Learning From Adverse Events in Maternity Services

Improving the way healthcare organisations respond to and learn from adverse events in maternity services.

Available to commission for your whole team or to book individually

This course uses a combination of online self-study and live online training. Delegates complete one day’s worth of self-guided study at their own pace using our virtual learning platform, before attending one full day of online live training. All of the self-guided study must be completed before the live training takes place, as skills will be practised and built on throughout the course. This format allows for maximum flexibility whilst ensuring that the training is impactful and relevant to all participants. Delegates may access IT support via Baby Lifeline.

Any available dates for the one-day live training can be found below. If these dates do not work for you, please feel free to reach out using the “Contact Us” button. Additionally, we will send a separate link for the on-demand sessions, which we ask you to complete before the online live training day.

To learn more, discuss dates or request a personalised quote, please fill out our contact form with as many details as possible. Our dedicated team is eager to connect with you and support your training needs.

The Need For Training

The way in which NHS organisations investigate and learn following adverse events has been highlighted as a cause for concern repeatedly in numerous recent reports and inquires (Each Baby Counts, 2018, 2020; CQC, 2020).

This course has been developed with leading experts from NHS Improvement (NHSI) and NHS Resolution (NHSR) to provide delegates with crucial training in areas where a need for improvement has been repeatedly identified, including investigation methodology and approach, family engagement, treating staff fairly in line with ‘just culture’ principles, report writing and developing effective improvement actions.

Aims of the Course

To give attendees the knowledge and skills they need in order to:

• Understand all current national notification and reporting requirements.
• To understand the principles of good incident investigation, including human factors, systems thinking, methodology and tools.
• Be confident and skilled in how to engage and support families throughout investigative processes (sensitively and compassionately).
• Understand the principles of a ‘just culture’ and how to support staff following adverse events.
• Write good, clear and effective investigation reports.
• Develop effective and evidenced based improvement actions.

Relevant for

All members of the maternity team including midwives, obstetricians, risk managers, maternity safety champions, bereavement support staff and all staff involved in quality/safety improvement.

This course is of benefit to all maternity professionals wishing to learn more about investigative processes and safety improvement.

Course Content

Using a combination of formal talks, workshops, and interactive discussions the following topics are covered:

• An overview of the national requirements, including reporting, notifications and internal/external processes and an understanding of WHY they are all there.
• Practical training on how to support a ‘just culture’, including tools and key principles and behaviours.
• How to sensitively and compassionately engage with families throughout investigation processes (in line with best practice model).
• The 72-hour review process, including initial debrief, supporting staff, gathering information and notification/reporting requirements.
• Hearing directly from an NHS organisation about their improvement journey, how progress was achieved and the barriers and challenges.
• Practical workshop based on a real-life scenario (anonymised) so that delegates can practice and use the skills and knowledge gained during the course in practice.

DELEGATE FEEDBACK

“Excellent course, very current and interesting. Delivered in an easy to understand way so the subject is less intimidating. Changed my thinking towards certain processes.“

90% of delegates rated the course quality as ‘Very Good’ or ‘Excellent’.

9 out of 10 delegates told us that the course fulfilled ‘Many’ or ‘All’ of their learning objectives.

89% reported that they intended to modify practice in a minor or major way following the course.