- The evaluation comprised three parts:
- organisational level change
- using interviews to evaluate changes in culture and knowledge
- case note review to investigate changes in adverse events, including how practitioners responded to acutely ill and deteriorating patients and how well they recorded vital signs.
The Safer Patients Initiative (SPI) was a complex, large-scale intervention and the first major improvement programme addressing patient safety in the UK.
The initiative was designed to test ways of improving patient safety on an organisation-wide basis within hospitals across the UK.
The first phase of that programme began in January 2005 and provided direct support to four NHS hospitals as they implemented an organisation-wide patient safety programme for 18 months. This report covers the evaluation of that phase.