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Serious Incident Investigation & Learning

News and presentations from today's conference chaired by Mike O'Connell, Legal Services Practitioner. 

The Patient Safety Incident Response Framework

Professor Helen Young Executive Director of Patient Care & Service Transformation
South Central Ambulance NHS Foundation Trust

• PSIRF: Introductory guidance
• working with the early adopters
• key differences between the PSIRF and the Serious Incident Framework
• moving forward: a timeline for implementation

In her presentation Helen covered how to prepare for safety incident investigation and response, she said it's important to see reporting as a best practice requirement. You must be actively talking about incidents and near misses, reporting should be seen as an opportunity for learning.   She also said it is important to know your history of incidents in your organisation, the themes, trends and patterns. Safety plans need to be bespoke to your history, incidents, and strengths and weaknesses. Helen said to consider what's in play now for supporting patients, families and staff that you can put into your plan, and then test to check for any weaknesses in your response to incidents. It's important to prepare for what the response will look like and what you need to put in place now, what's important based on your strategic safety plan, and employ Patient Safety Officers.  Concluding, Helen said; "You've got this, the framework seeks to bring what you have in place already to the fore."
 

Working with and involving patients when an incident occurs

Lisa Richards-Everton, Patient Representative  and National Campaigner for Patient Safety

• learning from the lived experience
• how can we put patients at the heart of the process?
• how excellent engagement can produce better results for patients and Trust during serious incident investigations
• involvement in reviews and investigations

Lisa shared her husbands story by video https://www.patientstories.org.uk/films/pauls-story/

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