Patient Safety Incident Response Framework (PSIRF)

Articles in this category

1. Top picks: PSIRF insights and opinions

   • PSIRF
   • Top picks

   By Patient_Safety_Learning, 16 October, 2023

   • 0 comments
   • 3,040 views
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   • Added by Patient_Safety_Learning
   • 16 October, 2023

2. Top picks: PSIRF tools, templates and examples

   • PSIRF
   • Top picks

   By Patient_Safety_Learning, 16 October, 2023

   • 0 comments
   • 7,720 views
   • 
   • Added by Patient_Safety_Learning
   • 16 October, 2023

3. Patient Safety Incident Response Framework

   • Crisis response
   • Investigation
   • (and 4 more)

     Tagged with:

     • Crisis response
     • Investigation
     • PSIRF
     • Patient safety incident
     • Organisational culture
     • Organisational learning

   By PatientSafetyLearning Team, 16 August, 2022

   • 0 comments
   • 6,761 views
   • 
   • Added by PatientSafetyLearning Team
   • 16 August, 2022

4. Top picks: 8 Swarm resources

   • PSIRF
   • Organisational culture
   • (and 3 more)

     Tagged with:

     • PSIRF
     • Organisational culture
     • Patient safety incident
     • Investigation
     • Top picks

   By Patient Safety Learning, 15 April

   • 0 comments
   • 1,491 views
   • 
   • Added by Patient Safety Learning
   • 15 April

5. SpaMedica: SWARM templates

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

     Tagged with:

     • PSIRF
     • Patient safety incident
     • Organisational learning
     • Organisational culture

   By Patient Safety Learning, 10 April

   • 0 comments
   • 79 views
   • 
   • Added by Patient Safety Learning
   • 10 April

6. Yorkshire Ambulance Service: SWARM huddle tool

   • PSIRF
   • Organisational learning
   • (and 3 more)

     Tagged with:

     • PSIRF
     • Organisational learning
     • Organisational culture
     • Patient safety incident
     • Investigation

   By Patient Safety Learning, 8 April

   • 0 comments
   • 94 views
   • 
   • Added by Patient Safety Learning
   • 8 April

7. Swarm debrief guide (Epsom and St Helier Hospital)

   • PSIRF
   • Organisational culture
   • (and 3 more)

     Tagged with:

     • PSIRF
     • Organisational culture
     • Patient safety incident
     • Transparency
     • Organisational learning

   By Patient Safety Learning, 8 April

   • 0 comments
   • 103 views
   • 
   • Added by Patient Safety Learning
   • 8 April

8. After Action Review summary report template (HSSIB)

   • After action review
   • PSIRF
   • (and 2 more)

     Tagged with:

     • After action review
     • PSIRF
     • Investigation
     • Patient safety incident

   By Patient Safety Learning, 16 March

   • 0 comments
   • 66 views
   • 
   • Added by Patient Safety Learning
   • 16 March

9. Applying the theoretical domains framework to identify enablers and barriers to after action review: an analysis of implementation in an Irish tertiary specialist hospital (24 April 2024)

   • After action review
   • Implementation
   • (and 4 more)

     Tagged with:

     • After action review
     • Implementation
     • Patient safety incident
     • Investigation
     • Research
     • Organisational learning

   By Patient Safety Learning, 15 March

   • 0 comments
   • 51 views
   • 
   • Added by Patient Safety Learning
   • 15 March

10. Using After Action Review: Guidance for services (Health and Safety Executive, 2020)

    • PSIRF
    • After action review
    • (and 4 more)

      Tagged with:

      • PSIRF
      • After action review
      • Investigation
      • Patient safety incident
      • Organisational learning
      • Northern Ireland

    By Patient Safety Learning, 15 March

    • 0 comments
    • 40 views
    • 
    • Added by Patient Safety Learning
    • 15 March

11. Swarm video (Epsom and St Helier Hospital)

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

      Tagged with:

      • PSIRF
      • Patient safety incident
      • Organisational learning
      • Investigation

    By Patient Safety Learning, 7 March

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

12. HSSIB webinar summary: After Action Review (23 January 2025)

    • After action review
    • Investigation
    • (and 4 more)

      Tagged with:

      • After action review
      • Investigation
      • Patient safety incident
      • Organisational learning
      • PSIRF
      • Training

    By Patient Safety Learning, 12 February

    • 0 comments
    • 82 views
    • 
    • Added by Patient Safety Learning
    • 12 February

13. Spire Healthcare: How has implementing PSIRF strengthened culture – and what can others learn? (6 February 2025)

    • Patient safety incident
    • PSIRF
    • (and 5 more)

      Tagged with:

      • Patient safety incident
      • PSIRF
      • Quality improvement
      • Speaking up
      • Reporting
      • Private sector
      • Organisational culture

    By Patient Safety Learning, 11 February

    • 0 comments
    • 82 views
    • 
    • Added by Patient Safety Learning
    • 11 February

14. FRAM model visualiser (FMV) presentation (21 June 2023)

    • Patient safety incident
    • PSIRF

    By Patient Safety Learning, 16 December, 2024

    • 0 comments
    • 123 views
    • 
    • Added by Patient Safety Learning
    • 16 December, 2024

15. How to build a FRAM model

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

      Tagged with:

      • PSIRF
      • Patient safety incident
      • Risk assessment

    By Patient Safety Learning, 16 December, 2024

    • 0 comments
    • 234 views
    • 
    • Added by Patient Safety Learning
    • 16 December, 2024

16. Framing the FRAM: A literature review on the functional resonance analysis method (September 2020)

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

      Tagged with:

      • PSIRF
      • Patient safety incident
      • Resilience
      • Systematic review

    By Patient Safety Learning, 13 December, 2024

    • 0 comments
    • 107 views
    • 
    • Added by Patient Safety Learning
    • 13 December, 2024

17. Improving patient safety: Learning from reported hospital-acquired pressure ulcers (12 February 2024)

    • Patient harmed
    • Clinical process
    • (and 6 more)

      Tagged with:

      • Patient harmed
      • Clinical process
      • Health and safety
      • Patient safety strategy
      • Patient safety incident
      • Root cause anaylsis
      • Quality improvement
      • Policies / Protocols / Procedures

    By Augustine Kumah, 30 October, 2024

    • 0 comments
    • 438 views
    • 
    • Added by Augustine Kumah
    • 30 October, 2024

18. A close call on the water and other stories that matter (10 October 2024)

    • PSIRF
    • After action review
    • (and 1 more)

      Tagged with:

      • PSIRF
      • After action review
      • Patient safety incident

    By Patient Safety Learning, 16 October, 2024

    • 0 comments
    • 115 views
    • 
    • Added by Patient Safety Learning
    • 16 October, 2024

19. Clinical Human Factors Group: Give SEIPS a chance

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

      Tagged with:

      • System safety
      • Patient safety incident
      • Investigation
      • PSIRF
      • Human factors

    By Patient Safety Learning, 9 October, 2024

    • 0 comments
    • 265 views
    • 
    • Added by Patient Safety Learning
    • 9 October, 2024

20. An introduction to STAMP (System-Theoretic Accident Model and Processes)

    • PSIRF
    • System safety

    By Patient Safety Learning, 27 September, 2024

    • 0 comments
    • 622 views
    • 
    • Added by Patient Safety Learning
    • 27 September, 2024

21. Applying STAMP in healthcare; the potential for leading safety indicators

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

      Tagged with:

      • System safety
      • Patient safety incident
      • PSIRF
      • Investigation

    By Patient Safety Learning, 26 September, 2024

    • 0 comments
    • 148 views
    • 
    • Added by Patient Safety Learning
    • 26 September, 2024

22. NHS Networks: Patient safety incident response framework (19 September 2024)

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

      Tagged with:

      • PSIRF
      • Patient safety incident
      • Investigation
      • Patient / family involvement
      • Reporting

    By Patient Safety Learning, 26 September, 2024

    • 0 comments
    • 199 views
    • 
    • Added by Patient Safety Learning
    • 26 September, 2024

23. Patient guide: Patient Safety Incident Investigation (August 2024)

    • PSIRF
    • Investigation
    • (and 2 more)

      Tagged with:

      • PSIRF
      • Investigation
      • Patient engagement
      • Communication

    By Patient-Safety-Learning, 4 September, 2024

    • 0 comments
    • 276 views
    • 
    • Added by Patient-Safety-Learning
    • 4 September, 2024

24. NHS England: Applying the Patient Safety Incident Response Framework outside of NHS trusts (last updated 31 July 2024)

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

      Tagged with:

      • PSIRF
      • Patient safety incident
      • Investigation
      • Organisational learning

    By Patient Safety Learning, 3 September, 2024

    • 0 comments
    • 326 views
    • 
    • Added by Patient Safety Learning
    • 3 September, 2024

25. Mind the potholes! Implementing After Action Reviews: A blog by the National AAR Reporting Template Team

    • PSIRF
    • After action review
    • (and 4 more)

      Tagged with:

      • PSIRF
      • After action review
      • Patient safety incident
      • Organisational learning
      • Organisational culture
      • Investigation

    By Patient Safety Learning, 21 August, 2024

    • 1 comment
    • 1,678 views
    • 
    • Comment by HelenH
    • 21 August, 2024