Dr Zoe Brummell will summarise her research into the Learning from Deaths programme and explore the obstacles to organisational learning as well as the ways it should happen.
The session will explore
How the Learning from Deaths programme failed to learn.
What gets in the way of learning.
What learning that leads to improvements looks like.
Why partnership with families for organisational learning matters and what it looks like.
Registered address:
Patient Safety Learning, China Works SB203, 100 Black Prince Road Vauxhall, London, SE1 7SJ
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