Modern health care is increasingly recognised as a complex adaptive system. Staff must navigate often-competing demands and dynamic conditions to deliver the safe care patients need.

There is a growing appreciation that health care providers create safe, high-quality care through their ability to adapt every day, and to improvise and adjust. It is this ability, known as system resilience, that allows staff to predict and potentially prevent harm, making safety everyone’s responsibility.

The purpose of this hui is to explore this further and understand how our health and disability sector can create collectively the conditions for system resilience. We want to couple our current processes, which help us understand how failures have occurred (Safety-I), with continuous monitoring and improvement of system resilience and actions, to predict and prevent potential accidents (Safety-II). Through this, we have wider opportunities to understand how to keep everybody in health care safe.