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The Patient Safety Incident Response Framework (PSIRF) is changing the way we investigate and learn from incidents, including serious incidents. The change provides us with a real opportunity to undertake a proportionate review of incidents for learning and improvement, whilst ensuring we further create the conditions where patients, families and staff are involved and supported when an incident occurs.
The four key aims of PSIRF are:
To allow a more proportionate response to safety incidents.
To allow a greater range of responses to incidents, using different tools and investigation approaches as opposed to reliance on formal investigations.
To improve support to, and the involvement of, affected patients, colleagues and families.
To improve existing governance and oversight procedures (such as the processes around investigation sign off, oversight of improvements and how we work with the Coroner).
