Systems approach to learning from patient safety incidents

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