This course has passed.


With over 12,000 avoidable deaths every year and the publication of the 2015 Serious Incident Framework, it is now vital for healthcare professionals to understand the responsibilities and actions for dealing with Serious Incidents and the tools available.

This highly interactive Improving Patient Safety Investigations course will help develop more effective processes and procedures to ensure that Serious Incidents are identified correctly, investigated thoroughly and learned from to prevent the likelihood of similar incidents happening again.

Join Dr. Suzanne Shale and learn how to develop early actions to remedy failing, interact sensitively with patients or families who have been harmed and mitigate error through human factors analysis.

trainer photo

Learning Outcomes

  • Improve safety and risk in healthcare by learning from other industries
  • Examine the specific challenges to serious incidents investigations in healthcare settings
  • Ensure you are able to identify the real causes of failing in care to patients
  • Understand how human factors analysis can help identify and mitigate human error across organisational systems
  • Prevent patients feeling disempowered following an incident by effectively engaging with patients and families
All the Understanding ModernGov courses are Continuing Professional Development (CPD) certified, with signed certificates available upon request for event.

Enquire About In-House Training

To speak to someone about a bespoke training programme, please contact us:
0800 542 9414
[email protected]


Collapse all
09:15 - 09:45


09:45 - 10:30

Chair's Welcome and Clarification of Learning Objectives

10:30 - 11:30

How to Improve the Quality of Local Investigations

  • Understand which are the main barriers to learning from incidents
  • Assess how to promote a system which instills confidence and drives improvements in safety
  • Focus on how to create a culture of learning and accountability and not blame
  • Q&A
11:30 - 11:45

Morning Break

11:45 - 12:30

Putting Patients and Families at the Centre of Investigations

  • Use patient perspectives to improve accuracy of findings
  • Provide support to patients and families, and the role of advocates/advisers
  • Understand the Duty of Candour in the context of investigations
  • Learn how to adequately communicate findings from investigations
12:30 - 13:15

Focussing on Human Factors during Investigations

  • Understand how human factors analysis can help identify and mitigate human error across organisational systems
  • Compare the Human Factors Analysis, Classification System (HFACS) and the Yorkshire Contributory Factors Framework
  • Discuss challenges to developing systemic solutions to problems
13:15 - 14:15


14:15 - 15:00

Supporting Staff Involved In Serious Incident Investigations

  • Support staff during the process of investigations
  • Encourage the fair treatment of staff taking part in investigations
  • Establish effective governance principles to support investigations
15:00 - 15:15

Afternoon Break

15:15 - 16:00

Workshop: Drive Improvements in Patient Safety

  • Understand the developments of the consultation regarding “safe spaces”
  • Enable meaningful engagement with patients and families
  • Discuss how to engage senior leaders in responding to complex patient safety issues identified in investigations
16:00 - 16:15

Feedback, Evaluation and Close


etc. Venues – Victoria, London

One Drummond Gate, Pimlico,, London, SW1V 2QQ