9.30 – 10.00 am

Tea & coffee

10.00 – 11.30am

Learning from errors – accident theory and the assessment and management of risk in industry & the NHS.

11.30 – 11.45am

11.45 – 1.00 pm

Theories of quality, especially Total Quality Management & clinical governance – the transfer of theoretical systems to the NHS.

1.00 – 1.45 pm

1.45 – 3.00 pm

• Collecting information – focus: the individual, the team, the unit, other

• Understanding information - statistical issues (e.g. risk stratification and "league tables") and agreeing outcome measures.
• Disseminating information and feedback
• Ensuring access to and understanding of audit data
• Monitoring performance in the light of information

• Closing the audit loop – how can information point to safety and quality?

3.00 – 3.15 pm

3.15 – 4.30 pm

• Learning about, evaluating and disseminating recent research – how the NHS can introduce new techniques and technologies safely and how practitioners can learn new procedures without compromising the safety of patients.
• The resort to protocols and guidance – benefits and drawbacks

4.30 pm