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Ts en YM NG pa NT* OK o rd u ca disco p b t** u un d o Gr disco d× 10 × 15A Practical Guide investigation and Learning from Deaths in NHS Trusts Friday 8 February 2019 De Var West One Conference
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Investigation and learning from is a process of examining an incident or event to understand what happened, why it happened, and how to prevent it from happening again.
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All employees involved in or affected by the incident are required to file investigation and learning from.
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The investigation and learning from form can be filled out online or on paper, providing details about the incident, actions taken, recommendations for improvement, and lessons learned.
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The purpose of investigation and learning from is to promote a culture of continuous improvement, increase safety awareness, and prevent future incidents.
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The information reported on investigation and learning from includes the date and location of the incident, individuals involved, a description of what happened, root causes, corrective actions, and any recommendations.
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