Learning from Incidents Community

Over the past 18 months the South West Patient SC has been supporting the development of an emerging community of interest in learning from serious events in Devon and Cornwall. The Community has been working closely with West Midlands Academic Health Science Network to promote approaches such as Learning from Excellence, which seek to understand from when things go right- shifting from mainly focusing on never events to ‘always events’, or opportunities where things go well or moments of excellence.
The Community initiated by New Devon CCG and provider trusts based in Devon has been steadily growing in numbers and seeks to provide opportunities to spread approaches such as ‘Learning from Excellence- LfE’ developed by Birmingham Children’s Hospital, an incident reporting tool that encourages staff to report events when excellence in healthcare was observed and experienced. The Community is open to any one working in healthcare that seeks to understand how we can create cultures for continuous learning and develop methods to learn from all events or incidents. Recent events have been attended by external speakers such as Carl McRae, Suzette Woodward and Liverpool-based AI trainers Appreciating People.
Emma Greenslade, Head of Quality Development, Nursing and Quality, NHS NEW Devon CCG says: “We are really keen for as many people who are interested and feel that they have something to contribute or to learn to join with us and attend future events, meetings and collaborations… On 20th November we have challenged ourselves to welcome at least one new member per existing member to the community to bring in fresh learning, skills and perspectives and to reinforce that communities of interest are inclusive and open to individuals who share an interest in improving safety regardless of role, organisation or experience. I recently attended and shared my experience of the community of practice at the Q Community Masterclass where I made lots of new contacts, increased the membership for the Improving Safety Through Collaboration Community of Practice and learned lots about setting up Networks. The most striking thing for me about the day was to learn that we are all learning and finding our way in our quest to build networks – regardless of role, experience or topic – and getting it wrong is all part of the experience. Colleagues were incredibly forthcoming with offers of skills and help – and really willing to contribute to problem solving, ideas and joining networks – a fantastic day! Many thanks.”
For more information on how to join the community, please contact patientsafety@swahsn.com.
 

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