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