Harm |
|
Case record review |
|
Global trigger tool |
|
National audits |
|
Patient safety indicators |
|
Rates of surgical complications |
|
Incidence of falls |
|
Incidence of pressure ulcers |
|
Mortality and morbidity |
Reliability of safety critical processes |
|
Observation of safety critical behaviour |
|
Audit of equipment availability |
|
Monitoring of vital signs |
|
Monitoring of stroke care bundles |
|
Venous thromboembolism risk assessment |
|
Assessment of suicide risk |
Sensitivity to operations |
|
Safety walk-rounds and conversations |
|
Talking to patients |
|
Ward rounds and routine reviews of patients and working conditions |
|
Briefings and debriefings |
|
Observation and conversations with clinical teams |
|
Real time monitoring and feedback in anaesthesia |
Anticipation and preparedness |
|
Structured reflection |
|
Risk registers |
|
Human reliability analysis |
|
Safety cases |
|
Safety culture assessment |
|
Anticipated staffing levels and skill mix |
Integration and learning |
|
Aggregate analysis of incidents, claims and complaints |
|
Feedback and implementation of safety lessons by clinical teams |
|
Regular integration and review by clinical teams and general practice |
|
Whole system suites of safety metrics, for example, web enabled portals clinical unit level |
|
Population level analyses of safety metrics |