Systemic Factors Limited

Patient Safety Courses

Systemic Factors is delighted to have been selected to be on the NHS England framework as an approved provider for patient safety training. In line with the NHS patient safety curriculum, our workshops offer comprehensive training for healthcare professionals interested in developing their safety capabilities. Building on existing expertise, our human-factor-centred training develops knowledge and practical skills to enable positive change, through effective and compassionate systems-based investigation and oversight.

Systemic Factors associates all recent practice within the NHS promoting a systems-based approach to reviewing and investigating when things go wrong. We have all worked at national level and locally in Primary Care, mental health Trusts, and with PSIRF early adopter Trusts. We have experience of shifting reviews and investigations from a reliance on root cause analysis to a more structured inquiry of the tasks, processes, context, and environment. Whilst root cause focuses largely on the individual, a thorough enquiry would examine all the weaknesses in the system following a patient safety incident.

Our ethos includes learning proactively about how healthcare professionals are adapting to what they do, on a daily basis, to create safety in complex systems and understanding why decisions made sense to staff when they made them.

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The Advantages of Systemic Factors' Patient Safety Training

At Systemic Factors, we have experienced how effective investigations can drive sustainable, systematic change, improve safety culture, and reform safety for patients and staff alike.

Drawing on that experience, our patient safety courses:

  • Were developed based on our experience gained delivering systems-based safety training in healthcare and other safety critical industries including aviation, nuclear, and construction.
  • Are mapped to the patient safety curriculum to ensure that delegates are equipped with the appropriate skills to undertake systems-based reviews and investigations in the NHS.
  • Are delivered by qualified safety scientists who have significant ‘hands on’ experience of conducting investigations at a local and national level in the NHS.
  • Emphasise the restorative potential of safety investigation through effective engagement of those affected by a safety incident, be they patients, family, or staff.
  • Allow for individualised learning via interactive group work and practical exercises.