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Orientation and Course Goals

Welcome, Housekeeping, and Timetable

Course Goals and What PSIRF Is and Is Not

Foundations of System-Based Learning Under PSIRF

Core PSIRF Principles for Beginners

Compassionate Engagement With Patients, Families, and Staff

Applying a Range of System-Based Approaches to Learning

Proportionate and Considered Responses

Supportive Oversight and Governance for Improvement

Practical PSIRF Investigation Skills: From Trigger to Learning

Neutral, Precise Language and Bias Reduction in Evidence Handling

Structured Information Gathering and Interviewing Using PEACE

Analyzing Contributory Factors With SEIPS and YCF

From Findings to High-Quality Safety Actions

Writing Accessible PSIRF Learning Response Reports

Applying PSIRF Across Settings and Roles

Implementing PSIRF Outside NHS Trusts and Across Sites

Role of Learning Response Leads: Competence and Confidence

Knowledge Checks

Quiz 1: PSIRF Principles and Purpose

Quiz 2: Compassionate Engagement

Quiz 3: Choosing Proportionate Responses

Quiz 4: System-Based Methods

Quiz 5: Neutral Language and Bias

Quiz 6: Interviewing With PEACE

Quiz 7: Contributory Factors Identification

Quiz 8: Safety Actions Strength Test

Quiz 9: Report Writing and Accessibility

Quiz 10: Oversight and Governance Roles

Course Wrap-Up and Evaluation

Action Planning: Applying Learning in Your Organization

Badge Card

Deliver safer care by mastering a modern, blame‑free approach to incident investigation. Practical PSIRF Incident Investigations: Systems‑Focused, Blame‑Free Learning equips clinical leaders, patient safety specialists, quality teams, and investigators with the practical tools to run proportionate learning responses under the Patient Safety Incident Response Framework (PSIRF). Through clear guidance, real‑world examples, and hands‑on methods, you’ll learn to triage incidents, apply system‑based analysis (SEIPS, Yorkshire Contributory Factors), and translate findings into strong, measurable safety actions. The course emphasizes compassionate engagement with patients, families, and staff; neutral, precise language that reduces bias; and supportive oversight that strengthens system performance across settings, including providers operating outside NHS trusts. By the end, you’ll be confident planning and conducting PEACE‑based interviews, mapping work‑as‑imagined vs work‑as‑done, and producing accessible reports that drive learning and improvement. Walk away with templates, checklists, and a 60–90 day action plan to implement PSIRF‑aligned practices at your site, build capability in learning response leads, and establish feedback loops that sustain change. If you want practical, proportionate, and compassionate investigations that improve systems—not blame people—this is your roadmap.

Practical PSIRF Incident Investigations: Systems-Focused, Blame-Free Learning

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            <p>Practical PSIRF Incident Investigations: Systems-Focused, Blame-Free Learning equips beginners with the fundamentals and hands-on skills to conduct learning responses under the Patient Safety Incident Response Framework. The course begins by clarifying the purpose and scope of PSIRF across providers, including those outside NHS trusts, and distinguishes PSIRF from root cause analysis and blame-based models. Early orientation sets expectations, establishes psychological safety, and introduces neutral, respectful language as a core behavior throughout the learning journey. You will see how PSIRF’s four principles translate into practice—compassionate engagement, system-based approaches to learning, proportionate responses, and supportive oversight—so you can contribute confidently to safer care.</p>

<p>Foundational modules build your understanding of roles and responsibilities (such as learning response and engagement leads) and demonstrate how to involve patients, families, and staff with candor, meaningful apology, and clear support. You will learn to select proportionate learning responses rather than defaulting to one-size-fits-all investigations, apply human factors methods like SEIPS and the Yorkshire Contributory Factors Framework to analyze work-as-imagined versus work-as-done, and use neutral language to reduce hindsight bias. Practical skills are developed step by step: planning PEACE-model interviews, structuring information gathering, synthesizing contributory factors with visuals, and translating findings into strong, measurable safety actions. The course also covers accessible report writing, governance expectations, and implementation across varied settings, culminating in action planning and knowledge checks to reinforce understanding and build confidence.</p>
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