Patient Safety Incident Investigation Training Course

This CPD accredited one day course is led by Chris Brougham, an experienced investigator who has conducted many high-profile investigations and reviews. Chris also has significant experience working in the field of patient safety which is an integral part of the investigative process.

The course provides participants an understanding of the systematic investigative process and its practical application to investigate a serious patient safety incident. Participants work in small teams to investigate a serious incident which is relevant to their care setting .

Participants learn how systematic investigation can be used to discover how and why an incident occurred and identify solutions to prevent similar incidents happening again. It covers every step of the investigative process.

Who should attend this course?

The course is relevant for anyone who carries out investigations, or reviews such as nurses, doctors, managers and associated healthcare workers.

Feedback from course attendees: 

“Well delivered course, clearly explained with interesting real life scenarios and useful tools. Overall it was all excellent”

“Well facilitated. Excellent trainer with vast knowledge based on experience”

“Very informative – would highly recommend this course”

“Really enjoyed hearing personal experience from lecturer. Able to relate to the theory more.”

Course aim

The course aims to provide participants with a better understanding of all aspects of the investigative process, so they feel better equipped to carry out an investigation into a serious patient safety incident.

Certification

The course is CPD accredited and provides 6 CPD points.

Course content

• The first part of the course focuses on systems and human error theory. Participants learn about how these two theories underpin a good investigation. Participants work in small groups to unpick different types of error.
• The course leader explains the principles of good terms of reference. Participants then use a case study and develop the terms of reference for their investigation.
• Once the course leader has explained about different types of evidence, participants list all the evidence they would need to collect to carry out their investigation.
• The participants learn about different ways of developing a comprehensive chronology and then develop one for their case study.
• The course leader then explains about how find out what went wrong and how contributory factor frameworks can be used to find out what the underlying system issues are.
• The participants learn about writing the report and developing SMART recommendations (specific, measurable, achievable, result based and timescaled).
• Throughout the course, participants are reminded of duty of candour and the importance of engaging and supporting those affected by the incident throughout the investigation.