Methodology and guidance: How to do an investigation

Articles in this category

1. Suffolk and North East Essex's SOP – Patient Safety Incident Response Framework (PSIRF) ICB sign off process for smaller independent providers (February 2023)

   • Standards
   • Patient safety incident
   • (and 4 more)

     Tagged with:

     • Standards
     • Patient safety incident
     • Investigation
     • Integrated Care System (ICS)
     • PSIRF
     • Implementation

   By Patient Safety Learning, 7 March

   • 0 comments
   • 60 views
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   • Added by Patient Safety Learning
   • 7 March

2. A framework for investigating fatigue (Clockwork Research, 4 May 2017)

   • Investigation
   • Fatigue / exhaustion
   • (and 5 more)

     Tagged with:

     • Investigation
     • Fatigue / exhaustion
     • Staff safety
     • Risk management
     • UK
     • Aviation
     • Working hours

   By Patient-Safety-Learning, 20 February

   • 0 comments
   • 43 views
   • 
   • Added by Patient-Safety-Learning
   • 20 February

3. Learn Together: Investigation resources

   • Investigation
   • Patient safety incident
   • (and 6 more)

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     • Investigation
     • Patient safety incident
     • Patient harmed
     • Patient / family involvement
     • Patient / family support
     • Staff support
     • PSIRF
     • Collaboration

   By Patient Safety Learning, 12 December, 2022

   • 0 comments
   • 150 views
   • 
   • Added by Patient Safety Learning
   • 12 December, 2022

4. Using appreciative inquiry to transform health care (August 2013)

   • Appreciative inquiry
   • Innovation
   • (and 3 more)

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     • Appreciative inquiry
     • Innovation
     • Transformation
     • Quality improvement
     • Australia

   By Patient-Safety-Learning, 9 December, 2022

   • 0 comments
   • 102 views
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   • Added by Patient-Safety-Learning
   • 9 December, 2022

5. What the HealthTech? podcast: Getting to grips with PSIRF, with Helen Hughes (1 December 2022)

   • Investigation
   • PSIRF
   • (and 5 more)

     Tagged with:

     • Investigation
     • PSIRF
     • England
     • Staff engagement
     • Patient engagement
     • Organisational culture
     • Implementation

   By Patient-Safety-Learning, 9 December, 2022

   • 0 comments
   • 290 views
   • 
   • Added by Patient-Safety-Learning
   • 9 December, 2022

6. Take action now to be ready for the Patient Safety Incident Response Framework (HSJ, 16 November 2022)

   • PSIRF
   • Leadership
   • (and 6 more)

     Tagged with:

     • PSIRF
     • Leadership
     • Organisational learning
     • Patient engagement
     • Integrated Care System (ICS)
     • Policies
     • Health inequalities
     • Health Disparities

   By Patient-Safety-Learning, 16 November, 2022

   • 0 comments
   • 192 views
   • 
   • Added by Patient-Safety-Learning
   • 16 November, 2022

7. CAST Tutorial: STAMP approach to accident analysis (26 March 2013)

   • Investigation
   • Just Culture
   • (and 3 more)

     Tagged with:

     • Investigation
     • Just Culture
     • System safety
     • Process redesign
     • Aviation

   By Patient-Safety-Learning, 13 August, 2022

   • 0 comments
   • 204 views
   • 
   • Added by Patient-Safety-Learning
   • 13 August, 2022

8. AcciMap: Promoting systems thinking in accident investigations and system design

   • System safety
   • Investigation
   • (and 1 more)

     Tagged with:

     • System safety
     • Investigation
     • Patient safety incident

   By Patient Safety Learning, 19 April, 2022

   • 0 comments
   • 377 views
   • 
   • Added by Patient Safety Learning
   • 19 April, 2022

9. The life of a national investigation (HSIB workshop, 16 September 2021)

   • Investigation

   By Patient Safety Learning, 16 October, 2021

   • 0 comments
   • 464 views
   • 
   • Added by Patient Safety Learning
   • 16 October, 2021

10. NHS England Patient safety incident investigation tools

    • Patient safety incident
    • Patient harmed
    • (and 1 more)

      Tagged with:

      • Patient safety incident
      • Patient harmed
      • Investigation

    By Patient-Safety-Learning, 14 October, 2021

    • 0 comments
    • 904 views
    • 
    • Added by Patient-Safety-Learning
    • 14 October, 2021

11. Investigation science: Fundamentals of a professional safety investigation (HSIB presentation, 16 September 2021)

    • Methodology
    • Investigation

    By Patient Safety Learning, 10 October, 2021

    • 0 comments
    • 421 views
    • 
    • Added by Patient Safety Learning
    • 10 October, 2021

12. Family engagement workshop - family and investigator perspectives on HSIB investigations (HSIB workshop, 16 September 2021)

    • Patient / family involvement
    • Patient engagement
    • (and 1 more)

      Tagged with:

      • Patient / family involvement
      • Patient engagement
      • Investigation

    By Patient Safety Learning, 10 October, 2021

    • 0 comments
    • 387 views
    • 
    • Added by Patient Safety Learning
    • 10 October, 2021

13. Involving patients and families in serious incident investigations: Bradford Institute for Health Research / University of Leeds PFI-SII project research summary (1 October 2019)

    • Patient safety incident
    • Investigation
    • (and 3 more)

      Tagged with:

      • Patient safety incident
      • Investigation
      • Patient / family involvement
      • Negligence claim
      • Legal issue

    By Patient Safety Learning, 11 September, 2021

    • 0 comments
    • 558 views
    • 
    • Added by Patient Safety Learning
    • 11 September, 2021

14. The transformation of accident investigation: From finding cause to sense making (2015)

    • Investigation
    • Methodology
    • (and 3 more)

      Tagged with:

      • Investigation
      • Methodology
      • USA
      • Leadership
      • Organisational learning

    By Patient Safety Learning, 26 May, 2021

    • 0 comments
    • 662 views
    • 
    • Added by Patient Safety Learning
    • 26 May, 2021

15. Systems-based models for investigating patient safety incidents (28 April 2021)

    • Investigation
    • System safety
    • (and 2 more)

      Tagged with:

      • Investigation
      • System safety
      • Patient safety incident
      • Systems modelling

    By Patient Safety Learning, 6 May, 2021

    • 1 comment
    • 1,596 views
    • 
    • Comment by Keith Bates
    • 6 May, 2021

16. Guidelines for AcciMap analysis (January 2009)

    • Investigation
    • Patient safety incident
    • (and 2 more)

      Tagged with:

      • Investigation
      • Patient safety incident
      • System safety
      • Aviation

    By Patient Safety Learning, 21 March, 2021

    • 0 comments
    • 766 views
    • 
    • Added by Patient Safety Learning
    • 21 March, 2021

17. ‘Remixing Rasmussen’: The evolution of Accimaps within systemic accident analysis

    • Investigation
    • Research
    • (and 5 more)

      Tagged with:

      • Investigation
      • Research
      • Methodology
      • Patient accident
      • System safety
      • Link analysis
      • Human factors

    By Patient Safety Learning, 18 March, 2021

    • 0 comments
    • 395 views
    • 
    • Added by Patient Safety Learning
    • 18 March, 2021

18. RCA2: Improving root cause analyses and actions to prevent harm

    • Investigation
    • Root cause anaylsis
    • (and 1 more)

      Tagged with:

      • Investigation
      • Root cause anaylsis
      • Methodology

    By Patient Safety Learning, 15 March, 2021

    • 0 comments
    • 1,286 views
    • 
    • Added by Patient Safety Learning
    • 15 March, 2021

19. NHS Wales: Framework for the joint investigation of patient safety Serious Incidents (SIs) related to NWIS delivered or supported services

    • Healthcare
    • Patient safety incident
    • (and 10 more)

      Tagged with:

      • Healthcare
      • Patient safety incident
      • Policies / Protocols / Procedures
      • Safety process
      • Patient safety / risk management leads
      • Digital health
      • Investigation
      • Root cause anaylsis
      • Never event
      • Near miss
      • Patient death
      • Patient harmed

    By Gethin, 24 January, 2021

    • 0 comments
    • 751 views
    • 
    • Added by Gethin
    • 24 January, 2021

20. Root cause analysis: Why we need to change the focus

    • Investigation
    • Root cause anaylsis
    • (and 1 more)

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      • Investigation
      • Root cause anaylsis
      • Quality improvement

    By Jerome P, 7 October, 2020

    • 10 comments
    • 7,474 views
    • 
    • Comment by Jon Holt
    • 20 October, 2020

21. Root cause analysis gone wrong (May 2018)

    • Root cause anaylsis
    • Investigation
    • (and 2 more)

      Tagged with:

      • Root cause anaylsis
      • Investigation
      • Patient safety incident
      • Organisational culture

    By Patient Safety Learning, 23 February, 2020

    • 0 comments
    • 494 views
    • 
    • Added by Patient Safety Learning
    • 23 February, 2020

22. NEBOSH HSE introduction to incident investigation

    • Root cause anaylsis
    • Investigation
    • (and 2 more)

      Tagged with:

      • Root cause anaylsis
      • Investigation
      • Patient safety incident
      • Training

    By Patient Safety Learning, 22 January, 2020

    • 0 comments
    • 807 views
    • 
    • Added by Patient Safety Learning
    • 22 January, 2020

23. What you find is not always what you fix—How other aspects than causes of accidents decide recommendations for remedial actions (Novemeber 2010)

    • Qualitative
    • Investigation
    • (and 1 more)

      Tagged with:

      • Qualitative
      • Investigation
      • System safety

    By Claire Cox, 4 December, 2019

    • 0 comments
    • 599 views
    • 
    • Added by Claire Cox
    • 4 December, 2019

24. Improvement Academy. Investigating Patient Safety - Evidence Based Framework

    • Investigation
    • Patient safety incident
    • (and 1 more)

      Tagged with:

      • Investigation
      • Patient safety incident
      • Policies / Protocols / Procedures

    By Patient Safety Learning, 28 October, 2019

    • 0 comments
    • 861 views
    • 
    • Added by Patient Safety Learning
    • 28 October, 2019

25. ROSPA: Accident investigation training

    • Investigation
    • Root cause anaylsis
    • (and 1 more)

      Tagged with:

      • Investigation
      • Root cause anaylsis
      • Training

    By Patient Safety Learning, 22 October, 2019

    • 0 comments
    • 668 views
    • 
    • Added by Patient Safety Learning
    • 22 October, 2019