Patient Safety

Patient Safety and System Resilience in Emergency Care

Strategic Leader: Garth Hunte


No patient will suffer harm from emergency care in British Columbia.

Long Term Goal

To create safety for patients in British Columbia by fostering the cornerstone capabilities of system resilience – the abilities to anticipate the potential, monitor the critical, respond to the actual, and learn from the factual – in emergency healthcare.

Short Term Goals 

  • Adapt, pilot, and evaluate the Resilience Analysis Grid© (Hollnagel, 2010) – a strategic framework to enhance system safety and performance in risk critical industries – for emergency healthcare.
  • Monitor and map the resilience profile of an urban emergency department over time.
  • Collaborate with international and interdisciplinary researchers in Denmark, Sweden, and the UK, to pilot and evaluate the adapted Resilience Analysis Grid in other healthcare systems.

Key Partners & Stakeholders

Emergency Departments in BC; BC Ambulance Service; Providence Health Care; Vancouver Coastal Health; Provincial Health Services Authority; BC Patient Safety & Learning System; UBC School of Population and Public Health

Work to Date

Designed and facilitated a series of café workshops to adapt the generic Resilience Analysis Grid© to the context of emergency care. Collected data were analyzed and interpreted to construct a preliminary context-specific Resilience Analysis Grid. Findings were presented at the 4th Resilience in Healthcare Conference in Sydney, Australia in August 2015.