PSIRF Education

4a

Systems approach to learning from patient safety incidents

For all learning response leads & those in oversight roles

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.

General content:

• Purpose of patient safety incident response

• Introduction to complex systems, system thinking and human factors

• Just culture

• Improvement science and developing system improvement plans

Response techniques:

• Interviewing and asking questions

• Conducting observations, understanding work as done

• Systems frameworks

• Patient Safety Incident Investigation

• Learning response planning

• Analysis

• Report writing

4b

Systems approach to learning from patient safety incidents: Oversight training

Training to 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.

Content:

• Effective oversight and supporting processes related to incident response

• Maintaining an open, transparent and improvement focused culture

• Patient safety incident investigation (PSII) commissioning and planning

• Complex investigations spanning different organisational, care setting, and stakeholder boundaries

4c

Engaging with patients, families, and staff following a patient safety incident training

For: All engagement leads & those in PSIRF oversight roles

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Training to support the development of expertise in engaging and involving patients, families, carers, and staff affected by patient safety incidents, in line with NHS guidance, based upon national and internationally recognised good practice. 

Content:

• Duty of Candour regulations

• Being open and apologising

• Effective communication including dealing with conflict and difficult conversations

• Engaging with patients, families, carers, and staff following a patient safety incident

• Effective involvement of those affected by a patent safety incident throughout the incident response process to ensure a thorough and richer learning response

5

System Leadership

More information available soon!