Händelseanalys

Händelseanalys, or incident analysis, is a systematic process used to understand and learn from undesirable events or failures. Its primary goal is to identify the root causes of an incident, rather than just addressing the immediate symptoms. This approach aims to prevent similar incidents from occurring in the future by implementing corrective and preventive actions.

The process typically involves several stages. First, the incident is identified and reported. This is followed by gathering all relevant information, including witness accounts, data logs, and physical evidence. Next, the information is analyzed to determine the sequence of events and contributing factors. A critical step is identifying the underlying root causes, which may involve human factors, system design flaws, organizational issues, or procedural weaknesses.

Once the root causes are understood, a plan for corrective and preventive actions is developed and implemented. Finally, the effectiveness of these actions is monitored and evaluated. Händelseanalys is widely applied in various fields, including healthcare, aviation, industrial safety, and IT, to enhance safety, improve performance, and foster a culture of continuous learning and improvement. It emphasizes a non-punitive approach, focusing on systemic issues rather than individual blame.