Incident Management


The Incident Management function of the wider QPS Incident Management Team is responsible for the development of structures and processes for the effective management and review of incidents to improve patient safety. 

What we do

Development and provision of training and support in relation to incident management and review, the development of guidance and tools, and the implementation of a Just Patient Safety Culture throughout the HSE. The Incident Management team works closely with academic partners, leaders in the field of Incident Management and the other functions within the Incident Management Team and the wider QPS Directorate to achieve these aims.


Human Factors Guide 2021

An Introduction to Human Factors for Healthcare workers

Summary of Human Factors Guide

This guide has been written for all healthcare workers. The primary aim is to provide an understanding of the principles and application of human factors and how it can be used to improve safety in healthcare.

Incident Management Framework

HSE - Incident Management Framework and Guidance 2020.pdf (size 1.1 MB)

Patient and Staff Stories.pdf (size 628.1 KB)

Share stories

Incident Management Framework - Templates/Forms/Leaflets

HSE Incident Review Service User Information Leaflet (The service user information leaflet is under review currently and will be updated promptly)

HSE Incident Review Staff Information Leaflet.pdf (size 6 MB)

Independent Healthcare Record Review Template Nov 2020.docx (size 39.2 KB)

Preliminary Assessment Template Nov 2020.docx (size 58.5 KB)

Pseudoanonymisation Codes Template Nov 2020.doc (size 676.4 KB)

System Analysis Review Report Template Nov 2020.docx (size 661.1 KB)

System Analysis Review Report Checklist Revision 2 23.3.22.docx.docx (size 146.1 KB)

Yorkshire Contributory Factors .docx (size 347.9 KB)

Incident Management Framework - Audit Tool

IMF Audit Tool V1 - Patient Safety Incidents.xlsm (size 271.1 KB)

Top Tips - IMF Audit Tool V1.pdf (size 257.4 KB)

Review of Pressure Ulcer Incidents

Pressure Ulcers - A Practical Guide for Review

Pressure Ulcer Review - Preliminary Assessment Form

Pressure Ulcer Review - Report Template

Review of Service User Falls Incidents

Service User Falls - A Practical Guide for Review.

Service User Falls Review - Preliminary Assessment Form

Service User Falls Review - Report Template

Review Tool Healthcare Associated Infections (HCAI)

HCAI Review Tool Generic.docx (size 86 KB)

HCAI Review Tool SA.docx (size 98.6 KB)

HCAI Review Tool Severe CDI.docx (size 86.7 KB)

PPPG Procedure for the utilisation of Review Tools (RTs).pdf (size 751.1 KB)

Worked example HAI Review Tool Generic.pdf (size 476.3 KB)

Worked example HAI Review Tool SA.pdf (size 483 KB)

Worked example HAI Review Tool Severe CDI.pdf (size 617.2 KB)

After Action Review

AAR Guidance For Services .pdf (size 922.5 KB)

After Action Review – Staff Information Leaflet

Form A - Services applying for AAR Facilitator training for the first time.docx (size 16 KB)

Form B - Services applying for additional AAR facilitator training.docx (size 20.4 KB)

AAR Summary Report Template 2020.docx (size 16.3 KB)

HSE and the Department of Health Protocol

HSE and the Department of Health Protocol, Communications in relation to major/significant patient/service user safety incidents and issues of concern.pdf (size 942 KB)

Application to the Forum for Post Graduate Training Bodies for nomination of an external expert support

Procedure for Specialist Support from FPGTB October 2020.pdf (size 665.8 KB)

Request for Specialist Support for Reviews (FPGTB) Application Form.docx (size 38 KB)

Look Back Review Process Guideline

Lookback Review Guideline Final Dec 2015

HSE Incident Management Framework (2020) - Launch Presentation and Recordings

IMF 2020 Webex

In order to view the Webex, please enter password 5aKSWJHQ.

To note, the CEO recording is not available on the Webex recording, we have uploaded it as a separate file.

Incident Management Framework 2020 Launch Message from HSE CEO Paul Reid

HSE Incident Management Framework 2020 Presentation.pptx (size 824.5 KB)

Related Documents

SRE Guidance January 2015 v1

SRE Summary list as of 26th January 2015   

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