Never say never again – how learning from errors and mortality review can improve clinical practice

17/10/2018 9:00 am @ Durham County Cricket Club

The AHSN NENC in partnership with NHS Improvement, NHS England and NEQOS bring you an event to support improving the share and spread of learning from mortality reviews, clinical incidents and never event investigations for the regions Trusts.

The agenda for the day will cover:

  • Developing a regional approach to sharing learning from mortality reviews, incidents and never events.
  • Medical examiners, which are being introduced in 2019.
  • An update on the Learning From Deaths programme.
  • Understanding the possible approach to mortality review and investigation as implemented by South Tees Hospitals NHS Foundation Trust.

The event will provide networking opportunities enabling you to talk to colleagues and to ask the ‘experts’.

NEQOS provides support to trusts across the North East and North Cumbria around mortality surveillance and assurance. The key components of this support are: the provision of quarterly monitoring information on mortality; ‘deep dives’ for individual trusts when they are mortality outliers; assistance in the implementation of national guidance on mortality review and investigation.

The event will provide networking opportunities enabling you to talk to colleagues and to ask the ‘experts’.

A detailed programme will follow shortly. For further information please contact sarah.black@ahsn-nenc.org.uk

Event Details