. The shift focuses us on learning about and understanding the realities of everyday work in a complex adaptive health system, how people normally navigate risks and in what situations risks become more difficult to manage. In addition to helping us explain how an adverse event arose, this may enable us to identify solutions that better support safe care. This approach requires us to look at wider system factors that influence care, with the aim of making visible the system drivers that create ongoing risk for the future. It encourages the health and disability sector to move away from the previous linear retrospective thinking that is searching for cause and effect, to rather consider the complex sociotechnical system. This brings a focus on relationships that humans have within various aspects of the system, the tasks, technologies and tools that they use and the internal and external influences.
He toki ngao matariki Aotearoa (the practice of resilient healthcare) incorporates the weaving of mātauranga Māori and principles of safety science. It acknowledges that high-quality care is founded on the ability to recognise and anticipate changing conditions, to respond flexibly to different contexts, and to share what we learn. It takes a relational approach to healthcare that is designed to meet the needs of all people within the system (consumers whānau and health care workers). It brings together multiple viewpoints and different perspectives.
