Every day a million people are treated safely and successfully in the NHS. From time to time, things can and do go wrong.
Ensuring patients are treated safely is the top priority for NHS staff. When incidents do happen, it is important that lessons are learned across the NHS to prevent the same incidents occurring elsewhere.
Root Cause Analysis (RCA) investigations are a well recognised way of doing this, offering a framework for reviewing patient safety incidents (and claims and complaints). Investigations can identify what, how, and why patient safety incidents have happened. Analysis can then be used to identify areas for change, develop recommendations and look for new solutions.
Root Cause Analysis training
To support the continued adoption of RCA within the NHS, the NPSA is relaunching a programme of RCA training. The initial offer will offer a two day, in-depth facilitated programme, hosted at your trust and delivered by members of the NPSA team. There will be a charge for the training programme.
First trust to sign up
The first trust to sign up to this training programme was Moorfields Eye Hospital NHS Foundation Trust.
“Patient safety is one of the top priorities at Moorfields,” said Medical Director and patient safety lead Bill Aylward. “We already have a highly effective and robust system for investigating incidents to ensure that lessons are learnt and services to patients are continually improved. We believe that our participation in the NPSA’s new training programme will further strengthen our existing systems, and we are pleased to be the first trust to sign up to it.”
If you are interested in talking to the NPSA about RCA training please contact us.
- View Root Cause Analysis tools below.