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Investigation of Deaths & Serious Incidents in Mental Health Services

This national conference looks at the practicalities of Serious Incident Investigation and Learning from Deaths in Mental Health Services and implementation of the New Patient Safety Incident Response Framework (PSIRF previously known as the Serious Incident Framework).

Speakers

Ms Dorit Braun

Ms Dorit Braun

Retired Charity Chief Exec with personal experience of a coroner’s inquest

Putting people at the heart of Patient Safety Investigation

• a personal journey: how organisations could improve the investigation process from a family perspective

• how can we better involve relatives and carers?

• moving from reactive to proactive services

 

Dr Elena Baker-Glenn

Clinical Director, East London NHS Foundation Trust, Chair of SIRAN Accreditation Panel, Royal College of Psychiatrists

 Jemini Jethwa

Jemini Jethwa

Programme Manager, Royal College of Psychiatrists

Using the National Mortality Review Tool and Improving Standards of Serious Incident Reviews through Accreditation

• the care review tool for mortality reviews in mental health Trusts

• ‘red-flag’ scenarios which should prompt further investigation

• development of Principles and Standards for serious incident reviews

• experience of the Serious Incident Review Accreditation Network to improve the investigation process and learning

• how will this tool be used under PSIRF

 

Mr Mike O'Connell

Mr Mike O'Connell

Legal Services Practitioner; Interim Senior Inquests Manager Calderdale and Huddersfield NHS Foundation Trust

Effective patient safety investigations Principles and practice & looking forward to the new National Patient Safety Incident Response Framework

• which deaths to report and investigate

• a step by step guide to effective investigation of a death in a mental health or learning disabilities setting

• systems for information gathering

• interviewing staff - techniques and tips

• writing the investigation report - techniques and tips

• the New Patient Safety Incident Response Framework: and overview, application in mental health and what has changed?

 

Supporting Organisations

  

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