Description

With the new Patient Safety Incident Response Framework it is intended that SJRs will be used to determine if there are any learning opportunities that require further exploration and/or action. 

This will mean the focus of SJRs should move away from questions of avoidability of harm and instead be looking at whether an incident should be considered for a Patient Safety Incident Investigation or whether learning from it can contribute to a thematic review or other quality improvement work an organisation is undertaking as part of their Patient Safety Incident Response Plan. 

Delegates will learn:

• Where SJRs fit in the overall clinical governance structure of their organisation, why they are being conducted and what questions they are designed to answer

• How to organise case notes for effective review; use of timelines

• What other sources of evidence to consider

• Making explicit judgements around quality of care; evidence base and standards used

• When and how to escalate potential issues with professional conduct

• Duty of Candour considerations