Investigating Serious Incidents in Mental Health Care Services
Making your organisation a safer place – a clinically-based and practical approach
NHS Improvement will publish a new Patient Saftey Incident Response Framework (PSIRF) in Autumn 2010 for roll-out in 2020 / 21.
Are your investigations making a difference and leading to improvement?
Learning Objectives
Increased understanding of patient safety in mental health care;
Appreciate why things go wrong and how to improve care – improves knowledge of humn error and human factors;
Explore safe systems and safe culture; Gain the confidence to lead RCA invetsigations, processes and applications;
Increased awareness of the principles of ‘Duty of Candour’ and how to fulfil your responsibiliutes;
Development of an action plan for the new PSIRF and its implementation.
Training Methods
This course is interactive and utilises a wide variety of teaching methods. Patient Safety theory and investigation techniques are reinforced through practical use of RCA tools in a safe environment and related to a general Serious Incident scenario, but Kate draws heavily on her experiance of investigating mental health Serious Incidents over the last 5 – 10 years.
Who should attend?
This course is designed for all medical, nursing, professional and management staff involved in the delivery and improvement of mental health services.