[Appreciative calamity investigation].

Area of Science:

• Healthcare safety
• Patient care quality
• Risk management

Background:

• Current calamity investigations often yield impractical recommendations due to a simplistic cause-and-effect approach.
• The intricate nature of healthcare delivery necessitates a more nuanced investigative methodology.
• Existing methods fail to adequately capture the complexities inherent in daily care provision.

Purpose of the Study:

• To propose and evaluate an alternative approach to calamity investigations in healthcare.
• To demonstrate the benefits of Safety-II philosophy in understanding complex care systems.
• To improve the relevance and implementability of investigation recommendations.

Main Methods:

• Analysis of healthcare incidents using the Safety-II philosophy, focusing on interactions and dependencies in daily work.
• Comparative assessment of traditional cause-and-effect investigations versus Safety-II based investigations.
• Qualitative evaluation of the interviewing process and recommendation quality.

Main Results:

• Safety-II investigations reveal variable interactions and dependencies in daily healthcare work.
• These investigations require more time and resources but result in more relevant and implementable recommendations.
• The Safety-II approach fosters better professional recognition and more appreciative communication.

Conclusions:

• A shift from cause-and-effect to a complexity-based approach (Safety-II) is crucial for effective healthcare calamity investigations.
• Investing in time and personnel for Safety-II investigations yields significant improvements in recommendation quality and stakeholder satisfaction.
• This methodology enhances the recognition of professionals and promotes a more empathetic investigative process.