Your job is to lead your organisation's patient safety efforts. You have ways to monitor and investigate harm to patients. You have data. You've put an action plan into place.
So, why aren't you seeing results? The situation may not be getting worse, but your data is frustratingly stable. You're not seeing the reductions in harm from falls, VTEs, CA-UTIs, pressure ulcers, or infections you expected. You're getting pressure from above you and your staff is suffering from burnout.
Everyone is trying their best, but patients are still experiencing unnecessary harm. You know that continually investigating and re-investigating case-by-case won't get you the insights necessary to guide fundamental changes, but what's the alternative?
If you're looking for a different approach, consider the Institute for Healthcare Improvement's (IHI's) three-day Leading Patient Safety: United Kingdom programme. It offers practical and scientific methods to create a whole-system approach to eliminating harm.
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