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

Resilient health care PDF

28 Apr 2025

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

Presenter	Presentation
Dr Janice Wilson Chief executive, Health Quality & Safety Commission	Welcome
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)
Lunch
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)

Presenter	Presentation
Dr Janice Wilson Chief executive, Health Quality & Safety Commission	Welcome
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)
Lunch
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)

Relevant pages

He toki ngao matariki Aotearoa

Resilient health care

Published: 28 Apr 2025Modified: 28 Apr 2025