Wednesday 9 June 2021 | 11:00-11:45

Format: Workshop

Steam: Safety

Additional filters: Features discussion of improvement methodology

NHS England & Improvement’s national patient safety team have the challenge of reviewing several hundred reports of serious patient safety incidents each week, and determining which issues need immediate national action, including through accredited National Patient Safety Alerts (NatPSAs), and which issues need longer-term improvement programmes.

NatPSAs are not ‘warnings to be careful’ but require healthcare providers to take systems-level action to support their staff to protect patients from harm.

This workshop will give you the experience of using triage and prioritisation tools to take these decisions for a range of incident-based scenarios.

After this session, participants will be able to:

• Apply new thinking on the roles of Alerts within a wider quality improvement landscape


• Appreciate the value of a team with a range of perspectives, skills and healthcare experience in decision making


• Apply decision-making frameworks to identify human-factors informed actions to improve safety

Frances Wood, NHS England & Improvement; England
Graeme Kirkpatrick, NHS England & Improvement; England