Find out what significant event audits are, how they can benefit practice teams, and why they are important to help reduce avoidable errors, improve outcomes, and help ensure the safety of our patients.
This episode is a comprehensive guide to getting started with significant event audits. Learn how to carry out a significant event audit, step by step, to investigate when things don't go well, and when they do.
Learn how to use root cause analysis and other QI tools to discover the contributing factors that led to a significant event happening. Discover how to turn that learning into action to help prevent undesirable outcomes from happening again.
This episode covers the other QI tools that are available to help create an open, psychologically safe environment. Learn why it is important to involve the whole team in the process of investigating when things don't go well, and when they do, so everyone feels empowered to speak up and we truly can learn from everything to improve outcomes and safety for both our patients and our teams.
This is a library of all RCVS Knowledge’s significant event audit case examples. Here you will find both fictional scenarios and real practice significant event audits kindly shared so that we can learn from their experiences. Please choose the examples you’d like to read that are most relatable to your setting.