Chromosome segregation errors cause aneuploidy, a state of karyotype imbalance that accelerates tumor formation and impairs embryonic development. Even though mitotic errors have been studied extensively in cell cultures, the mechanisms generating various errors, their propagation and effects on genome integrity are not well understood. Moreover, very little is known about mitotic errors in complex tissues. The main goal of this project is to uncover the molecular origins of mitotic errors and their contribution to karyotype aberrations in healthy and diseased tissues. To achieve our goal, we have assembled an interdisciplinary team of experts in molecular and cell biology, cell biophysics, chromosomal instability in cancer, and theoretical physics. Our team is introducing novel approaches to study aneuploidy (superresolution microscopy, optogenetics, laser ablation, single cell karyotype sequencing) and applying them to state-of-the-art tissue cultures (mammalian organoids and tumoroids). In close collaboration, we are establishing assays to detect and quantify error types in cells and using them on various healthy and cancer tissues. We are exploring the molecular origins of errors, their propagation and impact on genome integrity, as well as the mechanisms that ensure high chromosome segregation fidelity in healthy tissues. Interwoven in these collaborations is the development of a theoretical model to describe the origin of errors and to quantitatively link chromosome segregation fidelity in single cells and tissues. Model and experiment are continuously inspiring each other to achieve deep understanding of how mitotic errors arise, how they propagate and how they impact on cell populations.