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Systems approach to learning from patient safety incidents

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Event details

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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