In this document, Charles Vincent and colleagues from Imperial College London, propose a new framework to help find the elusive answer to the question – how safe is care today?
This framework highlights the following five dimensions, which the authors believe should be included in any safety and monitoring approach in order to give a comprehensive and rounded picture of an organisation’s safety:
- Past harm: this encompasses both psychological and physical measures.
- Reliability: this is defined as ‘failure free operation over time’ and applies to measures of behaviour, processes and systems.
- Sensitivity to operations: the information and capacity to monitor safety on an hourly or daily basis.
- Anticipation and preparedness: the ability to anticipate, and be prepared for, problems.
- Integration and learning: the ability to respond to, and improve from, safety information.
The measurement and monitoring of safety (Health Foundation, April 2013) https://www.health.org.uk/publications/the-measurement-and-monitoring-of-safety
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