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Learning from Patient Safety Incidents

Monday 3 Oct 2022


Find out more about virtual attendance

This one day masterclass is part of a series of masterclasses focusing on how to use Human Factors in your workplace and is aligned with the new Patient Safety Syllabus 2021.

The new Patient Safety Strategy 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.

The main purpose is to provide learners with a full understanding of the various approaches that can now be used to conduct patient safety incident investigation (PSIIs). Traditionally, root cause analysis has been used as a blanket approach to diagnosing why patient safety have been compromised, but healthcare teams are henceforth being encouraged to adopt a wider range of methods that will both save time and facilitate enhanced learning. The focus is now on appropriate proportionality in response to incidents that occur in their organisation.

Discount for attending all five Patient Safety and Human Factors Series masterclasses: £295+VAT per masterclass or, £1,000+VAT for all five.

Key Learning Objectives:

  • Understand the new patient safety landscape
  • Understand the need for proportionality of investigation
  • Learn how to use a range of techniques for conducting PSIIs
  • Understand how to write an impactful improvement plan
  • Consider how your current approach to patient safety investigations compares to the agreed national standards
  • Understand typical pitfalls and traps associated with this wider workstream and tips for avoiding them.

The course 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 patient safety.

Facilitated by:

Tracy Ruthven

CASC Director, Magistrate and Freedom to Speak Up Guardian
Clinical Audit Support Centre

Stephen Ashmore

CASC Director and Patient Participation Group Chairman
Clinical Audit Support Centre

In-house Training

This course can be held at your organisation for up 25 delegates, we can tailor the content to suit your organisation and CPD needs of your staff. Led by experienced and highly rated trainers, in-house training works out cost-effective for groups and saves travel time.

Contact katym@hc-uk.org.uk with your requirements for further information and a quote.

In-house Training

Fee Options

Virtual Training



Full Series 5 Masterclasses



(Prices in brackets include VAT)


Additional delegate discount:

A discount of 15% will be applied to fees for any extra delegates.

Online discount:

A discount of 10% will be applied if you pay using the website.

Also of Interest

Systems Approach to Patient Safety
Monday 5 Sep 2022
Patient Safety Management
Monday 17 Oct 2022
Creating Safe Systems
Monday 31 Oct 2022

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