Themes | Objectives | Educational methods | References |
---|---|---|---|
1. Kick-off | Get to know each other and explore the existing prejudices concerning errors and incidents within the group. Make agreements on confidentiality. | Plenary session; group discussions; case presentations. | Â |
2. Background of patient safety | Outline the history, how the concepts have been determined and the current national and international positions of patient safety. | Plenary session; group discussions. | Baker et al. 2004 [32] Willems 2004 [10] |
3. Human Error | Give insight into human factors as a major source for learning from errors and incidents with a link to safety in the aviation industry. | Plenary session; group discussions. | Dekker 2002 [37] Casey 2008 [38] |
4. Proceeding after an incident | Practice skills on how to approach colleagues after an incident has occurred. | Experiential learning in small groups; interview, role-play, reflection | Gallagher et al. 2003 [39] Chan et al. 2005 [40] Gawande 2002 [41] Newman 1996 [42] |
5. Medico-legal aspects of critical incidents | Transfer knowledge about the medico-legal aspects of critical incidents in health care. | Plenary session; group discussions; summative knowledge test. | Legemaate et al. 2007 [43] |
6. Learning from errors | Explain and apply methods for analysing incidents and processes such as analysing the root causes and initiating risk analysis. | Plenary session; group discussions; experiential learning in small groups. | Habraken et al. 2009 [44] van Vuren 1999 [45] |
7. A view from the sharp end | Give an explanation of the potential risks that can be found in the design of systems and products. | Plenary session; group discussions. | Barach and Small 2000 [8] |
8. Contact with a patient after an incident | Practice difficult conversations focused on how to approach a patient after an incident has occurred. | Guided role-play in small groups with experienced actors. | Duclos et al. 2005 [46] Gallagher et al. 2005 [47] |
9. Tips and Tools for daily practice | Convert the knowledge and experiences gathered into initiatives for improving safety in daily practice. | Plenary session; group discussions. | Jagsi et al. 2005 [17] Volpp et al. 2003 [16] |