№ files_lp_4_process_3_119964
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The document outlines the approach of NHS Hertfordshire and West Essex ICB to respond to patient safety incidents under the Patient Safety Incident Response Framework (PSIRF), focusing on improvement and learning.
Document Owner:
Natalie Hammond, Director of Nursing and Quality
Document Author(s):
Chris Harvey, Assistant Director Nursing and Quality (ICB Deputy Patient Safety Specialist), Rosie Connolly, Deputy Director Quality Improvement and Patient Safety (ICB Patient Safety Specialist)
Version:
V1.1 Final
Approved By:
Executive Team (v1.0)
Date of Approval:
06 October 2023
Date of Review:
October 2025
Link to Strategic Objective(s):
Priority 1: Increase healthy life expectancy and reduce inequality. Priority 2: Give every child the best start in life. Priority 3: Improve access to health and care services. Priority 4: Increase the numbers of citizens taking steps to improve their wellbeing. Priority 5: Achieve a balanced financial position annually.
Year:
2023
Region / City:
Hertfordshire and West Essex
Subject:
Patient Safety Incident Response Framework
Document Type:
Policy
Organization / Institution:
NHS Hertfordshire and West Essex Integrated Care Board (ICB)
Author:
Natalie Hammond, Chris Harvey, Rosie Connolly
Target Audience:
Healthcare providers, patient safety specialists, healthcare managers
Effective Period:
2023–2025
Approval Date:
06 October 2023
Revision Date:
October 2025
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Reference:
Clini 103
Policy name:
Patient Safety Incident Response Framework (PSIRF) Policy
Type of document:
Policy
Organisation:
Spire Healthcare
Directorate:
Clinical; Operations
Owning committee:
Operational SQR Committee
Author:
Matthew Minter; Tracey Thacker
Author role:
National Integrated Quality Governance Programme Lead – PSIRF; National Deputy Director of Integrated Quality Governance
Issue number:
1
Issue date:
March 2024
Next review date:
March 2027
Geographic applicability:
England; Scotland; Wales
Subject area:
Patient safety; incident reporting; incident response
Related framework:
NHS England Patient Safety Incident Response Framework (PSIRF)
Scope:
Patient safety incident responses for learning and improvement across clinical services
Associated exclusions:
Legal claims; coroners’ investigations; police investigations; HR investigations; complaints; financial investigations; safeguarding; health and safety; IT; estates and facilities
Policy coverage:
Hospitals; clinics; primary care services
Target audience:
Clinical colleagues; consultants; non-clinical colleagues; regulators; coroners; integrated care boards
Year:
2023
Region / city:
Omnes Healthcare
Topic:
Patient Safety Incident Response
Document Type:
Policy
Author:
Mary Burney
Target audience:
Healthcare professionals within Omnes Healthcare
Period of validity:
2023 - 2026
Approval Date:
30 August 2023
Review Date:
31 August 2026
Date of last update:
30 August 2023
Version:
1.0
Location:
Omnes Healthcare
Associated policies:
Our Patient Safety Culture
Year:
2023
Region / City:
Not specified
Topic:
Safety, Falls, Patient Observation
Document Type:
Checklist
Author:
Not specified
Target Audience:
Healthcare providers, staff involved in patient care
Period of Validity:
Ongoing, review as needed
Date of Approval:
Not specified
Date of Changes:
Not specified
Year:
2025
Region / City:
Australian Capital Territory
Topic:
Incident Management, Emergency Procedures
Document Type:
Procedure
Agency:
ACT Education Directorate
Author:
ACT Education Directorate
Target Audience:
ACT Public Schools Staff
Review Date:
January 2029
Year:
2023
Region / City:
Wisconsin
Topic:
Swimming pool safety, water contamination response
Document type:
Incident response report
Organization:
Wisconsin Department of Agriculture, Trade and Consumer Protection, Division of Food and Recreational Safety
Author:
Not specified
Target audience:
Operators of swimming pools and water attractions
Period of validity:
Indefinite (applies to each individual incident)
Approval date:
Not specified
Amendment date:
Not specified
Year:
2023
Region / City:
United States
Topic:
AI System Incident Response
Document Type:
Template
Organization:
[Agency]
Author:
[Agency]
Target Audience:
AI System Owners, Data Governance Officers, IT Security, Legal Counsel, AI Engineers, Agency Leadership
Effective Period:
Ongoing
Approval Date:
[Approval Date]
Amendment Date:
[Amendment Date]
Year:
2020
Type of Document:
Protocol
Organization:
XXXX
Target Audience:
Leadership, Crisis Management Team
Scope:
International
Update Date:
October 2020
Document Sections:
Definitions, Purpose, Crisis Management Team, Escalation Levels, Phases, Strategy, Logs, After-Action Review, Annexures
Effective date:
August 2025
Interim Review and Update:
December 2025
Refresh date:
April 2025
Year:
2025
Region / City:
East Kent
Theme:
Patient Safety, Healthcare
Document Type:
Plan
Institution:
East Kent Hospitals University NHS Foundation Trust
Author:
East Kent Hospitals University NHS Foundation Trust
Target Audience:
Healthcare professionals, Trust staff, Patient safety experts
Period of Effectiveness:
August 2025 - April 2026
Approval Date:
August 2025
Date of Changes:
December 2025
Year:
2024
Region / City:
Scotland
Theme:
Food Safety, Incident Management
Document Type:
Framework
Institution / Organization:
Food Standards Scotland
Author:
Geoff Ogle, Chief Executive
Target Audience:
FSS staff, public health professionals, government agencies, food industry stakeholders
Period of Validity:
Ongoing, reviewed annually
Approval Date:
February 2024
Revision Date:
February 2024
Date:
March 14, 2025
Region / City:
United States
Subject:
Data Security Incident Notification
Document Type:
Incident Report
Organization:
CDHA Management, LLC and Spark DSO, LLC
Author:
Not specified
Target Audience:
Potentially affected individuals
Period of Effect:
August 19, 2024 – September 25, 2024
Approval Date:
March 14, 2025
Date of Changes:
Not specified
Year:
2023
Region/City:
N/A
Topic:
Incident Management
Document Type:
Incident Action Plan (IAP)
Organization:
Incident Command System
Author:
N/A
Target Audience:
Incident Response Personnel
Validity Period:
Operational Period
Approval Date:
N/A
Amendment Date:
N/A
Organisation:
Office for Nuclear Regulation
Document type:
Procedure
Document reference:
ONR-OL-PROC-003
Issue:
6
Published:
April 2025
Next scheduled review:
March 2030
Process owner:
Technical Director
Prepared by:
L Cairns, Incident Management Lead
Reviewed and approved by:
G York, Head of Organisational Learning
Scope:
Incident notifications in nuclear safety, radiological safety, security, safeguards, transport safety and RIDDOR
Geographical applicability:
Great Britain
Regulatory context:
Energy Act 2013; Health and Safety at Work etc. Act 1974; RIDDOR 2013
Related systems:
WIReD
External reporting body:
Department for Energy Security & Net Zero
Source type:
Regulatory procedure issued by a national regulator
Document type:
Patient safety incident review guidance and record
Framework:
Systems Engineering Initiative for Patient Safety (SEIPS)
Purpose:
Post-incident learning and safety improvement
Context of use:
Healthcare settings
Timing of use:
Immediately or within 24–48 hours after an incident
Methodology:
Swarm approach and post-incident huddle
Focus areas:
Patient safety, systems analysis, learning from incidents
Record system:
Radar Adverse Event Record
Participants:
Healthcare staff involved in or affected by the incident
Follow-up requirement:
Follow-up SWARM and action review
Year:
2024
Region / City:
Florida
Theme:
Domestic Violence, Incident Reporting
Document Type:
Procedures and Guidelines
Agency:
Department of Children and Families
Author:
N/A
Target Audience:
Domestic Violence Centers, Contract Managers, Staff
Effective Period:
N/A
Approval Date:
N/A
Revision Date:
N/A
Year:
2025
Region / City:
N/A
Subject:
Incident Business Management
Document Type:
Checklist
Organization / Institution:
N/A
Author:
N/A
Target Audience:
Incident Business Coordinators, Fire Management Personnel
Validity Period:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Note:
Year
Type of Document:
Activity Log
Year:
2013
Region / city:
United States
Topic:
Patient classification, healthcare resource allocation
Document type:
Handbook
Organization:
Veterans Health Administration (VHA)
Author:
Allocation Resource Center (ARC)
Target audience:
VHA staff, healthcare administrators
Period of validity:
2013
Approval date:
2013
Date of changes:
2013
Year:
2024
Region / City:
York
Topic:
Patient Participation, Public Consultation, Health Inequalities
Document Type:
Meeting Minutes
Organization:
Woolpack House
Author:
Murray Rose (Chair), Kathy Gibson (Minutes), Wendy Stevens, Steff McGurk
Target Audience:
PPG members, Practice staff, Public participants
Period of Action:
April 2024
Approval Date:
8th April 2024
Date of Changes:
N/A