Managing the Reporting of Critical Events and Near Misses

Move critical event and near-miss reporting from general awareness to a repeatable, reviewable practice.

📍 Abu Dhabi🗓️ 5 training days📚 4 modules🎓 Accredited certificate
5intensive training days
4scientific modules
8training sessions
32detailed points

Course Overview

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

01

Adapt recognised practice on critical event and near-miss reporting to local constraints without hollowing it out.

02

Design a training and briefing approach that sustains competence in near-miss reporting.

03

Reduce avoidable variation in how critical event and near-miss reporting is carried out across teams.

04

Measure patient experience of near-miss reporting and act on what it shows.

05

Design a process for critical event and near-miss reporting that clinical staff can follow without obstructing care.

06

Assess and control infection risk associated with near-miss reporting.

07

Prepare the documented evidence accreditation assessors expect on critical event and near-miss reporting.

Who Should Attend

01

Clinical department heads responsible for critical event and near-miss reporting.

02

Internal auditors reviewing how near-miss reporting is designed and operated.

03

Health information and records staff supporting critical event and near-miss reporting.

04

Newly appointed managers taking on near-miss reporting for the first time.

05

Supply chain and biomedical staff supporting critical event and near-miss reporting.

06

Pharmacists and pharmacy managers involved in near-miss reporting.

Course Modules

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

We will contact you within one business day to confirm.