Incident Severity and Response Matrix
What happens to a report depends on harm and likelihood. This decides it in one look
What it is
A five-by-five matrix of consequence (none to death) against likelihood (rare to almost certain), with the response required at each level: local review, root cause analysis, sentinel-event process, board notification.
Where to use it
Safety lead's desk; on the wall of the quality office; in the incident-management procedure. Evidence for: Governance — incident management; Sentinel Event Policy. Evidence for: Governance — incident management; Sentinel Event Policy. Evidence for: Governance — incident management; Sentinel Event Policy. Evidence for: Governance — incident management; Sentinel Event Policy. Evidence for: Governance — incident management; Sentinel Event Policy. Evidence for: Governance — incident management; Sentinel Event Policy. Evidence for: Governance — incident management; Sentinel Event Policy.
Translate and adapt
English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.
The same code is printed on the tool itself. Scan it in any facility to reach this page.
Patient Safety Incident Report
Root Cause Analysis — Worksheet
Just Culture — Decision Guide for Managers
Safety Learning Bulletin — Monthly, One Page
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