Turn every sentinel event into a learning opportunity.

Traditional QA only scratches the surface. Pipeline creates comprehensive after action analysis that captures clinical and operational insights while the incident is fresh, involving all stakeholders in a safe learning environment that drives actionable training outcomes.

pipeline-shift.png

Create a culture of learning, not blame.

Traditional QA focuses on clinical review after the fact. Organizations need comprehensive reflection that captures operational challenges, involves all stakeholders, and transforms incidents into training opportunities while memories are fresh.

The Old Way

QA only reviews clinical decisions after the fact, missing operational challenges and system factors.

The New Way

Comprehensive after action analysis captures clinical, operational, and system factors while the incident is fresh.

The Old Way

Post-incident reviews happen weeks later when details are forgotten and stakeholders unavailable.

The New Way

Immediate structured debriefs with all stakeholders while memories are accurate and complete.

The Old Way

Incident analysis relies on subjective accounts with no systematic way to identify actionable improvements.

The New Way

Technology-driven analysis tools that quantify findings and generate specific training recommendations.

The Old Way

Blame-focused culture prevents honest reflection about what really went wrong.

The New Way

Safe learning environment that focuses on system improvements rather than individual fault-finding.

The Old Way

Incident learnings exist in isolation and never inform future training or competency development.

The New Way

Direct integration with training programs to ensure incident insights drive ongoing competency requirements.

The Old Way

Only clinical staff participate in reviews, missing crucial perspectives from operations, dispatch, and leadership.

The New Way

Multi-stakeholder involvement ensures complete coverage of all factors that contributed to the incident.

Capture the complete picture while it's fresh.

Go beyond clinical review to include operational challenges, communication breakdowns, and system factors. Multi-stakeholder input ensures nothing gets missed while the incident is still fresh in everyone's mind.

Transform subjective accounts into actionable data.

Use structured analysis tools to turn individual perspectives into quantifiable insights. Identify patterns across incidents and translate findings into specific training recommendations.

Create safe learning environments for honest reflection.

Build psychological safety that encourages open discussion about what went wrong and why. Focus on system improvements rather than individual blame to drive meaningful change.

Building a learning culture from critical incidents.

After action analysis is about more than reviewing what went wrong - it's about creating systematic learning that prevents future incidents and improves organizational resilience.

How is this different from traditional QA or incident reviews?
Traditional QA focuses on clinical decisions after the fact. After action analysis captures the complete picture - clinical, operational, communication, and system factors - while the incident is fresh. It involves all stakeholders and creates actionable training recommendations rather than just documentation.
How do you ensure psychological safety during these reviews?
Pipeline structures the process to focus on system improvements rather than individual blame. The analysis tools help quantify findings objectively, and the process emphasizes learning opportunities rather than fault-finding. This creates an environment where people feel safe to share honest perspectives.
What stakeholders should be involved in after action analysis?
All relevant parties: field providers, supervisors, dispatch, medical directors, operations staff, and leadership. The goal is to capture every perspective that could provide insight into what happened and why. Different incidents may require different stakeholder combinations.
How does this connect to ongoing training and competency development?
Pipeline integrates after action findings directly into the training continuum. Identified gaps become competency requirements, successful interventions become training scenarios, and patterns across incidents inform organization-wide training priorities. Nothing learned in isolation.

Change the conversation from how do we roll this out, to when do we roll this out.

We're experts in helping public sector organizations implement initiatives that drive real results.

field_training.png