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Course length
24-hour course
CPD points
24 CPD points

CPD certified, by the CPD Certification Service

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