Presentations from Delivering resilient health care: A workshop with Professor Erik Hollnagel

18 Dec 2018 | Adverse Events

Presentations from the Health Quality & Safety Commission's workshop with Professor Erik Hollnagel: Delivering resilient health care.


Dr Janice Wilson
Chief executive, Health Quality & Safety Commission


Caroline Tilah
Manager patient safety, Health Quality & Safety Commission

The springboard from Safety I to Safety II (975KB, PDF)

Professor Erik Hollnagel
PhD, University of Southern Denmark and chief consultant at the Centre for Quality Improvement, Region of Southern Denmark

Delivering resilient health care (2.94MB, PDF)

Morning tea

Dr Carl Horsley
Intensive care consultant, Counties Manukau Health

Safety II – translating theory into practice (6.4MB, PDF)

Jo Wailling
Organisational development team, Capital & Coast District Health Board and research fellow, Victoria University of Wellington

Weaving safety into the fabric of your organisation (3.6MB, PDF)


Real cases of Safety II in practice – how to make the system safer and better

Brian Robinson
Senior lecturer, Victoria University of Wellington

Designing incident reporting for transitioning to Safety II

Briar Coleman
Programme coordinator, organisation development) and Anne Pedersen (patient safety coordinator, Capital & Coast DHB

ACE awards – a learning from excellence initiative (4.3MB, PDF)

Liz Bryce 
CNS infection control, Counties Manukau Health

Reconciling work-as-imagined and work-as-done to improve hand hygiene

Helen Costello
Associate director of nursing, practice development, Capital & Coast DHB

Safe medicine administration: an approach that goes beyond policy content

Dr Denys Court
Adverse events expert advisory group member, Health Quality & Safety Commission

Making Safety II clinician Safety-Too. Medicolegal considerations (1.2MB, PDF)
Afternoon tea
Professor Erik Hollnagel From preventable harm and assignable causes to resilient health care (2.7MB, PDF)

Last updated 30/11/2021