This is a 2 day course –
Wednesday 25th May 2022 & Wednesday 29th June 2022
Significant changes are taking place in England relating to the investigation of patient harm events. Root Cause Analysis is stopping, and the rigid approach to determining what is and is not an SI is also changing. Much more emphasis will be placed on the place of rapid review by local teams and services, following incidents of harm. These rapid reviews will be sense checked as part of a healthy safety and good governance approach.
There will be two categories of review/investigation. These will be called a PSR (Patient Safety Review) or a PSII (Patient Safety Incident Investigation). The Trust will be required to declare the incident types it will require a PSII for. There are also several national requirements for PSIIs. Anything that does not meet the threshold will be a PSR, and the weight of responsibility for delivering these reviews will fall on team leaders, and local services as it rightly should do.
- The structure of a review, principles, and the role of the reviewer, and subject advisers
- Approaches: Overview of The London protocol. SEIPS and After-Action Review
- Information gathering – Accessible tools and techniques
- Analysing information – The principles of triangulation and validation
- Designing local improvements – outcome focused recommendations
- Writing up your findings, a letter of complaint response etc.
Matrons, front line team/clinical leaders (inc. medical staff), their deputies those that manage services.
Education events and conference team, STRIVE Academic Centre
Email: [email protected]
All cancellations need to be made through your account. For those who do not attend without cancellation, your line manager will be notified and a possible charge may be incurred. All paid events have a strict cancellations policy.
Certificates and feedback:
Upon completion of this course a certificate will be available for you to download from your account along with any other post course information. Please ensure you complete your feedback so we are able to continuously improve our training.