SPHERE Workshop Outline

Day One

Morning

  • Module 1: The Context for Patient Safety Efforts in Canada
  • Module 2: Healthcare And Complexity Science
  • Module 3: Approaches to Safety Investigations: Methods to Make Sense of Events
  • Module 4: Systemic Non-linear Analysis Method
    • A: Identifying and Engaging the Investigation Participants
    • B: Building a Narrative Understanding

Afternoon

    • B: Building a Narrative Understanding (cont’d)
    • C: Mapping the Event and Developing a Chronology
    • D: Identifying Relevant Human Factors Issues
  • Sterile Cockpit Presentation
  • Applying the Method (Sections A to D) to Case Examples

Day Two

Morning

  • Module 4: Systemic Non-linear Analysis Method (cont’d)
    • E: Generating Recommendations
  • Applying the Method (Sections A to E) to Case Examples

Afternoon

  • Workshop Participant Case Studies
  • Module 5: Evaluating Patient Safety Reviews
  • Challenges to Applying the Systemic Non-Linear Method
  • Organizational Resilience in Healthcare