- The report highlights a number of potential benefits of using safety cases in healthcare, including:
- promoting structured thinking about risk among clinicians and fostering multidisciplinary communication about safety
- integrating evidence sources
- aiding communication among stakeholders
- making the implicit explicit.
- Risks and challenges identified include safety cases:
- becoming a paper exercise
- being removed from everyday practice
- being produced by the wrong people.
This report presents the results of a study that reviewed the use of safety cases in six safety-critical industries, as well as the emerging use of safety cases in healthcare.
The aims of the study were to describe safety case use in other industries, to make pragmatic recommendations for the adoption of safety cases in healthcare and to outline possible healthcare application scenarios.
The core of a safety case is typically a risk-based argument and corresponding evidence to demonstrate that:
- all risks associated with a particular system have been identified
- appropriate risk controls have been put in place
- there are appropriate processes in place to monitor the effectiveness of the risk controls and the safety performance of the system on an ongoing basis.
The purpose of a safety case is to provide a structured argument, supported by a body of evidence, that provides a compelling, comprehensible and valid case that a system is acceptably safe for a given application in a given context
The use of safety cases is an accepted best practice in UK safety-critical industries and is adopted by companies as a means of providing rigour and structure to their safety management systems.
The Health Foundation is exploring the development of safety cases in healthcare through our Safer Clinical Systems programme. The learning from this work could have far-reaching implications, not just for how staff assure safety within their clinical settings, but also for how the regulators and commissioners of healthcare services monitor patient safety in the UK.
You might also like...
The Berwick advisory group was set up in 2013 to support Professor Don Berwick to review patient safety in the NHS in England...
Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice
Background The Measurement and Monitoring of Safety Framework provides a conceptual model to guide organisations in assessing...
Objective To explore different models of clinical–insurer engagement around maternity safety and to understand how state insu...
Health Foundation @HealthFdn
@tonislater @TraceyCole101 @snowangelscic @BHImpetus Thanks for highlighting. We posted a blog this year on a schem… https://t.co/iEgv83S2IKFollow us on Twitter
Work with us
We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.View current vacancies
The Q Community
Q is an initiative connecting people with improvement expertise across the UK.Find out more