Masterclass from Promethean Human Designs on designing stronger safety actions and turning learning into measurable, sustainable improvement.
The course is designed for staff involved in PSIRF implementation, learning responses, safety action development, service redesign and quality improvement. It provides a deeper understanding of how different actions address different contributory factors, task demands and system conditions, helping teams move beyond weak or superficial recommendations towards actions that are more robust, realistic and sustainable.
This course is relevant to both reactive learning after incidents and proactive improvement work, including pathway redesign, risk reduction activity and wider service change. Participants will explore practical methods for designing stronger actions, evaluating proposed interventions, anticipating implementation challenges and linking safety learning to improvement planning and governance.
Ideal for organisations that want to strengthen the quality of action plans, improve governance oversight, and build a clearer link between investigation outputs, improvement planning and sustainable change.
Why this course matters to organisations Helps teams move from identifying learning to designing stronger actions Improves the quality and credibility of action plans Supports better governance, oversight and implementation Strengthens the link between incident learning, improvement planning and sustainable change Builds confidence in designing responses that are more likely to be effective, feasible and lasting Who should attend?
Suitable for clinical and non-clinical staff involved in:
Patient safety Governance Quality improvement Incident response Service redesign Operational leadership This includes:
Clinicians Managers Patient safety specialists Governance leads Quality leads It is helpful, though not essential, for participants to have completed introductory Human Factors or PSIRF training beforehand.
Topics covered
Task analysis Human reliability analysis and error classification Hierarchy of controls Action evaluation and review Designing stronger versus weaker actions Anticipating implementation challenges and unintended consequences Linking safety actions to improvement planning and service change By the end of the course, participants will be able to:
Apply human reliability concepts to understand work as done and identify meaningful intervention points Select and design stronger safety actions using the hierarchy of controls Evaluate proposed actions for likely effectiveness, feasibility, sustainability and unintended consequences Translate learning from incidents, risks and near misses into practical quality improvement actions Contribute more confidently to action planning, governance discussions and PSIRF learning responses Tailoring and follow-up
Case studies and exercises can be tailored to local:
PSIRF priorities Action plans Improvement challenges Optional follow-up can include:
Action review clinics Applied coaching Case-based learning Support with embedding action design into governance and quality improvement processes Participants receive:
A certificate of completion A 30-minute post-course support call Register

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