Incident M 3

How can SEIPS be used as a problem-solving tool?

• To replace manual processes with automated systems

• To identify and punish individuals responsible for errors

• To guide learning and improvement following patient safety incidents, conduct horizon scans, and inform system design

• To eliminate all risks and ensure zero incidents

What does PSIRF stand for?

• Patient Safety Incident Reporting Framework

• Patient Safety Incident Response Framework

• Patient Safety Information Reporting Framework

• Patient Safety Improvement Response Framework

What is corrective action?

• Steps taken to ignore an undesirable situation

• A set of steps taken to address and fix the cause of an undesirable situation or non-conformity to prevent it from happening again

• Immediate action to stabilize an emergency

• The process of documenting routine tasks

What framework has the National Patient Safety Team developed for incident response?

• Incident Reporting and Response System (IRRS)

• Patient Safety Incident Response Framework (PSIRF)

• National Safety Incident Framework (NSIF)

• Laboratory Incident Management Framework (LIMF)

What is the primary difference between the Serious Incidents Framework and PSIRF?

• PSIRF involves less engagement with those affected by incidents

• PSIRF focuses on investigating every incident to the same extent

• PSIRF ensures engagement with those affected and provides a proportional response to incidents based on themes

• Serious Incidents Framework focuses on themes rather than individual incidents

What is NOT one of the four aims of PSIRF?

• Compassionate engagement and involvement of those affected by patient safety incidents

• Application of a range of system-based approaches to learning from patient safety incidents

• Increasing the number of incident reports

• Supportive oversight focused on strengthening response system functioning and improvement

What is the purpose of corrective actions after identifying the cause(s) of an error/incident?

• To document the incident

• To eliminate the cause(s) and reduce the likelihood of recurrence

• To complete mandatory training

• To report to external agencies

How long does an AAR typically take?

• 10-20 minutes

• 30 minutes to 1 hour

• 1-2 hours

• Over 2 hours

What is the focus of an MDT review?

• Assigning individual blame

• Identifying learning, contributory causes, and system gaps through open discussion

• Reducing staff workload

• Implementing new policies immediately

If an error is identified during an audit and has no effect on the patient, what should be done?

• Report it on DATIX

• Report it on Q Pulse as a nonconformity

• Ignore the incident

• Notify the patient directly