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Today's chair:
Mike O’Connell
Legal Services Practitioner and Interim Senior Inquests Manager
Calderdale and Huddersfield NHS Foundation Trust
Mortality Governance & Learning from Deaths
Dr Martin Farrier
Medical Examiner, Clinical Director for Quality & Consultant Paediatrician
Wrightington, Wigan and Leigh NHS Foundation Trust
• PSIRF and the national framework for Identifying, Reporting, Investigating and Learning from Deaths
• the national context - Learning From Deaths and the introduction of Medical Examiners
• developing Mortality Governance locally
• serious incidents, learning from deaths, and Covid-19
• sharing information about deaths between providers: challenges and information governance
Patient Safety Investigation and Human Factors
Jenny Sutcliffe
Human Factors Specialist
Royal Surrey NHS Foundation Trust
• how an understanding of human factors can support you to improve and change practice
• how a human factors approach can be embedded investigation of patient safety incidents under PSIRF
• enabling a person centred approach to patient safety investigation