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Systems approach to learning from patient safety incidents

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Event details

Facere Melius are the only NHS Framework Provider approved training supplier that worked closely with NHS England in developing tools and guidance to support PSIRF.

Training 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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