Purpose:
This course supports staff involved in PSIRF implementation, learning responses, safety action development, and quality improvement by providing a deeper understanding of how different actions address different contributory factors, task demands, and system conditions. It is designed to help organisations move beyond weak or superficial recommendations and develop safety actions that are more robust, realistic, and sustainable. The course is relevant to both reactive learning after incidents and proactive improvement work such as service redesign, pathway change, or risk reduction activity.
Why this course matters to organisations
Many organisations are confident in identifying learning but less confident in translating that learning into strong actions. This course helps improve the quality of action plans, supports more effective oversight and governance, and strengthens the link between investigation outputs, improvement planning, and sustainable change.
Learning outcomes
By the end of the course, participants will be able to:
-
Apply human reliability concepts to understand work as done and identify meaningful intervention points
-
Select and design stronger safety actions using the hierarchy of controls
-
Evaluate proposed actions for likely effectiveness, feasibility, sustainability, and unintended consequences
-
Translate learning from incidents, risks, and near misses into practical quality improvement actions
-
Contribute more confidently to action planning, governance discussions, and PSIRF learning responses
Format and duration
-
Available as a virtual workshop, face-to-face session, or blended learning offer.
-
Delivery can be configured as a short masterclass or a more in-depth applied programme depending on organisational need.
Tailoring and follow-up
Case studies and exercises can be tailored to local PSIRF priorities, action plans, and improvement challenges. Optional follow-up can include action review clinics, applied coaching, case-based learning, and support with embedding action design into governance and quality improvement processes. Participants receive a certificate of completion and are offered a 30-minute post-course support call.
Intended audience
Suitable for clinical and non-clinical staff involved in patient safety, governance, quality improvement, incident response, service redesign, or operational leadership. This includes clinicians, managers, patient safety specialists, governance leads, and quality leads. It is helpful, though not essential, for participants to have completed introductory Human Factors or PSIRF training beforehand.
Topics covered
-
Task analysis
-
Human reliability analysis and error classification
-
Hierarchy of controls
-
Action evaluation and review
-
Designing stronger versus weaker actions
-
Anticipating implementation challenges and unintended consequences
-
Linking safety actions to improvement planning and service change
Creating Outcomes: Action Design and Implementation Masterclass
Specialist course focused on developing stronger safety actions and translating learning into measurable improvement.