Join us for our World Cafés, new to the Oslo Forum this year. During each session, participants will get a choice of 15-20 tables to join, each hosted by different speakers on a variety of topics. Each World Café will be made up of three rounds of 15 minutes, enabling participants to join three discussions during the session. Participants will be able to:

• be actively involved in small group discussions, which fosters deeper engagement and participation
• share and explore multiple viewpoints, leading to richer and more comprehensive insights
• collaborate in an environment that promotes open dialogue with a wide range of people and ideas

Table 1 - Medical imaging stewardship driving transformation: A Canadian province-wide collaboration – the Nova Scotia experience Nova Scotia tackled diagnostic imaging bottlenecks head-on with a centralized referral model and province-wide stewardship. Nationally, up to 20% of medical imaging is low-value, needlessly extending wait times. Our solution? Standardized pathways and triage protocols that slash low-value scans and cut radiologist triage burden by 80%. This frees up critical capacity and boosts efficiency. In this session, we'll reveal the Key Performance Indicators (KPIs) proving our integrated approach's dramatic impact. You'll discover the practical tools—including digital platforms—that enabled this rapid scale and spread. Learn how deep collaboration with referrers, radiologists, and patients forged this sustainable change, offering a clear blueprint for healthcare transformation.
Judy Rowe Nova Scotia Health Authority; Canada. Stephanie Schofield Nova Scotia Health Authority; Canada

Table 2 - Quality, outcome-based payment system in public healthcare - how to achieve system breakthrough with coordinated and complex patient care with chronic wounds This project presents a pioneering outcome-based payment model for chronic wound care in a public hospital, replacing fee-for-service with quality and results-driven reimbursement. Participants will discuss how Lean and TOC principles enabled better coordination, nurse empowerment, and measurable improvements in healing outcomes without additional infrastructure. Marcin Ludyga Dr Sakiel’s Center for Burn Treatment; Poland. 

Table 3 - Driving change with purpose: methodologies for transformative simulation Simulation can drive more than skills - it can drive systems and cultural change. This interactive session introduces the Transformative Simulation (TfS) framework, with a focus on the underlying theories that guide each of its seven Simulation-Based Implements (SBIs). We will explore how methodologies drawn from human factors, systems thinking, implementation science, co-production, and behavioural design contribute to intentional, efficient, and impactful simulation design. Particular emphasis will be given to human factors as a cross-cutting enabler, supporting everything from scenario design and data collection to debriefing and cultural diagnostics. Whether you’re designing simulations for safety, improvement, or innovation, this session will equip you with theory-informed strategies that connect simulation more directly to people, outcomes and organisational priorities. Delegates will leave with a stronger foundation for designing, evaluating, and advocating for simulation as a purposeful tool for change. Paul Bowie NHS Education for Scotland; Scotland.

Table 4 - Subtractive change - being safer by doing less Humans have a tendency to solve problems by making additive changes. This is no different in quality and safety improvement where checks, rules, protocols, risk assessments are common solutions to safety problems. This causes clutter - defined by Drew Rae (2018) as the accumulation and persistence of 'safety' work that does not contribute to operational safety.  
We are an international group of applied researchers who have been working with healthcare staff, managers and patients to understand safety clutter and what function it serves and to develop and evaluate strategies and tools to support the removal of clutter. In this session we will share with the audience our current understanding of this field and discuss practical examples of how to reduce clutter in healthcare. We will learn with the audience about the origins of clutter and how they, as leaders in the field can prevent and de-implement low-value safety practices. Rebecca Lawton NIHR Yorkshire and Humber Patient Safety Research Collaboration (YHPSRC); UK, Siri Wiig Centre Director, SHARE - Centre for Resilience in Healthcare, University of Stavanger, Norway.

Table 5 - Opla - turning waiting time into starting time Long waiting times for parenting support can lead to escalating care needs and missed opportunities for early intervention. In response, in 2018 De Schommel vzw launched “Project Speedboat” to explore innovative solutions. This led to the creation of Opla, a user-friendly online platform offering immediate, accessible self-help to families from the moment they register. Opla empowers parents to take action during the waiting period, maintaining motivation and preventing care delays. It also enhances the quality of later in-person guidance by collecting valuable insights and context in advance. With multilingual support and inclusive design, Opla ensures accessibility for all families. This session will share the journey from concept to implementation, including co-creation with families and professionals, and present evaluation results showing improved engagement, trust, and care outcomes. Delegates will gain insights into how Opla can transform waiting time into meaningful starting time, improving continuity, efficiency, and family empowerment in care pathways. Anne de Groof De Schommel vzw; Belgium. 

Table 6 - Ask Us! Participatory quality improvement by clients living with dementia, family members and professionals together This session provides insight into participatory quality improvement with vulnerable populations by using the “Ask Us!” method. We will share our lessons learned i.e., the potential benefits and our mistakes. Roel van der Heijde Patient Centered Care Association; Netherlands. 

Table 7 - Design as a method: practical tools for human-centred healthcare improvement and how generative AI can help Design is a powerful yet underused method for solving complex healthcare challenges. In this interactive workshop, participants will learn and apply core methods of human-centred design, including empathy-building, journey mapping, ideation, and prototyping, to healthcare challenges. Participants will also discover how generative AI can strengthen design work by testing ideas quickly, refining language for clarity and accessibility, translating materials to reach diverse communities, and creating visual storyboards, images, and prototypes that make ideas tangible. Together, these approaches help build solutions that are more equitable, inclusive, and effective. Through guided, hands-on activities and real examples from emergency department improvement projects, participants will explore how design injects creativity and humanity into quality improvement (QI) work, moving healthcare forward with intention and innovation. Attendees will leave equipped with practical tools and inspiration to frame persistent problems differently, engage patients and families more deeply, and bring their ideas to life in ways that matter. Samuel Vaillancourt Unity Health Toronto; Canada Sasha Litwin The Hospital for Sick Children; Canada

Table 8 - Indigenous Values Driving Innovation: A Playbook for Integrated Care Teams from an Alaska Native-Owned Health Care System

Karen McIntire South Central Foundation; United States, Danelle Stein, South Central Foundation; United States 

Table 9 - From Scotland’s successful Patient Safety Programme: breaking new ground by uniting simulation and improvement science for greater impact In NHS Lothian, we faced the same challenge: two passionate communities, both focused on improving care but speaking different professional dialects, using different tools, and missing opportunities to learn from one another. Simulation was seen primarily as education and quality improvement as methodology. Both were making progress, but separately. The result? Slower improvement, siloed innovation, and missed chances to test, learn, and embed better ways of working. In this session, you’ll hear how we changed that, and how you can too! We’ll share how we brought these two “tribes” together through a shared programme centred on common purpose, shared language, and co-designed activity. You’ll leave with practical insights, tested ideas, and real-world examples of how this collaborative approach is improving care and how it might apply in your own setting. Simon Edgar NHS Lothian; Scotland 

Table 10 - From fragility to fortitude: embedding team resilience to sustain change in high-stress healthcare environments In high-stress healthcare environments, sustaining change requires more than strategy, it demands resilience. This session explores how team-level resilience can drive long-term improvements in care quality and safety. Delegates will learn from a multi-year initiative that introduced the R3 Teams framework (Resilient, Reflective, Responsive) across emergency, oncology, and ICU settings in a large teaching hospital. The approach integrated leadership training, psychological safety practices, and real-time learning, leading to measurable reductions in burnout and improved protocol adherence. With data from over 1,200 staff, the session offers practical tools and a replicable model for building resilient teams capable of sustaining change through disruption. Delegates interested in workforce wellbeing, clinical transformation, and patient safety will gain insights they can immediately apply in their settings. This session is essential for anyone leading or supporting change in complex healthcare systems. Uchenna Ugwu University of Nigeria Nsukka; Nigeria 

Table 11 - Health and democracy integrative approach: new theory in health In this session, I’ll unveil a ground-breaking One Health–Democracy framework that connects human, animal and ecosystem well-being with transparent, accountable governance. You’ll discover:

• How inclusive democratic institutions drive cross-sector collaboration to anticipate and manage pandemics, environmental crises and social unrest.
• Comparative insights from Indonesia, Europe and North America that expose institutional levers for policy coherence and greater public trust.
• Quantitative evidence linking democratic performance scores to stronger health outcomes.
• Practical, actionable recommendations for integrating deliberative decision-making with transdisciplinary health strategies.

Delegates will leave equipped with a clear roadmap for designing resilient governance models—bridging traditional silos to bolster health security and environmental stewardship in times of uncertainty. Whether you lead policy, research or frontline care, this talk offers fresh theory and real-world tools to transform your organization’s response to complex global challenges. Warjio Warjio Universitas Sumatera Utara; Indonesia

Table 12 - Empowering primary care In North East London: EQUIP’s quality improvement at scale model

EQUIP (Enabling Quality Improvement in Practice) is a structured, locally-led, system-enabled Quality Improvement programme supporting primary care transformation across North East London since 2016. Built on the principles of psychology of change, improvement science, and Total Quality Management frameworks, this session will explore how EQUIP develops local improvement infrastructure through coaching, training, data analytics, and learning systems. Attendees will learn how EQUIP recruits and supports QI coaches, builds communities of practice, and facilitates real-time improvement across complex systems. With proven results—such as reduced missed appointments, cost savings, and improved staff and patient experience—EQUIP offers a sustainable approach to enabling change from within. Whether you're building a new QI strategy or enhancing an existing one, this session will provide a tested framework and actionable insights to guide transformation in your own setting. Virginia Patania North East London ICS; UK

Table 13 - Lean Healthcare in Public Health in Brazil: An Exploratory Analysis of a Local Reality. Isadora Vidal Pinotti Affonso, Ribeirão Preto Medical School, University of São Paulo; Brazil. Dr. Luane Mello, Department of Social Medicine at Ribeirão Preto Medical School, University of São Paulo, Brazil 

Table 14 -  Pan-Regional Approach to Inpatient Tobacco Dependency Services: The Acute Provider Collaborative Experience. Shivangi Medhi, Imperial College Healthcare NHS Trust, UK

Table 15 - The Numb initiative – Improving local anaesthetic use in veterinary dental surgeries – transferable lessons

Veterinary patients always undergo general anaesthesia for dental surgery, and so local anaesthesia is not always used, despite the recognised patient benefits. This quality improvement project resulted in changing team behaviour from 2 in 10 patients receiving local anaesthesia to 9 in 10 patients in just 4 months. The design and implementation of this project was guided by the Model for Improvement.

In this session we outline the aim and measure before focusing in on effective ways of generating change ideas (the 3rd question in the Model for Improvement) and working with the team to identify the ideas they support. We’ll then look at how ideas were tested and refined in order to get the result you see. You will have the opportunity to use dig deeper: asking your own questions or ones you find on our prompt cards to explore the challenges faced by the QI lead, and share any insights you have about this project. The session will be fast paced and interactive and a poster describing the full QIP will be available to access via a QR code and also in the Poster Hall of the event.

David Donovan, Practice Owner and Veterinary Surgeon, Vets for Pets; UK
 

Table 16 - Improving delirium care by ending PJ paralysis on an acute aged care ward at the Royal Melbourne Hospital. Katherine Gregorevic, The Royal Melbourne Hospital; Australia. Bridget Lynch, The Royal Melbourne Hospital; Australia

Table 17 - Advancing Task Sharing through Quality Improvement Methodology: Insights from the TØRN Sub-Program for Specialist Health Services in South-Eastern Norway Regional Health Authority. Kjerstin Sulejewski Bjerck, South-Eastern Norway Regional Health Authority; Norway.  Mari Helland Frøysnes, Helse Sør-Øst Regional Health Authority and Sørlandet Hospital Trust, Norway.

Table 18 - Moving care from the hospital to neighborhood locations of home care organizations or at home
Isabel Hidalgo Gelre ziekenhuizen; Netherlands

Table 19 - Small Changes, Big Differences Poonam Gupta, Oxleas Foundation Trust;  UK