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This national conference looks at the practicalities of Patient Safety Incident Investigation and Learning from Deaths in Mental Health Services and implementation of the New Patient Safety Incident Response Framework. The conference will also update delegates on best current practice in patient safety incident investigation and learning, including mortality governance and learning from deaths. There will be an extended focus on investigation findings lead to change and improvement, and updates from PSIRF early adopter sites in mental health. The conference will also examine how the new framework will fit with the Royal College of Psychiatrists Care Review Tool for mortality review.
The Patient Safety Incident Response Framework (PSIRF) is the NHS’s approach to developing and maintaining effective systems and processes for responding to patient safety incidents and ensuring learning and improvement in patient safety.
“An independent evaluation of the early adopter programme found widespread support for PSIRF”
NHS England, July 2024
“The patient safety incident response framework (PSIRF) is a different and exciting approach to how we respond to patient safety incidents. This is not a change which involves us doing the same thing but calling it something different, it is a cultural and system shift in our thinking and response to patient safety incidents and how we work to minimise recurrence.”
Patient safety incident response plan, Tees, Esk and Wear Valleys NHS Foundation Trust, January 2024
“What’s important to me with PSIRF, is that there is an understanding that we are all human and that we’re not always working in perfect circumstances. When a patient safety incident occurs, we can ensure everyone is treated with compassion. PSIRF asks that we have empathetic and sensitive conversations with those affected by a patient safety incident, to ensure that they feel involved, no matter how difficult that may be. We will continue to establish facts and identify solutions, but most importantly, ensure those affected feel supported.”
Dr Asif Zia Executive Director, Quality and Medical Leadership
This conference will enable you to:
Network with colleagues who are working to improve the investigation of serious incidents and deaths in mental health services
Ensure your approach to Serious Incident Investigation is in line with the Patient Safety Incident Response Framework (PSIRF)
Learn from outstanding practice in implementing the Royal College of Psychiatrists Mortality Care Review Tool
Reflect on the lived experience of a bereaved relative
Improve the way you involve and engage families and carers in the investigation process
Decision making in incident investigation
Develop your skills in incident investigation and mortality review
Understand how you can improve serious incident investigation and learn from early adopter sites in Mental Health of the New Patient Safety Incident Response Framework
Identify key strategies for undertaking a self assessment, and continuous review of deaths and investigation practice in your organisation
Understand how human factors can help improve learning from serious incident investigation
Ensure you are up to date with the role of the coroner
Understand how you can better support staff when a serious incident occurs
Self assess and reflect on your own practice
Supports CPD professional development and acts as revalidation evidence. This course provides 5 Hrs training for CPD subject to peer group approval for revalidation purposes
