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PSFNFoundation·Patient Safety & Risk

Patient Safety Foundations: Systems, Error and Harm Prevention

Why safe people still make unsafe mistakes — and what actually prevents harm.

Patient Safety Foundations: Systems, Error and Harm Prevention

Program overview

Most harm in healthcare is not caused by careless individuals. It is produced by systems that make the wrong action easy and the right action hard. This course replaces blame with a working understanding of how error happens and how it is designed out. You will study the anatomy of an adverse event, the difference between active failures and latent conditions, and the practical defences that reliably reduce harm: standardisation, checklists, forcing functions and independent double-checks. Cases are drawn from wards, theatres, pharmacy and outpatients, so the material applies wherever you work. WHO reports that only 20% of countries teach patient safety in professional curricula — this course exists to close that gap for individual practitioners.

Why this program

Systems-first

harm is designed, not merely committed

Case-driven

every concept is anchored in a real event pattern

Cross-professional

examples span nursing, medicine, pharmacy and support services

Immediately applicable

defences you can use on your next shift

Who it is for

NursePhysicianPharmacistAllied HealthHealthcare ManagerQuality Officer

Program objectives

  • Explain how adverse events arise from system conditions rather than individual carelessness
  • Distinguish active failures from latent conditions in a clinical incident
  • Describe the Swiss cheese model and its practical limits
  • Identify the defences that most reliably prevent harm at the point of care
  • Recognise the situations in which error becomes far more likely
  • Apply a structured approach to a near miss on your own unit

Learning outcomes

  • Classify a described incident as active failure, latent condition or both
  • Identify at least four system defences applicable to a given clinical process
  • Differentiate between blame-based and systems-based responses to an incident
  • Apply the hierarchy of intervention effectiveness to a proposed safety fix
  • Describe the conditions that reliably increase error risk on a clinical unit
  • Recommend a proportionate first response to a near miss

Curriculum

Module 1: Harm in Healthcare: The Scale of the Problem

1 lessons
  • Harm in Healthcare: The Scale of the ProblemPreview

    What the global data actually shows, and why the numbers are hard to measure.

Module 2: How Error Happens

1 lessons
  • How Error Happens

Module 3: Systems, Not People

1 lessons
  • Systems, Not People

Module 4: Defences That Work

1 lessons
  • Defences That Work

Module 5: Responding to a Near Miss

1 lessons
  • Responding to a Near Miss

Duration and structure

3h
Total study hours
2.5h
Content
0.5h
Assessment

5 lessons across 5 modules. Duration is expressed in study hours.

What you receive

Verifiable AIHCM digital certificate

This certificate confirms completion of Patient Safety Foundations: Systems, Error and Harm Prevention. Duration is expressed in study hours.

Delivery format

  • Self-paced — start any time.
  • Study on any device.
  • Lifetime access to the version you enrolled in.

Program handbook

Open the program handbook (print / save as PDF)