Patient Safety Incident Response Framework (PSIRF)

Articles in this category

1. How much participation do you really want? Judy Walker Associates

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

     Tagged with:

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

   By Patient Safety Learning, 15 May, 2025

   • 0 comments
   • 399 views
   • 
   • Added by Patient Safety Learning
   • 15 May, 2025

2. Self-Assessment Framework for Event Response (SAFER) Oversight: A tool for effective Patient Safety Incident Response Framework (PSIRF) governance (29 April 2025)

   • PSIRF
   • Organisational learning
   • (and 3 more)

     Tagged with:

     • PSIRF
     • Organisational learning
     • Patient safety incident
     • Human factors
     • Clinical governance

   By Patient Safety Learning, 2 May, 2025

   • 0 comments
   • 833 views
   • 
   • Added by Patient Safety Learning
   • 2 May, 2025

3. 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, 2025

   • 0 comments
   • 713 views
   • 
   • Added by Patient Safety Learning
   • 10 April, 2025

4. 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, 2025

   • 0 comments
   • 810 views
   • 
   • Added by Patient Safety Learning
   • 8 April, 2025

5. 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, 2025

   • 0 comments
   • 934 views
   • 
   • Added by Patient Safety Learning
   • 8 April, 2025

6. 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, 2025

   • 0 comments
   • 2,011 views
   • 
   • Added by Patient Safety Learning
   • 16 March, 2025

7. 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, 2025

   • 0 comments
   • 373 views
   • 
   • Added by Patient Safety Learning
   • 15 March, 2025

8. 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, 2025

   • 0 comments
   • 451 views
   • 
   • Added by Patient Safety Learning
   • 15 March, 2025

9. 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, 2025

   • 0 comments
   • 741 views
   • 
   • Added by Patient Safety Learning
   • 7 March, 2025

10. 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, 2025

    • 0 comments
    • 370 views
    • 
    • Added by Patient Safety Learning
    • 12 February, 2025

11. 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, 2025

    • 0 comments
    • 637 views
    • 
    • Added by Patient Safety Learning
    • 11 February, 2025

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

    • Patient safety incident
    • PSIRF

    By Patient Safety Learning, 16 December, 2024

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

13. 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
    • 970 views
    • 
    • Added by Patient Safety Learning
    • 16 December, 2024

14. 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
    • 630 views
    • 
    • Added by Patient Safety Learning
    • 13 December, 2024

15. 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
    • 1,098 views
    • 
    • Added by Augustine Kumah
    • 30 October, 2024

16. 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
    • 331 views
    • 
    • Added by Patient Safety Learning
    • 16 October, 2024

17. 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
    • 1,024 views
    • 
    • Added by Patient Safety Learning
    • 9 October, 2024

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

    • PSIRF
    • System safety

    By Patient Safety Learning, 27 September, 2024

    • 0 comments
    • 4,526 views
    • 
    • Added by Patient Safety Learning
    • 27 September, 2024

19. 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
    • 467 views
    • 
    • Added by Patient Safety Learning
    • 26 September, 2024

20. 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
    • 512 views
    • 
    • Added by Patient Safety Learning
    • 26 September, 2024

21. 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
    • 571 views
    • 
    • Added by Patient-Safety-Learning
    • 4 September, 2024

22. 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
    • 857 views
    • 
    • Added by Patient Safety Learning
    • 3 September, 2024

23. 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
    • 2,695 views
    • 
    • Comment by HelenH
    • 21 August, 2024

24. Should patients be involved in After Action Reviews?

    • Patient
    • After action review

    By Patient_Safety_Learning, 20 August, 2024

    • 0 comments
    • 518 views
    • 
    • Added by Patient_Safety_Learning
    • 20 August, 2024

25. Judy Walker: The PSIRF learning response tools survey summary report (24 July 2024)

    • PSIRF
    • Organisational learning
    • (and 4 more)

      Tagged with:

      • PSIRF
      • Organisational learning
      • Patient safety incident
      • After action review
      • Patient / family involvement
      • Survey

    By Patient Safety Learning, 5 August, 2024

    • 0 comments
    • 524 views
    • 
    • Added by Patient Safety Learning
    • 5 August, 2024