An accredited masterclass that provides knowledge and skills in how to investigate an incident in light of the current most prevalent medication incidents occurring in healthcare.
This masterclass will focus on how to investigate medication incidents to ensure that there is a comprehensive investigation, lessons learnt and the development of action plans. Attendees will gain an understanding of how to record findings and collate information to prevent recurrence and the severity of incidents.
An estimated 237 million medication errors occur in the NHS in England every year, and avoidable adverse drug reactions (ADRs) cause hundreds of deaths.
NHS Improvement have developed guidelines on investigating incidents and have highlighted ‘problems with the way we do investigations’ which are:
- Patients, families and carers often think that NHS organisations do not share information with them when something goes wrong
- Patients, families and carers often think that NHS managers are trying to blame someone else instead of trying to ﬁnd out what happened
- Patients, families and carers often feel they do not get enough support from the NHS when something goes wrong.
Investigations need to be carried out by people:
- Who have enough time to do a good job
- Have the right skills to do the job; an
- Investigators may need more training in good ways of carrying out the investigations
Attending this masterclass will enable you to:
- Understand how to prevent and manage medication incidents
- How things could have been done differently
- Learn how to Learn from Investigations
- How to record a medication incident
- Develop action plans