Learning from Patient Safety Incidents UK
Course Content
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Section 1: Patient Safety Incidents and Why Learning Matters
1.1 What Counts as a Patient Safety Incident
1.3 From Blame to Learning
1.5 The National Picture
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Section 2: Human Factors in Healthcare
2.1 What Human Factors Means
2.2 Types of Error and Unsafe Acts
2.3 Performance-Shaping Factors
2.4 Work-as-Imagined and Work-as-Done
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Section 3: Systems Thinking for Registrants
3.1 The Swiss Cheese Model and Its Limits
3.2 The SEIPS Framework
3.3 Stronger and Weaker Safety Actions
3.4 Hindsight, Outcome Bias and Local Rationality
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Section 4: Incident Response Frameworks Across the UK
4.1 PSIRF in England
4.2 Learning Response Methods
4.3 Reporting Systems and Independent Investigation
4.4 Scotland, Wales and Northern Ireland
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Section 5: Your Role in Reporting and Learning Responses
5.1 Reporting Incidents Well
5.2 Taking Part in a Learning Response
5.3 Involving Patients and Families
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Section 6: Turning Learning into Lasting Improvement
6.1 From Findings to Safety Actions
6.2 Sharing Learning
6.3 Reflecting on Incidents for Revalidation and CPD
6.4 Everyday Habits for Safer Care
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Section 7: Conclusion and Key Points
Conclusion and Key Points
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Section 8: References and Quick Reference
References and Further Reading
Quick-Reference Guide
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Section 9: Reflection
Your reflective account