A systems approach to investigating and learning from patient safety incidents

Who should attend?

This CPD course is aimed at those who lead investigations and other learning responses and those in Patient Safety Incident Response Framework (PSIRF) oversight roles. The course meets the minimum training requirement of this specific element of the new PSIRF. 

Why should you attend?

To develop and understand a systems approach to safety investigations under PSIRF guidelines.

What will you learn?

1. Understand the principles for adopting a systems approach to safety investigation
2. Recognise the impact of system design on human performance and wellbeing
3. Be aware of system frameworks and be able to apply the Systems Engineering Initiative for Patient Safety (SEIPS) to an investigation
4. Understand the need to define the scope of an investigation
5. Understand the importance of systematically gathering and thematically analysing different forms of evidence
6. Understand how to engage and involve those affected by patient safety incidents in a meaningful and compassionate way
7. Understand the importance of collaboratively developing system focused safety recommendations
8. Understand the importance of writing inclusive investigation reports

Expected outcomes

To develop and understand a systems approach to safety investigations under PSIRF guidelines and to enable you to perform investigations with confidence.

Assessment

Three quizzes

What’s included?

At the end of the course, learners will receive a certificate which is supported by CIEHF and CPD

About HSSIB

We aim to be the global leader in professional, high quality healthcare safety investigations. We investigate patient safety concerns across England to improve NHS care at a national level. Our investigations do not find blame or liability with individuals or organisations. Information shared with us is confidential and protected by law. We are a fully independent arm’s length body of the department of health and Social care. Our courses are aimed at staff in health and social care settings, who are involved in safety investigations for learning. 

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