Are you a healthcare professional responsible for reviewing patient deaths and ensuring that learning is drawn from every case? This innovative one-day workshop will equip you with the skills and knowledge to align your Structured Judgement Reviews (SJRs) with the principles of the Patient Safety Incident Response Framework (PSIRF).
We’ll show you how to move away from outdated models that focus on avoidability of harm, and instead, harness SJRs as powerful triage tools to guide meaningful learning responses. This course redefines traditional judgement terms like “poor” and “very poor,” providing more constructive alternatives that foster positive organisational learning and improvement.
Key Benefits
– Updated, PSIRF-aligned SJR methodologies that foster learning and improvement
– Practical tools for organising and reviewing case notes
– Expert-led guidance on making explicit, evidence-based judgements without using negative language
– Enhanced ability to contribute to organisational learning and clinical governance
Course Content
- The role of SJRs in Clinical Governance
- Organising case notes for effective review
- Making explicit judgements around quality of care: move beyond the traditional “poor” and “very poor” and discover updated, evidence-based alternatives.
- Escalating issues of professional conduct. Know when and how to escalate potential issues related to professional conduct, ensuring that appropriate action is taken when necessary, without undermining the focus on learning.
Timings
09.00am to 09.15am | Logon, timings and housekeeping |
09.15am to 09.30am | Introductions |
09.30am to 10.00am | Background and context |
10.00am to 10.15am | Changes under PSIRF |
10.15am to 10.30am | Establishing the questions you are answering/judgements you are making – case study |
10.30am to 10.45am | Coffee Break |
10.45am to 11.30am | Evidence collection and organisation; use of timelines |
11.30am to 12.00pm | Exercise |
12.00pm to 12.15pm | Feedback on group work |
12.15pm to 1.15pm | Lunch |
1.15pm to 2.00pm | Considerations for analysis of each stage of the 6 stages of care |
2.00pm to 2.30pm | What standards to use; what is a problem? Exercise. |
2.30pm to 2.45pm | Tea Break |
2.45pm to 3.00pm | The importance of precision writing; evidence base and rationale. Exercise. |
3.00pm to 3.45pm | Learning and potential for systemic change |
3.45pm to 4.00pm | Conclusion |