A framework for learning from incidents in the workplace

Learning from incidents in health care: Critique from a Safety-II perspective

“…Ideally, effective learning from incidents triggers improvements in practice that enhance safety and productivity (Lukic et al, 2012). The analysis of incidents seeks to reveal contributory factors and underlying causes (Drupsteen and Guldenmund, 2014), which can then be addressed in order to reduce the likelihood of incidents recurring.…”

“…Learning from past experiences does not have to be limited to the consideration of incidents, but can also include monitoring and analysis of leading indicators, or even weak signals (Drupsteen and Wybo, 2015). However, increasing evidence in the literature indicates that effective learning from past experiences in order to improve safety performance has proven to be difficult (Le Coze, 2013, Lukic et al, 2012, Drupsteen and Hasle, 2014.…”

Implementing Healthcare Improvement

“…Ideally, effective learning from incidents triggers improvements in practice that enhance safety and productivity [61]. The analysis of incidents seeks to reveal contributory factors and underlying causes [58], which can then be addressed in order to reduce the likelihood of incidents recurring.…”

“…Learning from past experiences does not have to be limited to the consideration of incidents, but can also include monitoring and analysis of leading indicators, or even weak signals [62]. However, there is increasing evidence in the literature that suggests that effective learning from past experiences in order to improve safety performance remains challenging even in traditional safety-critical industries [59,61,63].…”

“…It has been suggested that the focus of learning from incidents in health care has been too much on collecting and categorising data [68,75], whereas successful learning from experience should inherently be a social and participative process [61,68].…”