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14 October 2025 15 October 2025
Systems approach to learning from patient safety incidentsTraining to support the development of core understanding and application of systems-based patient safety incident response throughout the healthcare system - in line with NHS guidance, based upon national and internationally recognised good practice.
This course covers the end-to-end systems-based patient safety incident response based upon the new NHS PSIRF and includes:
purpose of patient safety incident response framework introduction to complex systems, system thinking and human factors restorative just and learning culture duty of candour involving staff in incident response involving patients, families and carers in incident response improvement science and developing system improvement plans general response techniques interviewing and asking questions conducting observations, understanding work as done systems frameworks response types patient safety investigation planning, analysis and report writing commissioning and oversight of an internal investigation a high-level overview of system-based response tools Who should attend:
Lead investigators; Executives, commissioning, and service leads for investigations; Investigators supporting or overseeing patient safety incident investigations
Facilitator: Jo Perruzza is a former mental health nurse and has been a clinician, a clinical leader and a senior manager in mental health provider organisations. With a passion for patient safety and an expert in psychological safety she brings experience of leading internal and external investigations.
Register
hub members receive a 20% discount. Email [email protected] for discount code.
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15 October 2025 16 October 2025
Systems approach to Patient Safety Incident InvestigationsThis course from Medled will:
Develop an understanding of PSIRF and systems based learning. Explore how Safety II can be integrated into an Incident Investigation. Facilitate understanding in how to effectively apply a response planning process. Demonstrate a diverse range of tools to investigate incidents, such as SIEPS. Discuss a range of tools for capturing every day work. Demonstrate a range of tools for synthesising information gathered, such as timeline mapping and work system scans. Provide an opportunity to discuss how to respond proportionately to patient safety incidents. Explain how to write an effective investigation report. Explore how to apply principles of safety science to understand causation. Look at conducting interviews; including recognising signs of shock and post-traumatic stress. Register