1-day Oversight of systems approach to learning from patient safety incidents

Course Title: Oversight of systems approach to learning from patient safety incidents

Duration: One-day course (onsite or residential)

CPD hours: 6

Target audience:

• Executives, commissioning, and service managers supporting service lead investigator roles
• The following only after attending the 2-day systems approach to patient safety incident response:
• All Executive, Commissioner and Service Leads for investigation
• All Lead investigators conducting patient safety incident investigations

Course Description:

This training will support the development of expert understanding and oversight 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:

• PSIRF and associated documents (PSIRP, PSII standards)
• oversight framework (yet to be published)
• effective oversight and supporting processes related to incident response
• maintaining an open, transparent, and improvement focused culture
• importance of communication and involvement of those affected (preventing further harm)
• commissioning and planning of patient safety incident investigations
• complex investigations spanning different organisational, care setting, and stakeholder boundaries