Top Tweets for #PSIRf
Nobody likes to be inspected, but it is great to see that our courses are meeting the expectations of the external Standards Officer and hold up under scrutiny. If you or your staff come on a CASC course they can gain a proper qualification #clinicalaudit #PSIRF #AAR #RCA #QI

@BoWynStorm @jamesmurray_ldn ZHH Disgusting behaviour by the Obstetricians. Raises lots of questions about CQC and the other oversight processes, including the coronerβs, after the death of a baby. Hopefully the deadly #PSIRF can be dumped and an improved Serious Incident Framework re-introduced very soon.
Earlier this week we visited the amazing Rainbows Hospice in Loughborough to provide training for them in After Action Reviews #PSIRF. A totally inspiring team and we are so proud to have helped them with clinical audit and patient safety over the years. A truly outstanding team!

Yesterday we were proud to celebrate two years of #PatientSafety improvement at @ImperialNHS.
From #PSIRF learning to practical change on wards and units, as well as honest reflections on whatβs working (and whatβs next).
Read some of our case studies: https://t.co/mhAXv9QdWS

The most dangerous moment in patient safety isn't the error.
It's the silence right before it.
1 in 3 NHS staff won't raise a safety concern.
This is what Patient Safety 101 is built to change.
#PatientSafety101 #NHS #PSIRF #NursingEducation

It's #PatientSafetyWeek.
Two questions for those working on PSIRF implementation:
β What has been the biggest success in implementing PSIRF so far?
β What has been the biggest challenge?
Drop your experience in the comments.
#PSIRF #PatientSafety #NHS
π Free places available!
Join our PSIRF Masterclass: Oversight of Systems Approach to Learning from Patient Safety Incidents π»
π
19 Nov 2025 | Virtual
Use code HCUK00OSSA to book your free place
π https://t.co/V5I3do2RcO
#PSIRF #PatientSafety #NHS

@PHSOmbudsman Sandy Lewis is right, and not just in maternity.
In mental health, weβve seen the opposite: 3 years of safety and risks ignored, serious incidents, PSIRF final outcomes still delayed.
Weβre still waiting for accountability and candour.
#PatientSafety #MentalHealth #PSIRF
Great day of PSIRF training at @SomersetFT - introducing the TIM tool, swarm huddles and AAR's and discussing the importance of psychological safety and compassionate engagement with leaders across the organisation. π₯°
#patientsafety #PSIRF #compassionateengagement #SEIPS

Good to meet with our council of governors tonight to discuss #PSIRF- lots of questions, discussion, commitment to patient safety, and a couple of actions too. Thanks to Robert Maginnis for the presentation ππΌ

Today's community of practice presentation. 30 minute talk and then discussion. Points included how to reset after interruption, impact on situational awareness & decision making, need for break facilities, importance of breaks, civility.
@UHSFT
#patientsafety #PSIRF

Attended some really good training today on PSIRF delivered by the AQUA team. Thinking about patient safety, staff support and cultural change.
#PSIRF
@PennineCareNHS @SarahJLeah

The @swbh_ptsafety team have also been supporting #fallsweek @SWBHnhs @MidlandMetUH we've been promoting falls prevention, risk assessments, understanding why falls happen, communication, and how #PSIRF can help! #swarmsforfalls @SallyAJ999

Day 2 of #HSJPatientSafety2025 focused on reform, accountability & resilience.
From maternity safety & the cost of harm to sustaining care in the NHS βpermacrisis,β the message was clear: culture, leadership & workforce wellbeing drive safety.
Sessions explored #PSIRF maturity, staff fatigue risks, urgent & emergency care, #PEWS & restorative justice. #Safety isnβt just systems - itβs people.
#PatientSafety #NHS #Leadership @HSJptsafety @HSJEditor @HSJnews

All set up to run our engagement course, supporting patients, relatives and staff. Going to be unusual today as several student nurses have booked on. Getting them at the start of their career. Best way to change culture? Answers on a postcard.
#PSIRF #PatientSafety
@NeoDoc11 @drphilhammond @DavidDavisMP @DavidRoseUK @Voice4theDead @wesstreeting @Keir_Starmer @JamesTitcombe @DOckendenLtd @MartynPitman @PeterElston1 @Michelehal7344 @LucyLetbyTrials
Yes but Bill Kirkup's analysis not deep enough eg #narcissism not mentioned.
https://t.co/5HL403XqbT 1/2
#patientsafety #hsjpatientsafety #humanfactors #toxicpositivity #psirf #pslhub #FTSU #kflead #compassion
@shaunlinternshaunlintern @Jeremy_Hunt @wesstreeting @CommonsHealth @LaylaMoran
Narcissists wd prefer self-serving sustainable change. Narcissists camouflage themselves by playing the game. A big assumption that everybody is virtuous.
@ChrisElston1912 @carolynccet @samantha_machen @nkeightley @josephinePerru2 @Dhodgkiss5 @HarropVictoria1 @ptsafetyASPH @HSJptsafety @FHPatientSafety Great to hear, Chris! Delighted itβs been valuable so far and we look forward to seeing how your ideas develop. #PSIRF
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