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PSIRF Learning Response Tools - Integrating After Action Reviews to enhance learning and safety

About This Webinar

The new Patient Safety Incident Response Framework (PSIRF) gives guidance for healthcare providers to adopt more collaborative approaches to learning when things go wrong. As well as Patient Safety Investigations, the PSIRF recommends other Learning Responses Tools to further enhance post-incident learning including the After Action Review (AAR).

The AAR is a structured review process which seeks to rapidly identify and reinvest learning for improvement with those directly involved in the action. It drives a different type of learning to the experience of clinical investigations, as staff are engaged in learning for themselves.

So what does this mean for you and your teams and how can you create organisational readiness to use AAR successfully?

Join this this free webinar on 31st January 2023 from 11am-12pm and hear from our expert panellists to:

-Get an update on the implementation of PSIRF and develop more insight on what to expect over the next few months
- Understand what AAR is and understand why it makes such a valuable contribution to improving safety
- Learn how you and your teams can prepare to use AAR effectively
- Shift your thinking around how to create a culture of continuous improvement by assessing the impact of your learning and actions  
- Understand the impact AAR will have on team performance and agility

Featured Presenters
Webinar hosting presenter
Head of Patient Safety Incident Response Policy, NHS England
Tracey Herlihey is the Head of Patient Safety Incident Response Policy at NHS England (NHSE). At NHSE Tracey is responsible for the day to day strategic leadership and subject matter expertise for the Patient Safety Incident Response Framework.
Tracey is a chartered Human Factors Specialist, Chartered Psychologist and has a PhD in Applied Psychology from Cardiff University specialising in Human Perception and Performance. In 2020 Tracey was awarded the title of Visiting Fellow in Human Factors in the School of Design and Creative Arts at Loughborough University.
Before joining NHSE Tracey worked at the Healthcare Safety Investigation Branch (HSIB), first as a National Investigator and then as Head of Safety Intelligence. Prior to HSIB Tracey was a Senior Human Factors Specialist at Healthcare Human Factors based in the University Health Network, Toronto, Canada.
Webinar hosting presenter
Patient Safety Specialist, Radar Healthcare
Molly Kent, a Patient Safety specialist at Radar Healthcare, has over three years of experience working in partnership with a mix of NHS and private healthcare organisations. Molly specialises in quality improvement and patient safety, ensuring that organisations use forward-thinking, intuitive tools and processes to achieve measurable improvements in clinical, corporate, and governance. Molly is a tremendous force in the workplace, and she uses her positive attitude to engage important conversations in the healthcare setting.
Webinar hosting presenter
Human Factors Lecturer, Quality, Reliability, Safety and Teamwork Unit, Patient Safety Academy, University of Oxford
I started working in healthcare after my dad fell off a roof and spent 8 weeks immobile in a specialist orthopaedic unit. Thanks to their care and attention, and a bucket load of luck, he fully recovered. Sat at his bedside, I saw nurses and doctors fighting against their systems of work to deliver the care they knew he needed. I am now director of a consultancy, morganhumansystems.co.uk, with a passion for improving care in the NHS through thoughtful design and use of systems understanding.

My mission is to change the way Human Factors is used in healthcare. It is so much more than team behaviours. I want to see change in the design of systems underpinning our care processes based on evidence and insights. I believe Human Factors specialists have a unique skillset that allow us to look at complex problems, and systematically analyse them to develop thoughtful solutions. We work in partnership with clinical colleagues every step of the way. I have experience across a range of healthcare settings, from surgery to mental health, GP to learning disabilities, intensive care to day surgery. I know that the real knowledge about how the system operates, and how best to keep it safe is held within the teams that work in it. That's why all human factors methodologies put the users of the system at the centre.
Webinar hosting presenter
After Action Review Trainer and Conductor
Judy is an international expert in the After Action Review approach to learning and increasing team performance, having led the AAR education programme at University College London Hospital NHS Foundation Trust (UCLH), and introduced the approach into a wide range of corporate businesses and other NHS settings. Her skills lie in creating the psychological safety for powerful group learning and in teaching others to master the AAR process and overcome the organisation resistance to more open and honest conversations.
Her diverse portfolio of work includes designing bespoke education programmes for clinicians, increasing staff engagement in large teams and coaching teams through change processes. In the first part of her career Judy was a pioneer Hospital Play Specialist, transforming the quality and safety of paediatric services at The Middlesex Hospital and UCLH and nationally in her role as Chairman of the National Association of HPS.
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