Snacking Behaviors in Relation to Stress and Physical Activity Using Automated Dietary Assessment: Observational Study.

Even though the majority of patient harm is preventable, consistent safe healthcare remains difficult to achieve [, ]. High reliability organisations demonstrate superior safety performance and culture despite complex and high-risk conditions [, ]. Foundational elements of high reliability include institutionalising social and relational learning habits which foster staff anticipation, containment and real-time learning from patient safety events [, ]. After Action Review (AAR) is a tool often employed in high reliability organisations [, ]. AAR is defined as a non-hierarchical facilitated discussion of an event which enables groups to come to a shared mental model about what happened, why it happened, and to identify learning and improvements []. An AAR is held as near as possible after an event and involves facilitating learning among groups about what was expected to happen, what actually happened, why there was a difference and what has been learnt []. AAR shares the learning focus of other debriefing approaches (e.g., clinical debriefing, critical incident stress debriefing) but is differentiated by its structured use of the multiple specific questions [], and focus on incident management and process improvement []. Since 2018, the national health system in Ireland, the Health Service Executive (HSE), has incorporated AAR into its Incident Management Framework []. The HSE also provides accompanying guidance for AAR implementation []. All staff, clinical and non-clinical, at all levels of an organisation may be participants in an AAR []. Table outlines existing guidance for the use of AAR in the Irish healthcare system [, ].