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Never events are defined as “serious, largely preventable patient safety incidents that should not occur if healthcare providers have implemented existing national guidance or safety recommendations.” They are designed to act as a red flag for improvement by NHS organisations.
This one day masterclass will focus on safety culture around Never Events within healthcare organisations. There were 364 never events in 2020/21 and 349 between April 2021 and Jan 2022. We will look at how Never Events have been investigated and at Human Factors approaches to improving learning and the systems to reduce harm. We will compare our experiences with learning from serious incidents from other countries.
Key Learning Objectives:
- Never Events
- Safety Culture
- Human Factors
- Learning from other countries
This masterclass is aimed at Clinical Staff and Team Leads.
