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25 June 2025
An After Action Review is a facilitated discussion following an event to understand what happened and why, and how it could be improved from the perspective of those who were involved. There is an emphasise on facilitation of active awareness and self learning to lead to lasting change and improvement.
AARs are included as an investigation and learning tool under the Patient Safety Incident Response Framework (PSIRF). The morning will be a hands on interactive masterclass which will develop your skills in conducting an AAR using simulated case study AAR examples and facilitated discussion.
The afternoon will focus on case study sessions from experts who are using AAR in practice. Topics will include AAR under the Patient Safety Incident Response Framework (PSIRF), walkthrough case studies of AAR in action, the role of human factors in AAR and delivering change. There will be an extended focus on informing and involving patients in AARs in line with national guidance “Many national reports clearly articulate the importance of engaging with patients, families, and staff appropriately after a patient safety incident and involving them in any subsequent investigation.” NHS England.
For further information and to book your place visit https://www.healthcareconferencesuk.co.uk/virtual-online-courses/after-action-reviews or email [email protected].
Follow the conference on X @HCUK_Clare #AfterActionReviews
hub members receive a 20% discount. Email [email protected] for discount code.
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11
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25 June 2025 11:30 12:30
The report “To Err is Human: Building a Safer Health System” is often considered a turning point in the history of patient safety, raising alarm both about the volume of “preventable” medical errors, and the state of safety management in healthcare relative to other industries. The report called for the adoption of a wide range of practices from other industries, in particular aviation, ranging through incident reporting and investigation policies, team training methods, management systems, and structured risk assessment methodologies.
‘To Err is Human’ exemplifies a phenomenon that to me is quite remarkable. Healthcare – one the best educated, professionalised skeptical and evidence-based domains – is willing to set aside its usual standards of critical thinking when adopting practices from other industries.
In this talk, Dr Drew Rae makes the argument, illustrated with examples from projects across a range of industries, that to a certain extent safety problems are universal, with patterns repeating across domains. However, he will also present some reasons to believe that the problems are exacerbated rather than improved by the uncritical adoption of safety ‘solutions’ between industries.
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12
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25 June 2025 12:00 13:00
Webinar overview:
Understanding ISO 7101: Gain insights into the development and core principles of the standard. Benefits for the NHS: Learn the benefits of implementing the standard which can lead to improved patient outcomes, enhanced workforce wellbeing, and greater health equity. Implementation and certification: Discover practical steps for integrating the standard into existing NHS frameworks and quality improvement initiatives, as well as how to achieve certification. Q&A: Time to ask questions and hear from our expert(s) Register
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25 June 2025 12:00
Continuing with the JCI Patient Safety Grand Rounds, the next session of the Grand Round is “Diagnostic Safety: From Error to Excellence in Patient Care. This strengthens the global efforts to improve diagnostic safety, building on the World Patient Safety Day theme of 2024.
The upcoming session will feature a compelling conversation between internationally recognised leaders in the field. Dr. Hardeep Singh, Professor of Medicine at Baylor College of Medicine, will be joined by Dr. Laura Zwaan, Associate Professor at the Institute of Medical Education Research Rotterdam, Dr. Elizabeth Liz Mort, Vice President and Chief Medical Officer at The Joint Commission, and Dr. Neelam Dhingra, Vice President and Global Chief Patient Safety Officer at Joint Commission International
JCI invites you to register now to be part of this important initiative and share this information with your networks and social media channels. The registration is complimentary.
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