Achieving High Reliability in NHS Wales is a latest white paper from 1000 Lives Plus. It draws on technical theory and practical work from the NHS and other industries to explore how 'high reliability' could make NHS Wales a better and safer place for both staff and patients.
This guide has been produced to enable healthcare organisations and their teams to successfully implement a series of interventions to improve the safety and quality of care that their patients receive focused around the usage of trigger tools.
Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety
This paper summarises the findings of a more extensive report and proposes a framework which can guide clinical teams and healthcare organisations in the measurement and monitoring of safety and in reviewing progress against safety objectives. The framework has been used so far to promote self-reflection at both board and clinical team level, to stimulate an organisational check or analysis in the gaps of information and to promote discussion of ‘what could we do differently’.
This report examines how the hospital standardised mortality ratio (HSMR) can be used as a potentially valuable tool to reduce avoidable mortality in acute hospitals. The report acknowledges and contributes to the ongoing debate over the use of HSMR as a measurement approach.
This report synthesises the evidence on the effectiveness of detection, mitigation and actions to reduce risks in hospitals and identifies and describes components of interventions responsible for effectiveness.