This two day intensive masterclass will provide Root Cause Analysis Training in line with the July 2019 Patient Safety Strategy.

This intensive two day masterclass will provide Root Cause Analysis training in line with the 2019 Patient Safety Strategy and subsequent guidance. The course will offer a practical guide to conducting RCA with a focus on systems-based patient safety investigation as proposed within the latest guidance released by NHS England and NHS Improvement. The course provides insights into how RCA is evolving and gives detailed information on what standards RCA investigations are expected to reach following the detailed recent reviews of patient safety work across the NHS and healthcare.

The new National Patient Safety Incident Response Framework (PSIRF) published in 2020 highlights important changes to the way safety incidents will be investigated, which is reflected in this course. Key new content includes:

Promotion of RCA as a tool for learning & improvement
Emphasis on increased use of listening & interview (staff and patients) to gain a better understanding of what has happened
The importance of Safety II and focusing on system strengths, plus linking RCAs to QI & clinical audit
More emphasis on human factors
Brief information on approaches that may be more appropriate to RCA (e.g. significant event analysis, after-action reviews)
This course is designed to provide delegates with the key skills and knowledge that they will require to conduct RCA effectively. The course content walks learners through the seven-key stages to conducting a high-quality RCA investigation. We pay particular attention to planning and managing investigations, interviewing staff, mapping information, using appropriate analysis tools to establish contributory factors and creating fit-for-purpose action plans and final reports. In line with current thinking, we advocate RCA as a team-based approach and agree with NHS Improvement’s statement ‘investigations must be led by trained investigators with the support of an appropriately resourced investigation team’. This training will also help attendees meet the new national standards for patient safety investigations that state investigators must attend update training and networking events with other investigators at least annually.

The course also focuses on the reality of conducting RCA. Indeed, recent literature on patient safety investigations have highlighted a number of potential weakness and flaws that can occur when healthcare teams conduct RCA. We explore these potential pitfalls giving a realistic account of the relative merits of established techniques and advise on what best practice in RCA delivery currently looks like.

Delivery is fast-paced and interactive with lots of practical guidance for learners. Attendees will receive a wide array of additional materials to help support learning. All learners are provided with a certificate of attendance. Please note that this is a Level 3 accredited course, and all learners are eligible to gain an RCA qualification on the successful completion of a short-written post-course assignment that typically takes 3 to 4 hours. This qualification may be valuable at a personal level but will also demonstrate to the Care Quality Commission, local commissioners and other regulators that staff have reached an academic level of attainment in relation to RCA.

The course is facilitated by Tracy Ruthven and Stephen Ashmore who have significant experience of undertaking patient safety reviews in healthcare. They were commissioned to write a national RCA guide by the Healthcare Quality Improvement Partnership. They have also authored articles on significant event analysis and clinical audit/quality improvement, all techniques seen as increasingly relevant to improving patient safety.

If you wish to attend please go to the organiser’s website