Measurement and monitoring of safety
The measurement and monitoring of safety
within a healthcare system is an important step to support the
delivery of high quality patient care.
In 2013 the Health Foundation published a
‘The measuring and monitoring of safety’. The report outlines a
framework with five key elements, for measuring and monitoring
safety within a healthcare system.
Developing and testing the framework for NHS Scotland
The Health Foundation is working with
Healthcare Improvement Scotland and three other regional
improvement bodies (Advancing Quality Alliance
(AQuA), Haelo and Yorkshire and Humber Improvement
Academy) to develop and test the framework locally.
The aim is to collectively develop insights,
approaches and materials to support the use of the framework in
practice across the NHS in Scotland.
We have worked with NHS Borders and NHS
Tayside to introduce and test the framework across the NHS in
Scotland. The team at NHS Tayside focused on multi-disciplinary
communications, safety planning and medicines safety testing within
a mental health ward in Strathcathro Hospital, while NHS Borders
developed a frailty pathway and focussed on testing the framework
at point of admission to acute care as well as daily, weekly and
monthly interactions from ward to board.
More broadly we have engaged with
teams to align the framework with current programmes of
healthcare improvement work in Scotland, including our
from adverse events work, the Scottish
Patient Safety Programme and the
Scottish Mortality and Morbidity Programme, with a focus on
sharing experience and learning.
Video: The potential of the framework
The following video features our national clinical lead Dr
Jonathan Kirk describing the potential of the framework for the
measurement and monitoring of safety to improve healthcare in
The programme now
Healthcare Improvement Scotland is continuing to work with
regional improvement bodies, supported by the UK Improvement
Alliance, and funded by the Health Foundation on phase two of the
programme. This work will run for a further 18 months until
Our main aims are to work on the national alignment of the
framework with healthcare improvement programmes and national
policy, as well as continuing to learn from teams and organisations
who want to test the framework within their own healthcare
More information on this work can be found on the
Health Foundation website or by contacting Jo Thomson
on 0131 623 4350.