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MDT Systems Review Facilitation Template
From incident summary to signed-off actions, this working document guides facilitators through the whole MDT systems review, start to finish.
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PSIRF Maturity Framework
Our hands-on guide to understanding "what good looks like" at each stage of PSIRF maturity, from initial implementation through to embedded best…
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Complete MDT Facilitation guide
Our complete guide to how to practically facilitate an MDT Systems Review
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Considerations for Compassionate Engagement with Patients, Families and Carers
A practical guide for those holding compassionate engagement conversations with patients, families and carers following a patient safety incident.
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SEIPS – Everything you need to know to get you started
If SEIPS has always felt a bit abstract, our guide breaks down what it's actually for and how to use it in…
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Patient Safety Response Standards – our 1 page summary
Our summary of the PSIRF Standards on a page, a handy reference to pick up whenever you need it.
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Systems Thinking Walkthrough Guide
A handy one-page prompt sheet to support you in conducting a systems-based walkthrough of any clinical area.
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PSIRF Guidance Summary
Our two-page summary of what PSIRF is and what this means for organisations
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PSII Facilitation Tips
Our one page go to on how to facilitate a great PSII
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PSII Example
To help bring the PSII process to life, we've put together a fictional but realistic example of a completed PSII report.
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MDT Systems Review Facilitation Tips
A one page summary of our key facilitation tips, to prepare for a successful MDT Systems Review
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3 August 2026
What Baking a Cake Taught Me About Patient Safety
How much of what actually happens is invisible even to the person doing it? When asking for the…
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3 August 2026
The Link Analysis of Christmas Dinner: A Festive Study in Controlled Chaos
When I come home for Christmas and can't help but analyse the kitchen workflow... sometimes the most inefficient…
Read more →3 August 2026
The Being Fair Tool: From Skeptic to Convert
Could a tool built around three simple questions; who's hurt, what do they need, whose job is it…
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3 August 2026
Staying engaged in the safety space
Where do you go for fresh thinking when the usual patient safety sources feel a bit too familiar?…
Read more →3 August 2026
Priority Report (Like the Film, But Without the Tom Cruise Addition)
Thinking about reviewing your PSIRF priorities? This insight makes the case for pausing first, and shares what "meaningful…
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3 August 2026
Loss of situation awareness
Was the information never perceived, misunderstood, or simply not predicted? This insight makes the case for going a…
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Systems Approach to Investigating and Learning from Patient Safety Incidents
Designed and delivered by experienced NHS practitioners and human factors specialists, this interactive online course builds the confidence,…
Improving the complaint response: Training of complaint investigators
What separates a complaint response that closes the door from one that opens up real learning? This training…
Oversight and Safety Governance for Executive Teams
This half day executive and senior leader level session goes beyond the technical requirements of PSIRF to build…
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