Patient safety - Investigating and Learning from Incidents

This one-day face-to-face course offers a safe space for doctors to discuss, reflect on, and learn from patient safety incidents. Facilitated by experts, this workshop delves into the complexities of patient safety investigations from individual, team, and system perspectives, focusing on effective strategies to prevent future incidents.

Participants will gain insights into best practices for incident investigation through System-based Patient Safety Incident Investigations, understand the importance of fostering a ‘Just Culture,’ and review human factors and ergonomics. The workshop covers psychological safety, the Duty of Candour, and support for ‘Second Victims,’ enhancing a supportive, no-blame culture in the workplace.

The primary aim of this workshop is to enhance doctors’ ability to investigate, reflect on, and learn from patient safety incidents. By focusing on practical approaches and creating a supportive environment, the workshop aims to improve incident response, promote a no-blame culture, and prevent future safety issues in healthcare settings.

• Understand best practices for learning from incidents through System-based Patient Safety Incident Investigations.
• Apply principles of a ‘Just Culture’ when responding to and investigating incidents.
• Recognise the role of human factors and ergonomics in patient safety and error prevention.
• Evaluate current evidence on psychological safety and civility to promote a learning culture.
• Comprehend the history and application of the Duty of Candour and how to conduct effective ‘being open’ conversations.
• Learn strategies to support ‘Second Victims’—healthcare professionals involved in patient safety incidents.
• Develop skills to foster a supportive, no-blame culture that encourages continuous improvement.