Avvikelhetsutredningar

Avvikelhetsutredningar, often translated as deviation investigations or anomaly investigations, are systematic processes used to analyze and understand why a specific event or situation occurred that deviated from an expected or planned outcome. These investigations are common in various fields, including healthcare, manufacturing, aviation, and quality management. The primary goal is to identify the root cause or causes of the deviation, not to assign blame, but rather to implement corrective and preventive actions.

The process typically begins with the identification of an avvikelse, which can be a product defect, a patient safety incident, a process failure, or any event that does not conform to established standards or procedures. Following identification, a team is often assembled to conduct the investigation. This team gathers relevant information, such as documents, witness statements, and physical evidence. Various methodologies can be employed, including root cause analysis (RCA), Ishikawa diagrams (fishbone diagrams), or the "5 Whys" technique, to drill down to the fundamental reasons behind the deviation.

Once the root cause is determined, the investigation concludes with recommendations for improvements. These recommendations aim to prevent similar deviations from occurring in the future and to enhance the overall reliability and safety of the system or process. The implementation and follow-up of these corrective actions are crucial to the effectiveness of the avvikelhetsutredning process. The aim is continuous improvement and risk reduction.