BPAS is changing the way we learn from those occasions when things don't go to plan, and where patients may be harmed as a result.
These are known as patient safety incidents.
A new approach, called the Patient Safety Incident Review Framework (PSIRF) is being introduced and will focus on:
- compassionate engagement and involvement of patients, their loved ones and staff
- new approaches to learning that look for all the complicated issues that are combining to cause risks
- considered and proportionate responses when things go wrong
- continuing to learn and evolve over future years.
Policy and Plan
We are required to publish two key documents to explain how we will meet the requirements of PSIRF - a PSIRF Policy and Plan.