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Learning from patient safety incidents

Event details

This one day masterclass is part of a series of masterclasses focusing on how to use Human Factors in your workplace and is aligned with the new Patient Safety Syllabus 2021.

Key learning objectives:

  • Understand the new patient safety landscape
  • Understand the need for proportionality of investigation
  • Learn how to use a range of techniques for conducting PSIIs
  • Understand how to write an impactful improvement plan
  • Consider how your current approach to patient safety investigations compares to the agreed national standards
  • Understand typical pitfalls and traps associated with this wider workstream and tips for avoiding them.

The course is facilitated by Tracy Ruthven and Stephen Ashmore who have significant experience of undertaking patient safety reviews in healthcare. They were commissioned to write a national RCA guide by the Healthcare Quality Improvement Partnership. They have also authored articles on significant event analysis and clinical audit/quality improvement, all techniques seen as increasingly relevant to improving patient safety.


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