Oversight of systems approach to learning from patient safety incidents

1-day 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

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