P1
醫療與組織中的韌性與安全科學
Resilience and Safety Science in Healthcare and Organizations
Siri Wiig（University of Stavanger, Norway）
🔒細項內容與全文報告需登入後檢視
15th Annual Meeting · 3rd Anniversary Conference
Resilient Health Care Society Meeting — Programme Companion
學會宗旨為「以 Safety-II 的觀點補充傳統的 Safety-I」——不只在原則上，也在實務上；並作為研究者與實務工作者交流原則、實作與經驗的國際論壇，發展具紮實科學基礎的實用解方，使醫療系統在可預期與不可預期的條件下都能如常運作。本導覽即依此屬性編排：以議題而非機構為軸，中英並陳，並讓每一項主張都能追溯回其原始紀錄。
全會議 58 個議程項目依議題重新歸類為九個主題區。點選任一主題可切換至主題檢視並跳至該區；每張卡片下方的「相關場次」可在跨日、跨場次之間直接連動。
本頁是 RHCS 2026 研討會的公開導覽版：完整收錄議程架構、九個主題區、58 個項目的學習重點與中英文摘要，以及跨場次的關聯連動。
各項目下方標示的「逐字稿／摘要／正式報告」為資料狀態標記，非連結——現場逐字稿、47 份依現場紀錄整編的正式報告、11 份跨場次證據整編報告，以及全部 Word 原始檔，均存放於院內資料夾，未隨本頁對外公開。院內同仁如需全文，請洽資料保管者。
各項目下方的「延伸文獻與資源」為外部公開連結，可直接開啟。
議程架構、主題區與各場次題目、發表者為公開資訊。各場次的中英文摘要、學習重點、相關場次、延伸文獻，以及 77 份逐字稿與正式報告全文屬院內整編內容，需輸入帳號密碼後檢視。解鎖後點選任一「逐字稿／摘要／正式報告」標記即可在頁內閱讀全文；正式報告與議題背景報告另可下載為 Word 檔。
內容以 AES-256-GCM 加密存放於本頁，金鑰由帳號密碼導出（PBKDF2 250,000 次迭代）；未解鎖前頁面中不含明文。解鎖狀態僅於本次瀏覽有效，重新整理需再次輸入。本欄位不接受瀏覽器自動填入，每次均須手動輸入。
Resilience and Safety Science in Healthcare and Organizations
Siri Wiig（University of Stavanger, Norway）
Resilient Healthcare: Concepts, Tools, and Strategies
Robyn Clay-Williams（Macquarie University, Australia）、Siri Wiig
Neonatal ICU “Neoflix”: Video Review, Safety-II Adoption, Psychological Safety and Legal Barriers
Ruben 等（NICU 團隊，Netherlands）
From Safety-II to Resilient Healthcare Systems: UMCG and cross-national dialogue
University Medical Center Groningen 及跨國與會者
Conference Opening, Leiden Overview, Logistics, and Session One Kickoff
主辦單位（Leiden 大學醫學中心）
Navigating Social Capital: A Refined Resilience Engineering-Based Debriefing Model for Systemic Coordination and Infrastructure Resilience in Healthcare Simulations
Patterson et al.（USA）
Comparing built environment hazards in pre- and post-occupancy Emergency Department simulations using FRAM and HART
Ransolin et al.（Australia）
Implementing resilience engineering to lead resilience-driven work systems’ improvement – A DAMIL approach
Chuang et al.（Taiwan）
The ADAPTER-Health questionnaire: A tool for measuring Team Resilience in healthcare
Brugman et al.（The Netherlands）
Graceful Adaptations Through Team Interactions: Managing Nursing Staffing and Care Quality in a Hemodialysis Center During Pandemic Surges
Chen et al.（Taiwan）
Digital Resilience of Hospitals in Saxony (DiReK)
Förster et al.（Germany）
When Compliance Meets Complexity: A Paradigm Shift Perspective on the UK Maternity Safety Crisis
Wijernate et al.（UK）
When the going gets tough, the tough get going – How to safely continue patient treatment during and after supplier bankruptcy
Frijns et al.（The Netherlands）
Social Capital as a Double-Edged Resource? Everyday Resilient Coordination, Learning and the Normalisation of Fragility
Ghazali et al.（UK）
Mental wellbeing and organisational resilience amongst elderly care workers in Europe and Australia: results from a cross-country qualitative study
Fagerdal et al.（Norway et al.）
Analysis of Intrahospital Transport of Critical Pediatric Patients on mechanical ventilation Using FRAM
Tokuhira et al.（Japan）
Collective reflection and learning following the Green Cross method
Birkeli et al.（Norway）
Making variability visible and learnable in robotic OR: a monitoring-learning loop for collective adaptation in robotic-assisted surgery
Chiu et al.（Taiwan）
Supporting Systemic Investigation of Harmful Incidents Using LLM-Assisted FRAM Modelling: An Educational Approach from Japan
Takizawa（Japan）
The reality of designing resilient healthcare systems – the intersection of people, tools, processes, and systems
Austin et al.（Australia）
Exploring Resilience-Focused Debriefing to learn Team Resilience in Interprofessional Simulation-Based Team Training
Amorøe et al.（Sweden et al.）
Scaling up a Learning from Excellence tool as Safety-II intervention: Exploring collective reflection, learning, and education in hospital wards
Hybinette et al.（Sweden）
Co-designing a team-based reflexive programme to support safer response to suspected intrapartum fetal deterioration
Van der Scheer et al.（UK）
Leadership in healthcare
Dr. Eduard Schmidt（Institute of Public Administration, Leiden）
Augmenting Medical Accident Report Analysis with Generative AI through Dialogue between Multi-Agent with Safety-I and Safety-II Perspectives
Kobayashi et al.（Japan）
Scenario-Based Adaptation with Resilience-Focused Debriefing: Residents as Teachers Using a 4S Operating Room Board Game for Team and Sociotechnical Resilience
Guo / Chen et al.（Taiwan）
Learning and improving after impactful events: Operationalising Safety-II and restorative just culture to strengthen healthcare system resilience
Grasveld et al.（The Netherlands）
Strengthening Mental Well-being and Organizational Resilience in Elderly Care: Designing and Implementing the Support4Resilience Toolbox Across Multiple Countries
Magerøy et al.（Norway）
Mapping the Educational Translation of Resilience Engineering through a Scoping Review
Tzu-Jui Liao et al.（Taiwan）
Implementing a Facility-Level Emergency Response System for War-Related Combined Threats: A Practice-Based Model from Ukraine
Moskalenko et al.（Ukraine）
Healthcare workers, leaders and informal caregivers’ perspectives on resilient performance in elderly care: a cross-country study
Bø Lyng et al.（Norway）
Exploring Leadership to Promote Mental Wellbeing, Resilience, and Quality in Elderly Care Services: Qualitative Cross-Country Insights from Europe and Australia
Magerøy et al.（Norway）
Exploring the relationship between incident reporting policies, leadership expectations, and the nature of healthcare worker behaviours in a Mental Health program at a mid-size Canadian tertiary hospital
Petersen et al.（Canada / Norway）
Leadership strategies and practices supporting staff mental wellbeing, individual and organisational resilience in homecare
Sedgh et al.（Norway / Australia）
Break-out and plenary discussion regarding RHC & hospital leadership
主持：Roland Bal、Siri Wiig
Understanding Teamwork in Mental Healthcare: A Scoping Review
Ortega Vega et al.（UK）
Team resilience in intraoperative anaesthesia care
Olin et al.（Sweden）
Applying the DAMIL approach – a resilience-driven work system improvement method to shorten the ultra-long-term hospitalization in hospital medicine ward
Chen et al.（Taiwan）
From M&M conference to the reflective team meeting
荷蘭資深外科醫師（議程未列講者）
Crises in the hospital Emergency Department: ideas from patients on how to improve system resilience and deliver quality care
Clay-Williams et al.（Australia）
Informal caregivers’ contributions to resilient healthcare: A cross-country study from elderly care services in Europe and Australia
Guise et al.（Norway et al.）
Leadership behaviors enabling tacit knowledge integration in surgical multidisciplinary team meetings and their association with perceived meeting quality
Steen et al.（The Netherlands）
“We’re all invested in the team and our work”: A qualitative analysis of social capital as a source of resilience in hospital teams
Long et al.（Australia）
Culture exploration in a newborn delivery room team
Ades et al.（USA）
Exploring the complexity of responding to suspected intrapartum fetal deterioration
Jane O’Hara（Professor of Systems Safety, Loughborough University, UK）
The future of the Society: member survey and facilitated group work
Siri Wiig、Axel Ros、Takeru Abe
From silos to shared space: how workspace design improved resilience in an acute hospital response team
Saurin et al.（Brazil）
Social processes as adaptations in and across hospital teams: a qualitative study of two Australian hospitals
Long et al.（Australia）
Navigating medication administration in ambulance teams: a sociotechnical perspective on adaptive work in prehospital care
Odberg et al.（Norway）
Redesigning information dynamics for sustainable medical team Resilience: The Synergy of Digital Integration and the Art of “粋 Iki”
Hitoshi Sato、Takeru Abe、Kyota Nakamura、Kazue Nakajima（Japan）
Resilience Through Connection: Advancing Collaboration Across Systems and Societies
Bergerød et al.（Norway et al.）
Translating Resilience into Practice: What Matters, What’s Hard, and What Works
Haraldseid et al.（Norway et al.）
Team resilience of preclinical and clinical teams: Exploratory field studies based on indicators of non-technical skills from CRM
Mühlbradt et al.（Germany）
Complexity in Resilient Healthcare: Navigating Team Performance Across Ordered and Unordered Domains
Odberg et al.（Norway）
Improving National Patient Safety: lessons from a four-year Dutch national programme
荷蘭國家計畫團隊代表
Strategies and tools to learn from work that goes well within healthcare patient safety practices: a mixed methods systematic review
Birkeli et al.（Norway）
Defining and conceptualising adaptive capacity in health care – a scoping review
Farrow et al.（Australia）
Six steps to reconcile Work-as-Imagined (WAI) and Work-as-Done (WAD) in FRAM visualizations
Uema et al.（Japan）
韌性如何被定義、被概念化、被測量。本區決定了其他所有主題所使用的語言——包括以「品質」而非「安全」為基準的韌性定義、適應能力的層次與代價，以及 FRAM、RAG、Cynefin 等分析工具的適用邊界。
把「物」納入韌性分析：模擬作為探針、建築配置如何影響功能耦合、儀表板作為對話基礎設施、資訊流架構如何改變團隊行為，以及當臨床高度依賴數位系統時的降級能力。
本次會議份量最重的主題。核心命題是：反思不會自然發生，它需要被設計成制度——每日一問的綠十字、正向通報、反思式團隊會議、修復式對話，以及 AI 輔助的事件分析。共同瓶頸是如何避免停留在表層修正。
韌性能不能教？三場發表分別處理模擬回饋的改造、以桌遊訓練團隊韌性行為，以及韌性工程在醫學教育中的轉譯缺口——後者指出關鍵瓶頸：鮮有研究把韌性轉化為可評量的能力項目。
從手術室裡的一句話，到醫院董事會的 KPI，再到國家級計畫。貫穿本區的發現是：個人層次的訓練幾乎無效，真正有作用的是領導行為與工作條件；而要讓高層行動，必須從他們既有的痛點切入。
場次數最多的主題。以真實工作系統為分析單位：升級處置、交班、多專科會議、院前給藥、院內轉送、超長住院。共同主張是——安全不來自遵守流程，而來自團隊在條件變動下的持續調適。
維繫團隊的無形結構。本區最重要的張力是：社會資本既是韌性的來源，也可能是系統缺陷的遮蔽物——當組織長期依賴成員的承諾與互助，脆弱就被「常態化」而不被修復。
把病人與家屬視為韌性的來源而非照護的接受者。涵蓋急診五類弱勢族群的共同設計、非正式照顧者的跨國研究，以及 Support4Resilience 這一整組高齡照護計畫的設計、領導與轉譯。
會議自身的設計與學會的未來。開幕致詞把 Leiden 的圍城史連結到社會資本，並以「減稅還是大學」的抉擇呈現長期能力投資；學會未來場次則處理規模、包容性與跨界合作。