SEA Educational Research and Resources
A range of educational resources and research reports.
Improving Significant
Event Analysis using Feedback from Trained Peer Groups (poster,
2011) [PDF]
Significant Event Analysis (SEA) is now well-established as a key
approach to learning from patient safety incidents. The technique
originated in general medical practice in the early 1990s as a
method of reflective learning, and has now spread to a variety of
healthcare settings and professions in the UK and internationally.
However, evidence of its effective application is variable and is
an issue of concern to health care organisations including NHS
Education for Scotland (NES). This poster, by Paul Bowie, John
McKay, Niall Cameron, Rhona McMillan, Marion McLeod, Fiona
McMillan, Jill Murie, Lynne Davidson, Nigel Milne, and Murray
Lough, describes an innovative system developed by NES to
improve the quality of SEA by providing informed feedback via
trained peer groups.
Collective Learning from Significant Event Analysis (SEA) Meetings
in Primary Health Care (interm report, January 2011)
[PDF]
The aim of this project was to provide guidelines and teaching
tools for primary health care teams participating in significant
event analysis in order to enhance the effectiveness of this
patient safety tool. Key messages were:
- This project has resulted in the development of
guidelines for primary health care teams participating in
significant event analysis.
- The patient safety outcomes of significant event analysis
meetings may be enhanced by the application of these
guidelines.
Learning
from Significant Events (Paul Bowie, Practice Nurse, 25
June 2010) [link - requires Athens log-in]
Significant event analysis encourages a culture of honesty in the
team as well as both team-based and individual reflection. Applied
effectively, the technique provides many opportunities to improve
the safety of the patient in primary care.
- This article includes practical advice and tips on
conducting Significant Event Analysis in primary care, including
"Seven Steps to Analysing a Significant Event", "Good Practice
in Significant Event Meetings", and guidance on writing
up the SEA report.
Barriers to Significant Event Analysis in
Primary Care (poster, 2009) [PDF]
This poster, by Carl de Wet and Paul Bowie, gives an overview
of a study which aimed to examine the barriers to SEA in
primary care, the perceptions of these, and their impact.
