{"id":1649,"date":"2026-01-05T01:42:38","date_gmt":"2026-01-05T01:42:38","guid":{"rendered":"https:\/\/internationalforum.bmj.com\/oslo\/?p=1649"},"modified":"2026-02-16T20:05:05","modified_gmt":"2026-02-16T20:05:05","slug":"b5-moving-from-programs-to-a-systems-approach-to-build-safety-and-resilience-the-nsw-experience","status":"publish","type":"post","link":"https:\/\/internationalforum.bmj.com\/oslo\/2026\/01\/05\/b5-moving-from-programs-to-a-systems-approach-to-build-safety-and-resilience-the-nsw-experience\/","title":{"rendered":"B5: Stronger together: systems approaches transforming safety across Australia"},"content":{"rendered":"<br><p><span style=\"color: #000000;\"><em><strong>Tuesday 10 March 2026 | 13:30-14:30<br>Stream: Safety<br>Session format: Presentation\u00a0<br>Chair: <\/strong><\/em><a href=\"https:\/\/internationalforum.bmj.com\/oslo\/2026\/01\/13\/vibeke-rischel\/\"><strong>Vibeke Rischel <\/strong><\/a>Danish Society for Patient Safety; Denmark<\/span><\/p><br><p><strong>Part 1 &#8211; Moving from programs to a systems approach to build safety and resilience &#8211; the NSW experience<\/strong><\/p><br><p><span data-sheets-root=\"1\">The core of the New South Wales (NSW) public health system in Australia is providing safe, high-quality, accessible, person-centred care. The Clinical Excellence Commission (CEC) leads system-wide clinical governance and safety assurance, being specialists in safety and partners in improvement. Preventable harm remains a global challenge, with complications costing Australian public hospitals billions annually, underscoring the importance of strong governance and leadership. Our role as stewards of clinical governance leadership is crucial to reducing patient harm and driving continuous safety improvement.<br><br>Over two decades, the CEC has provided support and guidance to build safety across NSW health. Linking with our 9-year strategy, we have developed the NSW Health Safety System Model as a contemporary framework for embedding patient safety and resilient clinical governance. This Model comprises six interdependent elements:<br><br><\/span><\/p><br><ul><br><li><span data-sheets-root=\"1\">Embedding Safety Strategically \u2013 Integrating safety into organisational strategy and governance to build resilience.<\/span><\/li><br><li><span data-sheets-root=\"1\">Accountable Leadership and Culture \u2013Safety is everyone\u2019s responsibility, supported by transparent leadership and just culture principles.<\/span><\/li><br><li><span data-sheets-root=\"1\">Safety Governance \u2013 Establishing robust structures for oversight, risk management, and shared learning.<\/span><\/li><br><li><span data-sheets-root=\"1\">Safety Intelligence \u2013 Leveraging real-time, triangulated data and predictive analytics to inform proactive safety and improvement decisions.<\/span><\/li><br><li><span data-sheets-root=\"1\">Safety and Improvement Capability \u2013 Building workforce capability.<br><\/span><\/li><br><li><span data-sheets-root=\"1\">Safety Improvement \u2013 Through prioritisation of safety risks and implementation of targeted programs.<br><\/span><\/li><br><\/ul><br><p><span data-sheets-root=\"1\">We have combined this approach with resilience thinking to assist health services to \u2018create and maintain resilient systems that prevent harm, support wellbeing, and deliver lasting improvements in quality and safety.<\/span><\/p><br><p><span data-sheets-root=\"1\">After this session, participants will be able to:<br><\/span><\/p><br><ul><br><li><span data-sheets-root=\"1\">Understand how NSW has shifted from a program approach to systems and resilience thinking.<\/span><\/li><br><li><span data-sheets-root=\"1\">Describe the elements of safety as outlined in the NSW Safety System model.<\/span><\/li><br><li><span data-sheets-root=\"1\">Further their understanding of the concepts of resilience in safety.<\/span><\/li><br><\/ul><br><p>\u00a0<\/p><br><p><span data-sheets-root=\"1\"><strong><a href=\"https:\/\/internationalforum.bmj.com\/oslo\/2026\/01\/05\/michael-c-nicholl\/\">Michael C. Nicholl<\/a> <\/strong>NSW Clinical Excellence Commission; Australia<br><strong><a href=\"https:\/\/internationalforum.bmj.com\/oslo\/2026\/01\/05\/patricia-bradd\/\">Patricia Bradd<\/a><\/strong> NSW Clinical Excellence Commission; Australia<\/span><\/p><br><p><strong>Part 2 &#8211; <span data-sheets-root=\"1\">From harm reduction to resilient systems: how Victoria\u2019s Safer Together program builds a learning health system for safer care everywhere<br><br><\/span><\/strong><\/p><br><p><span data-sheets-root=\"1\">Victoria\u2019s health care system is one of the most diverse and decentralised in Australia, with more than 70 independent health services serving urban, regional and rural communities. This complexity creates both strength and challenge; excellence exists across the system, yet persistent variation and episodes of avoidable harm highlight the need for a more coordinated, statewide approach to safety. As the state\u2019s lead agency for safety and quality, Safer Care Victoria plays a critical stewardship role in unifying system effort, strengthening clinical governance and accelerating shared learning across the state.<br><br>Safer Together is Victoria\u2019s coordinated, statewide safety improvement model designed to embed a whole-of-system response, creating a learning health system that embeds resilience and continuous improvement.<br><br>Framed by \u201cKnow, Enable, Deliver What Matters\u201d, Safer Together:<\/span><\/p><br><ul><br><li><span data-sheets-root=\"1\">Knows what matters \u2013 Using statewide safety intelligence, predictive analytics, and consumer insights to identify priorities and learn from everyday work.<\/span><\/li><br><li><span data-sheets-root=\"1\">Enables what matters \u2013 Building capability and culture through co-design, governance reform, and collaborative networks that empower clinicians and consumers.<\/span><\/li><br><li><span data-sheets-root=\"1\">Delivers what matters \u2013 Embedding safety into organisational strategy and translating insights into measurable outcomes for patients and communities.<br><\/span><\/li><br><\/ul><br><p><span data-sheets-root=\"1\">Grounded in Safety-II principles, the program focuses on understanding how care succeeds under varying conditions and designing systems that support adaptability. With dedicated resourcing, shared tools, and visibility for regional success stories, Safer Together demonstrates how health systems can learn, adapt, and thrive. This session will share practical strategies and lessons that complement NSW\u2019s experience, offering a national perspective with global relevance.<br><br><\/span><\/p><br><p><span data-sheets-root=\"1\"><strong><a href=\"https:\/\/internationalforum.bmj.com\/oslo\/2026\/02\/16\/louise-mckinlay\/\">Louise McKinlay<\/a><\/strong> Safer Care Victoria; Australia<br><\/span><span data-sheets-root=\"1\"><strong><a href=\"https:\/\/internationalforum.bmj.com\/oslo\/2026\/02\/16\/rebecca-van-wollingen\/\">Rebecca Van Wollingen<\/a><\/strong> Safer Care Victoria; Australia<\/span><\/p><br><p>\u00a0<\/p><br><p>\u00a0<\/p><br>","protected":false},"excerpt":{"rendered":"<p>Tuesday 10 March 2026 | 13:30-14:30Stream: SafetySession format: Presentation\u00a0Chair: Vibeke Rischel Danish Society for Patient Safety; DenmarkPart 1 &#8211; Moving from programs to a systems approach to build safety and resilience &#8211; the NSW experienceThe core of the New South Wales (NSW) public health system in Australia is providing safe, high-quality, accessible, person-centred care. The [&hellip;]<\/p>\n","protected":false},"author":32,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1649","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/internationalforum.bmj.com\/oslo\/wp-json\/wp\/v2\/posts\/1649","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/internationalforum.bmj.com\/oslo\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/internationalforum.bmj.com\/oslo\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/internationalforum.bmj.com\/oslo\/wp-json\/wp\/v2\/users\/32"}],"replies":[{"embeddable":true,"href":"https:\/\/internationalforum.bmj.com\/oslo\/wp-json\/wp\/v2\/comments?post=1649"}],"version-history":[{"count":0,"href":"https:\/\/internationalforum.bmj.com\/oslo\/wp-json\/wp\/v2\/posts\/1649\/revisions"}],"wp:attachment":[{"href":"https:\/\/internationalforum.bmj.com\/oslo\/wp-json\/wp\/v2\/media?parent=1649"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/internationalforum.bmj.com\/oslo\/wp-json\/wp\/v2\/categories?post=1649"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/internationalforum.bmj.com\/oslo\/wp-json\/wp\/v2\/tags?post=1649"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}