We had a fantastic virtual seminar which looked at Just Culture and Incident Investigation and featured two of the authors, Prof. Jan Davies and Carmella Steinke, of the new book ‘Fatal Solution’ , a book which describes “how a healthcare system used tragedy to transform itself and redefine Just Culture”.  Ken Catchpole, Prof. Human Factors at the Medical University South Carolina looked at examples from the US, Prof. Jane O’Hara looked at how to involve patients in investigation and Dr. Clare Crowley HSIB investigator took a design and pharmacy perspective.

To listen again contact info@chfg.org