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Patient Safety Investigations Guide
A practical guide on Patient Safety Investigations for patient safety teams.
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Resources
Courses, tools, frameworks and guides — built around systems thinking, PSIRF and the real work of learning from patient safety incidents.
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PSIRF Implementation Guide
A practical guide on PSIRF Implementation for patient safety teams.
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Our PSIRF Guidance Summary
This single-page summary of the Patient Safety Incident Response Framework guidance pulls out the key points so you have a clear, scannable reference to hand. It covers what…
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Our PSIRF Maturity Framework
A structured framework that takes each of the core principles of PSIRF and sets out what low, medium, and high maturity looks like…
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Our MDT Systems Review Facilitation Tips
Practical guidance to help you plan and facilitate MDT systems reviews with confidence. Whether you're new to running these sessions or looking to refine your approach,…
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PSII Report Template – NHS England
The NHS England template for documenting a Patient Safety Incident Investigation. It provides a consistent structure for capturing your investigation process, findings, and…
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Safety Culture Discussion Cards – NHS Education for Scotland
A practical resource from NHS Education for Scotland designed to support teams in exploring and reflecting on safety culture together. The cards…
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SEIPS Quick Reference Guide
This guide introduces the SEIPS framework; a practical tool for understanding how the people, tasks, tools, environment and organisation around us interact…
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Our Systems Thinking Observation Guide
A structured guide for observing work systems in practice, grounded in the SEIPS model. Use it to look beyond individual actions and…
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Our PSII Example
A complete, worked example of a PSII to show what a finished investigation looks like in practice. Useful whether you're new to leading investigations or…
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Guide to Responding Proportionately to Patient Safety Incidents – Version 1.3 Sept 2025
NHS England guidance to help organisations determine the most appropriate response to a patient safety incident. Sets out how to match the depth and type of…
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Our PSII Facilitation Tips
A series of practical tips to help you plan and facilitate Patient Safety Incident Investigations with confidence, distilled from experience of what makes a PSII…
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