
Systemic Insights for Improving Clinical Governance Post-Incident
The NHS introduced the Patient Safety Incident Response Framework (PSIRF) with the aim of improving patient safety by avoiding a repeat of the same issue.

The NHS introduced the Patient Safety Incident Response Framework (PSIRF) with the aim of improving patient safety by avoiding a repeat of the same issue.

Incidents, unfortunately, are a part of life. They can happen at any time, in any organisation, even in corporate settings, healthcare facilities, educational institutions and

When it comes to writing an investigation report you may find yourself wondering where to start or how to bring together all of the evidence

While it may seem like just another acronym in the healthcare landscape, PSIRF represents a significant shift towards a system-based approach to patient safety, offering

People make mistakes, we call it human error. In healthcare sometimes an error results in a patient being harmed. When this happens what is the

Much of Verita’s investigative work in patient safety is about the ‘here and now’ – a review of a serious incident, talking to a patient’s

How to learn from serious incidents The NHS England national serious incident framework outlines the need to carry out investigations to make sure that learning

What is safeguarding in sport? The aim of safeguarding in sport is to protect children and adults from harm and to promote the welfare of

What is an independent review? An independent review is the process whereby a service being provided by an organisation is evaluated by an external party

An interview with Chris Brougham During the Coronavirus pandemic frontline care and services have rightly taken priority. Organisations have focused on patient care and less

What are practising privileges? A practising privilege is the ‘licence’ agreed between individual medical professionals and a private healthcare provider. In effect, they set out

A false paradigm I have great sympathy for the firemen who have given evidence to the Grenfell Inquiry in recent weeks. For one thing, they
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