Find out more about virtual attendance
This two day masterclass will start by providing learners with a full understanding of the various approaches
that can now be used to conduct patient safety incident investigation (PSIIs) followed by how to use Human Factors in your workplace.
All medical and non-medical staff should attend.
DAY 1 - EFFECTIVE PATIENT SAFETY INVESTIGATIONS
The Patient Safety Strategy (2019) advises that organisations must adopt a new and broader approach to stimulate learning from patient safety incidents. This course is designed to assist healthcare professionals
involved in this important work. All content and guidance will be aligned to current best practice and
feedback from the early adopter sites that have been implementing the new Patient Safety Incident
Response Framework (PSIRF).
Day one will be fast-paced and provide learners with a full understanding of the various approaches that
can now be used to conduct patient safety incident investigation (PSIIs).
Day 1 Learning Objectives
- Understand the new patient safety landscape
- Understand the need for proportionality when conducting investigations
- Learn how to use a range of techniques for conducting patient safety investigations
- Learn a range of key analytical skills to help identify why care was sub-standard: fishbone model,
- driver diagrams, change analysis, five whys, bow-tie analysis, etc.
- Understand how to write an impactful improvement plan
- Understand how to write an investigation report that is high quality
- Consider how your current approach to patient safety investigations compares to the new agreed national standards
- Understand typical pitfalls and traps associated with this wider workstream and tips for avoiding them
DAY 2 - HUMAN FACTORS
Day 2 is facilitated by Mr Perbinder Grewal, who will guide you in how to use Human Factors in your
workplace. All medical and non-medical staff should attend. Leadership in the NHS is the responsibility of all staff. Understanding human factors will allow healthcare to enhance performance, culture and organisation. It can be used to assess why things go wrong and how to implement change to prevent it from happening again or mitigate the risks.
Day 2 Learning Objectives
- Understand what Human Factors are
- How can Human Factors be used to improve performance
- Reducing risk using Human Factors
- Value of Human Factors in healthcare
- Developing a culture of safety
- Thinking about people, thinking about systems
Day 1 is facilitated by Tracy Ruthven and Stephen Ashmore who have significant experience of
undertaking patient safety reviews in healthcare. They were commissioned to write a national RCA guide
by the Healthcare Quality Improvement Partnership. They have also authored articles on significant event
analysis and clinical audit/quality improvement, all techniques seen as increasingly relevant to improving
Day 2 is facilitated by Perbinder Grewal, a General & Vascular Surgeon, Human Factors &
Patient Safety Trainer, and Emotional Intelligence Practitioner; leads on medical education both
locally and nationally; Member of the Faculty of Surgical Trainers at the Royal College of Surgeons of
Edinburgh; formerly lead for e-learning for healthcare for the Royal College of Surgeons of England;
experienced trainer and coach who uses new insights to develop patient safety, staff engagement
and psychological safety; has Postgraduate Certificates in Leadership and Coaching.