Learning from error: patient safety workshop
This course pack provides a workshop guide and video to train and educate staff about the importance of identifying and learning from errors in healthcare. The focus of the case is in the hospital setting, and the erroneous intrathecal administration of vincristine. The implications and lessons are, however, widely transferrable.
The video provides a powerful training tool and the workshop guide provides a comprehensive guide to the issues raised, that is useful both for those convening and delivering training, and as an introductory text in itself.