“It is not enough to do your best - You must know what to do and then do your best”
W. Edwards Deming
DIRECTOR & EDUCATION ARCHITECT
Donna L Forsyth CMIOSH MSCP
Chartered Safety Practitioner
Recent Past Head of Investigation at NHS England
Adviser on Event Analysis for WHO since 2007
Completed Cranfield Air Accident Investigation Course 2011
Initiated & led pilot for first Patient Safety Investigation Branch (PSIB) 2013-14
Assisted start-up of Healthcare Safety Investigation Branch (HSIB) 2015-16
Architect of the Patient Safety Incident Response Framework (PSIRF) 2016-2020
Other recent contributions to relevant publications include:
CIEHF - Learning from Adverse Events
NHS - PSIRF Oversight Roles and Responsibilities Specification
Since 2013, Patient Safety Science has been working to transform incident response and investigation into an effective and meaningful experience for all.
This involves the careful management of poignant opportunities to learn, so that they are treasured and result in positive and sustainable system improvement.