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Find out more about virtual attendance
This national conference looks at the practicalities of Serious Incident Investigation and Learning. The event will look at the development and implementation of the New Patient Safety Incident Response Framework (previously known as the Serious Incident Framework) a version of which has now been published and which is being tested in early adopter sites. NHS Improvement is working with these early adopters to test implementation, and analysis of this will inform the final version. Local systems and organisations outside of the early adopter areas are free to use the already published version of the PSIRF to start to plan and prepare for PSIRF’s full introduction from Spring 2022.
The conference will also update delegates on best current practice in serious incident investigation and learning, including mortality governance and learning from deaths. There will be an extended focus on ensuring serious investigation findings lead to change and improvement.
“The NHS has systems to support the reporting of safety incidents and from these reports it learns how to make healthcare safer. However, despite these efforts and the continuing advances in patient care, the inherent risks and complexity of healthcare mean an NHS entirely free of incidents is an unrealistic expectation. Identifying incidents, recognising the needs of those affected, examining what happened to understand the causes and responding with action to mitigate risks remain essential to improving the safety of healthcare. Creating systems that do this is a complex, challenging and continuous endeavour that requires the right skills, processes and – perhaps most importantly – behaviours. We know that organisations are struggling to deliver good quality investigations that consistently support the reduction of risk. As a result, opportunities to reduce patient safety incidents can be missed.”
“Learning from the early adopters will inform the final version of the PSIRF which we anticipate will be published in Spring 2022. We anticipate that at that point, all other organisations will be encouraged to begin the transition to the PSIRF, with an expectation that all parts of the NHS in England will be using the new framework by Autumn 2022.”
“Local systems and organisations outside of the early adopter areas can use this version of the PSIRF to start to plan and prepare for PSIRF’s full introduction in 2022.”
This conference will enable you to:
- Network with colleagues who are working to improve the investigation of serious incidents
- Ensure your approach to Serious Incident Investigation is in line with the NHS Patient Safety Strategy
- Update your knowledge with national developments including the New Patient Safety Incident Response Framework
- Understand developments in the PSIRF early adopter sites
- Reflect on the management and investigation of serious incidents involving Covid-19
- Learn from outstanding practice in the development of serious incident investigation and mortality review
- Reflect on the perspectives of a patient who has been involved in a serious incident
- Develop a risk based response to incident investigation
- Reflect on the development of mortality governance within your organization and understand the challenges of Covid-19
- Understand how to work with staff to ensure a focus on learning and continuous improvement
- Learn about the role of systems and data management in serious incident investigation, and the new the National NHS Learn from Patient Safety Events Service (LFPSE)
- Develop your skills in Serious Incident Investigation: applying the human factors to move the focus of investigation from acts or omissions of staff, to identifying systems improvement
- Identify key strategies for improving investigation of serious incidents
- Gain CPD accreditation points contributing to professional development and revalidation evidence
