Summary
In this blog, After Action Review (AAR) specialist Judy Walker shares an account of a successful AAR that took place amongst a surgical team. The AAR was called after a near-miss where the anaesthetist was prevented from injecting spinal block medication into the wrong side of a patient's spine by an operating department practitioner (ODP). The story demonstrates the benefits of AAR, including accelerated learning, a no-blame approach, flattening staff hierarchy and a significant reduction in the time it takes to investigate an incident.
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Related reading
Patient Safety Spotlight interview with Judy Walker, Senior Business Consultant, iTS Leadership
Disaster recovery: restoring hope after things go wrong (Judy Walker, 5 January 2023)
Accelerated learning through AAR (Judy Walker, 3 May 2023)
https://www.linkedin.com/pulse/accelerated-learning-through-aar-judy-walker/
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