Safer Patients Initiative: Phase 1

Mixed-method evaluation of a large-scale organisational intervention to improve patient safety in four UK hospitals

February 2011


Key points

  • 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.

    Further reading

    Learning report

    Safer Patients Initiative

    An overview and evaluation of the Safer Patients Initiative, highlighting the impact of the programme, key lessons and issues...

    Research report

    Safer Patients Initiative: Case studies

    A series of case studies illustrating the work of the Health Foundation's Safer Patients Initiative

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