Variation in critical event and near-miss reporting between shifts and sites is where avoidable harm lives. The data supporting near-miss reporting is usually present but rarely assembled into a decision. Benchmarking exercises repeatedly place the health and pharmaceutical services capability among the areas with the widest performance spread. The programme uses small-group work so that each participant's treatment of critical event and near-miss reporting is examined, not just described. Moving the practice within health and pharmaceutical services from written policy into daily practice is not achieved by a single decision. The content is relevant to those who own near-miss reporting and to those who are held accountable for its results. The programme is built to be used, and every section of critical event and near-miss reporting it covers ends in something applicable. They leave able to brief senior management on near-miss reporting in terms that support a decision. Participants finish with a short, specific brief on the wider health and pharmaceutical services agenda ready to put in front of a decision maker.
Expected Learning Outcomes
✓
Adapt recognised practice on critical event and near-miss reporting to local constraints without hollowing it out.
✓
Design a training and briefing approach that sustains competence in near-miss reporting.
✓
Reduce avoidable variation in how critical event and near-miss reporting is carried out across teams.
✓
Measure patient experience of near-miss reporting and act on what it shows.
✓
Design a process for critical event and near-miss reporting that clinical staff can follow without obstructing care.
✓
Assess and control infection risk associated with near-miss reporting.
✓
Prepare the documented evidence accreditation assessors expect on critical event and near-miss reporting.
Who Should Attend
✓
Clinical department heads responsible for critical event and near-miss reporting.
✓
Internal auditors reviewing how near-miss reporting is designed and operated.
✓
Health information and records staff supporting critical event and near-miss reporting.
✓
Newly appointed managers taking on near-miss reporting for the first time.
✓
Supply chain and biomedical staff supporting critical event and near-miss reporting.
✓
Pharmacists and pharmacy managers involved in near-miss reporting.
Course Modules
Open any module to see its sessions and topics.
01
Critical event and near-miss reporting: cost, efficiency and sustainability of the service
2 sessions · 8 points
Session 1Making incident reporting on critical event and near-miss reporting safe for staff
Plan continuity of critical event and near-miss reporting during surge and outbreak conditions.
Establish what evidence demonstrates near-miss reporting is under control.
Reduce unwarranted variation in critical event and near-miss reporting between shifts and sites.
Identify single points of dependency in near-miss reporting and reduce them.
Session 2Keeping near-miss reporting alive after the initial push
Benchmark the organisation's critical event and near-miss reporting against comparable operations.
Confirm the incident reporting route for near-miss reporting is quick and non-punitive.
Define escalation criteria for deterioration detected through critical event and near-miss reporting.
Identify infection transmission risks created by near-miss reporting and control them.
02
Near-miss reporting: infection prevention and patient safety
2 sessions · 8 points
Session 1What patients actually experience during near-miss reporting
Confirm competence and continuing development for staff delivering critical event and near-miss reporting.
Check that records of near-miss reporting answer the questions likely to be asked.
Decide what will be stopped to create capacity for critical event and near-miss reporting.
Apply structured root cause analysis to the last adverse event involving near-miss reporting.
Session 2Consent, confidentiality and ethics in near-miss reporting
Collect evidence on the present handling of critical event and near-miss reporting before proposing changes.
Match staffing levels on near-miss reporting to measured demand across the week.
Confirm licensing and regulatory requirements applying to critical event and near-miss reporting are met.
Estimate the resource near-miss reporting requires to run as designed.
03
Near-miss reporting: confidentiality, consent and ethics
2 sessions · 8 points
Session 1Auditing near-miss reporting at the bedside, not in the binder
Distinguish symptoms from causes when critical event and near-miss reporting underperforms.
Agree what will be standardised in near-miss reporting and what will not.
Cost critical event and near-miss reporting per episode and identify avoidable waste.
Establish who is informed, consulted and accountable in near-miss reporting.
Session 2Testing critical event and near-miss reporting before relying on it
Draft the minimum viable clinical protocol for critical event and near-miss reporting.
Compare the cost of near-miss reporting with the cost of its absence.
Agree the smallest change to critical event and near-miss reporting that would be visibly useful.
Check that consent processes within near-miss reporting are genuinely informed.
04
Near-miss reporting: staffing, capacity and demand
2 sessions · 8 points
Session 1Where near-miss reporting typically breaks, and why
Prepare the summary of critical event and near-miss reporting that senior management will read.
Close the loop: confirm changes to near-miss reporting improved the indicator they targeted.
Verify cold chain and storage conditions for materials used in critical event and near-miss reporting.
Set escalation thresholds for near-miss reporting that work out of hours.
Session 2Designing near-miss reporting so it helps rather than obstructs care
Select quality indicators for critical event and near-miss reporting that measure outcome rather than activity.
Assemble the accreditation evidence pack for near-miss reporting.
Build medication safety checks into critical event and near-miss reporting at the point of highest risk.
Rehearse the briefing on near-miss reporting that would follow an incident.
Choose the package that suits you
Silver Package
At least 3 people
USD1,250
Workshop or Program Participation
Airport Transfers
Customized Badge
Expert Mentorship (Private Sessions)
Supervision & Secretarial Services
Accredited Certificate of Participation
Complete Training Kit
Coffee Break
Closing Ceremony
Gold Package
At least 3 people
USD1,850
5-night stay in a 5-star hotel
Workshop or Program Participation
Airport Transfers
Customized Badge
Expert Mentorship (Private Sessions)
Supervision & Secretarial Services
Accredited Certificate of Participation
Complete Training Kit
Coffee Break
Closing Ceremony
Complete your registration
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