NIHR Patient Safety Translational Research Centre at Imperial College London and Imperial College Healthcare NHS Trust
There is no simple solution to improve safety, and no single intervention implemented in isolation will fully address the issue. This report highlights four pillars of a safety strategy:
1. A systems approach. The approach to reduce harm must be integrated and implemented at the system level.
2. Culture counts. Health systems and organisations must truly prioritise quality and safety through an inspiring vision and positive reinforcement, not through blame and punishment.
3. Patients as true partners. Healthcare organisations must involve patients and staff in safety as part of the solution, not simply as victims or culprits.
4. Bias towards action. Interventions should be based on robust evidence. However, when evidence is lacking or still emerging, providers should proceed with cautious, reasoned decision-making rather than inaction.
Read the full report here