Path 2 is our recommended journey for those who want to embed PSIRF into all areas of their organisation and create a lasting impact on patient safety.
This learning journey totals 24 CPD points, and takes 4 days to complete.
Who is this learning journey 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 incident
Investigators supporting patient safety incident investigations
Course objectives
Systems approach to Patient Safety Incident Investigations
This course will:
Develop an understanding of PSIRF and systems based learning
Explore how Safety II can be integrated into an Incident Investigation
Facilitate understanding in how to effectively apply a response planning process
Demonstrate a diverse range of tools to investigate incidents, such as SIEPS
Discuss a range of tools for capturing every day work
Demonstrate a range of tools for synthesising information gathered, such as timeline mapping and work system scans
Provide an opportunity to discuss how to respond proportionately to patient safety incidents
Explain how to write an effective investigation report
Explore how to apply principles of safety science to understand causation
Look at conducting interviews; including recognising signs of shock and post-traumatic stress
Creating a just and learning culture
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
Patient, family and staff involvement in learning from Patient Safety Incidents
This course will:
Introduce principles of restorative practice
Allow you to reflect upon the needs of patients, families and carers following an incident, and how an investigation can meet some of those needs
Review the Duty of Candour (regulations and practical application)
Help you to signpost support for those suffering trauma, loss or stress
Address sharing findings effectively to facilitate wider learning
Discuss challenges/complexities associated with cases where there is more than one investigation
Prepare you for dealing with conflict and difficult conversations; including how to ensure any staff involved or affected by the incident are involved and supported