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NAME:Community Calendar
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DTSTART:20220327T020000Z
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DTSTART:20221030T020000Z
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BEGIN:VEVENT
SUMMARY:Learning from Never Events
DTSTAMP:20220422T122430Z
SEQUENCE:0
UID:773-1-ee2a5ec9cbd1b5a75b4ec5d63ec903ec@www.pslhub.org
ORGANIZER;CN="Patient Safety Learning":noreply@pslhub.org
DESCRIPTION:\n	Never events are defined as “serious\, largely preventa
	ble patient safety incidents that should not occur if healthcare providers
	 have implemented existing national guidance or safety recommendations.”
	 They are designed to act as a red flag for improvement by NHS organisatio
	ns.\n\n	This one day masterclass will focus on safety culture around Never
	 Events within healthcare organisations. There were 364 never events in 20
	20/21 and 349 between April 2021 and Jan 2022. We will look at how Never E
	vents have been investigated and at Human Factors approaches to improving 
	learning and the systems to reduce harm. We will compare our experiences w
	ith learning from serious incidents from other countries.\n\n\n\n	Key lear
	ning objectives:\n\n\n\n	\n		Never Events\n	\n	\n		Safety Culture\n	\n	\n	
		Human Factors\n	\n	\n		Learning from other countries.\n	\n\n\n\n	This mas
	terclass is aimed at Clinical Staff and Team Leads.\n\n\n\n	Register\n\n\n
	\n	hub members can receive a 20% discount. Email: info@pslhub.org for the 
	code.\n\n
DTSTART;VALUE=DATE:20221019
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