Measurement and analysis are key to answering the question ‘How safe are we?’ The Health Foundation has developed a framework for measuring and monitoring safety. Further helpful advice can be found in ‘Measuring what matters’.  Retrospective approaches to measurement and analysis of patient safety include Root Cause Analysis and the Global Trigger Tool.  Future-orientated methods include risk assessments. A new approach to understanding the safety state of a department or organisation is the safety case. Safety cases are widely used in other industries, and involve a structured, systematic and evidence-based analysis of the current safety arrangements across a specific area.

Practical guide: A framework for measuring and monitoring safety – The Health Foundation
Measuring what matters – 1000 Lives Plus
Measuring and monitoring safety: a primary care perspective The Health Foundation
Measuring and monitoring safety: an acute care perspective – The Health Foundation
Safety culture: What is it and how do we monitor and measure it? – The Health Foundation
Lining Up: How is harm measured? – The Health Foundation
IHI Global Trigger Tool for Measuring Adverse Events – Institute for Healthcare Improvement
Using safety cases in industry and healthcare – The Health Foundation
Root Cause Analysis (RCA) report-writing tools and templates – National Patient Safety Agency
NHS Patient Safety Thermometer – NHS

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