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PSIRF

Tom Geraghty · Safety & Human Error, Models & Critique, Stories & Cases

Examines the NHS Patient Safety Incident Response Framework, replacing root cause analysis with systemic learning. Argues PSIRF's key contribution is recognising that psychological safety conditions must be established before Just Culture approaches can function in practice.

Connected concepts (11)

• Accountability
• Deliberate Learning to Improve Performance in Dynamic Service Settings: Evidence from Hospital Intensive Care Units (paper)
• Independent Review on the Care Given to Mrs Elaine Bromiley (paper)
• The Criminalization of Human Error in Aviation and Healthcare: A Review (paper)
• Why Hospitals Don't Learn from Failures: Organizational and Dynamics That Inhibit System Change (paper)
• HOP
• Just Culture
• Learning from Error
• The Unintended Consequences of No Blame Ideology for Incident Investigation in the US Construction Industry (paper)
• Learning from Incidents
• Newsletter #129: CRM, Diversity of Thought, PSIRF