2-day Systems approach to learning from patient safety incidents for NHS Mental Health Trusts

Course Title: Systems approach to learning from patient safety incidents

Duration: Two-day course (onsite or residential)

CPD hours: 12

Target audience:

• Lead investigators
• Executives, commissioning, and service leads for investigations
• Investigators supporting or overseeing patient safety incident investigations

Course Description:

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
• just 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