Creating a just and learning culture
Part of our NHS England Approved PSIRF learning journey, this 1 day course centres the concept of a just and learning culture, explores what that really means in healthcare teams, and the roles that individuals and organisations can play in its development.
Who is this course suitable for?
All Lead investigators conducting patient safety incident investigations
All Executive and Service Leads for patient safety
All Executive and Service Leads for Duty of Candour
Executive and Service Leads supporting response to patient safety incidents
Investigators supporting patient safety incident investigations
Course objectives
This course will:
Introduce the key principles of human capabilities and limitations, and how those influence quality and safety of care
Explain how to distinguish between systems-based failures in safety and the contribution of individual staff
Analyse how incident reporting and investigations impacts on culture
Ensure understanding of when and how to assess individual culpability as distinct from system failures using NHS just culture guide
Explore the importance of patient and public involvement
Provide an opportunity to discuss the importance of adopting an appreciative lens
Introduce additional approaches to just culture
Course testimonials
The trainer was engaging, and the information, interesting, relevant and thought provoking. Came home and shared it with my family I was so inspired .
Ben and the MedLed team have delivered consistently high quality training on human factors and patient safety for InHealth over the last 5 years. As a result of this experience, when we were looking for training partner a to start our PSIRF journey they were our go to team. The whole of our governance team and key clinical operational colleagues undertook the 4 day Introduction to PSIRF training in November and December 2022. Our facilitators were Ben, Sam and Jo.
Ben and Sam took us through ‘Understanding Systems’ and ‘Patient Safety II’ which included Systems Thinking and the analytic tools and frameworks on Day 1. Day 2 looked at culture and Day 4 at the practical application of what we had learnt. The complementary skillsets of Ben and Sam gave our whole team a really solid foundation for our PSIRF learning journey. They challenged some of our outdated thinking in a supportive way and encouraged us to consider the concept of systems thinking in our response to and investigation of patient safety events.
On Day 3, we looked at how to involve patients and their families. Jo took us on a powerful and emotional journey and gave us insight on how it feels to be involved in a patient safety event. She introduced us to the concept of restorative justice and helped us to understand that the current tools we use for safety investigation often do not meet the needs of those at the heart of the safety event, our patients and their families.
I have had more positive feedback about this training than any other programme that our team have participated in. We have already started using some of the new tools and we are looking at our system and not our people when things go wrong
I wholeheartedly recommend the MedLed programme to any team looking to progress their PSIRF journey in an intelligent and compassionate way.
I have been very pleased with the adaptability of the trainers in relation to responding to the groups needs within the discipline that they work within
The course leader is brilliant, eloquently, and knowledgeably running the content and sharing another way toward risk