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Evaluating a system-wide, safety investigation in healthcare course in Norway: a qualitative study

Haraldseid-Driftland, Cecilie; MacRae, Carl; Guise, Veslemøy; Schibevaag, Lene; Alsvik, Janne Gro; Rosenberg, Adriana; Wiig, Siri

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Cecilie Haraldseid-Driftland

Professor of Organisational Behaviour and Psychology

Veslemøy Guise

Lene Schibevaag

Janne Gro Alsvik

Adriana Rosenberg

Siri Wiig


Objective and setting National, system-wide safety investigation represents a new approach to safety improvement in healthcare. In 2019, a new master's level course in Safety Investigation in Healthcare was established to support the training and development of a new team of investigators from an independent investigatory body. The course was established at one Norwegian university and a total of 19 students were enrolled and completed the course. The aim of this study was to qualitatively evaluate the course, and the objectives were to explore the students' needs and expectations prior to the course conduct, and their experiences and suggestions for improvements after course completion. Design The study design was a qualitative explorative study with individual and focus group interviews. Data collection included five individual interviews prior to course participation and two focus group interviews, after course participation, with a total sample size of 13 participants. Data were analysed according to thematic analysis. Results The results showed a need for a common conceptual foundation for the multidisciplinary team of safety investigators who were all employed in the same investigatory body. Course participation contributed to create reflexive spaces for the participants and generated new knowledge about the need for a broad range of investigatory tools and approaches. This contrasted with the initial aspiration among the participants to have a recipe for how to conduct safety investigations. Conclusions Course participation contributed to a common language among a highly multidisciplinary group of safety investigators and supported building a culture of collaborative learning. The need for additional activities to further develop a safety investigation curriculum in healthcare was identified. It is recommended that such a curriculum be co-created with independent investigators, safety scientists, patients and users, and healthcare professionals to ensure a strong methods repertoire and a sound theoretical backdrop for investigatory practice.


Haraldseid-Driftland, C., MacRae, C., Guise, V., Schibevaag, L., Alsvik, J. G., Rosenberg, A., & Wiig, S. (2022). Evaluating a system-wide, safety investigation in healthcare course in Norway: a qualitative study. BMJ Open, 12(6), Article e058134.

Journal Article Type Article
Acceptance Date Jun 1, 2022
Online Publication Date Jun 17, 2022
Publication Date Jun 17, 2022
Deposit Date Oct 20, 2022
Publicly Available Date Oct 21, 2022
Journal BMJ Open
Electronic ISSN 2044-6055
Publisher BMJ
Peer Reviewed Peer Reviewed
Volume 12
Issue 6
Article Number e058134
Keywords General Medicine
Public URL
Publisher URL


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