Summary
Patient safety incident investigations (PSII) are system-based responses to a patient safety incident for learning and improvement. Typically, a PSII includes four phases: planning, information gathering, synthesis, and interpreting and improving.
More meaningful involvement can help reduce the risk of compounded harm for patients, families and staff, and can improve organisational learning, by listening to and valuing different perspectives.
Content
The Learn Together project engaged with, and learnt from, the experiences of everyone involved in investigations – patients, families, staff, investigators, policy makers, and other key stakeholders – to find out their needs during, and experiences of, the investigation process.
Together, they have co-designed new guidance to make investigations more human and meaningful for those involved, and support better organisational learning.
The project has created investigation resources to support you if you are involved in a Patient Safety Incident Investigation either as a patient, family member, healthcare staff member or investigator, including:
- Patient safety incident investigation information booklets for patients/families and for staff
- Investigator guidance
- Investigation record
. You can download the relevant co-designed guidance or support booklets from the link below, which contain helpful information to guide and support your involvement in an investigation.
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