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Systems approach to Patient Safety Incident Investigations
Approved by NHS England, and developed alongside NHS organisations, A Systems Approach to Patient Safety Incident Investigations (PSII) is designed and delivered by experts in PSII. Part of our PSIRF learning joureny, this 12 hour course helps you meet the training requirements of PSIRF.
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:
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
Course testimonials
Matt was amazing, he had a great background within the ambulance sector and how the systems approach training can be used within our organisation. He has a relaxed and supportive personality that makes learning engaging and interactive.
This course content is very useful and it was clear the presenter had tailored it to the needs of the group and their clinical backgrounds, rather than just teaching generically. They also actively listened and validated the group's feedback. whilst also providing their own constructive feedback.
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.
Matt has been really helpful, engaging and he fully relates everything to our practice and Trust. We have really enjoyed our 2 days training.
Matt is a legend!! Really informative session and Matt has a good delivery model, he is able to relate the training to our work area, drawing on his experience as a paramedic and his understanding of the ambulance service. Matt for CEO!! :)







