Human Factors Hub

The 'Learning Response Review and Improvement Tool' is intended to be used by:

• Health and care professionals conducting safety learning reviews and investigations and writing or signing-off related written reports.  It would also be useful for written reports related to complaints from patients, service users, families, and carers.
• Peer reviewers of written reports to provide constructive feedback on the quality of reports and to learn from the approach of others.
• Educators involved in designing and delivering training programmes related to safety and/or complaints learning reviews.
• Leaders charged with undertaking national inquiries and investigations.

The tool was developed and validated by NHS Education for Scotland (NES) in partnership with the NHS England Patient Safety Team and the Health Services Safety Investigation Body.  The latter two organisations also recommend its use as part of Oversight processes for safety investigation and learning.  The Tool is embedded in NES training programmes related to safety learning reviews.  It has also been adapted and recommended for use in the New Zealand health system.

Select link below to download the Learning Response Review and Improvement Tool (LRRT).

The Tool has also been adapted as a brief checklist/cognitive aid for those who Chair, Moderate, or Facilitate team learning meetings (e.g. hospital Mortality & Morbidity or significant event reviews in primary care) where care quality and safety issues are discussed and analysed.

Select the link below to download the Team Learning Review Checker.

To increase the Tool’s utility, plans are underway for researchers to critically review selected high-profile maternity safety investigation reports in 4 different countries.