HomeNovember 2010No incident ever occurs twice!

No incident ever occurs twice!

The question of how far organisational learning can occur through the isomorphic features of incidents, will be addressed the next HRMF Education and Networking meeting.

An exciting educational programme is planned for the next Education and Networking meeting of The Healthcare Risk Managers’ Forum, which will be held in the Boardroom of Dr. Steevens Hospital, Dublin on December 9,  2010.

The New Executive of the HRMF
Front-row (left to right) Margo Leddy, HSE’s Health and Safety Advisory Group, John McElhinney, HRMF Chairperson and Clinical Risk Advisor in Sligo General Hospital, Clare O’Neill, Healthcare Risk Manager Corporate, St John of God Services. Back-row (left to right) Annette Macken, Risk Manager Midland Area, Education, Training and Research Officer, outgoing HRMF Chairperson, Cora McCaughan, Head of the HSE Serious Incident Management Team, Gerry Clerkin, HRMF Vice-Chairperson and Risk Advisor, Cavan/Monaghan Hospital, Catherine Murray, Healthcare Risk Advisor, St John of God Services, JP Kehoe, HRMF Secretary and Healthcare Risk Management, Midland Area, Kate Brickley Risk Manager Midland Area. Absent from the picture are Ann O’Neill, Principal Dental Surgeon, Ballymun Healthcare Facility and Padraig McLoone Risk Manager in Letterkenny General Hospital

Prof. Brian Toft, Professor of Patient Safety at Coventry University, who has recently received an OBE from the Queen for services to patient safety, will be discussing Isomorphic Learning.

This topic addresses the notion that no incident ever occurs twice, for each individual incident is unique. However, incidents do appear to have similar features at some levels of analysis. This raises questions about how far organisational learning can occur through the isomorphic features of incidents.

Ms. Cora McCaughan, Head of the HSE Serious Incident Management Team will update the HRMF on the ‘Progress of the HSE Investigation Working Group’.

Derek Greene, Vice President of the HMI will speak on ‘The Health Management Institute and how we can develop the collaboration between the HRMF and the HMI’

Incidents do appear to have similar features at some levels of analysis

All HMI members are welcome to attend, but spaces are limited. Those who are interested in attending should forward their details to jp.kehoe@hse.ie

The HRMF acts as a national advisory body on healthcare risk management systems.  Its objective is to facilitate learning and sharing of information for members and to advance healthcare risk management knowledge and practice across the health service.

The HRMF says its recent collaboration with the HMI is important in developing this within the health service and it will be developing new links with the HMI over the coming months.

It is happy to include HMI members as members of the Forum if they have attributes/ experience/ knowledge or qualifications in risk management and they feel they will contribute to the ongoing development of the HRMF.

The Education & Networking program for 2011 will be available shortly.