ArticleBMJ quality & safety2018
Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice.
Article in BMJ quality & safety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Evaluating the Impact of Short-Notice Accreditation Assessment on Hospitals' Patient Safety and Quality Culture: Protocol for a Mixed Methods Study.JMIR research protocols · 2026Article
- Exploring quality and patient safety competencies and competency frameworks: a scoping review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- Co-designing a national quality and patient safety competency framework for Ireland: insights from a qualitative exploratory study.BMC health services research · 2025Article
- The latent system factors that influence antimicrobial use and governance in healthcare: a scoping review of high-income health systems.EClinicalMedicine · 2025Review
- Reconciling Safety and Safeguarding in Health and Social Care: Implications for Just Culture.Healthcare (Basel, Switzerland) · 2025Article
- Estimating the link between service-user patient safety perceptions, incidents and subsequent contagion in acute mental health wards.BMC psychiatry · 2024Article
- Promoting a Patient-Centered Understanding of Safety in Acute Mental Health Wards: A User-Centered Design Approach to Develop a Real-Time Digital Monitoring Tool.JMIR formative research · 2024Article
- A mixed-methods characterisation of patient safety incidents by primary eye care practitioners.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2022Article
- Measuring and monitoring patient safety in hospitals in Saudi Arabia.BMC health services research · 2021Article
- Recent research into healthcare professions regulation: a rapid evidence assessment.BMC health services research · 2021Review
- Exploring links between resilience and the macro-level development of healthcare regulation- a Norwegian case study.BMC health services research · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
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Abstract
backgroundThe Measurement and Monitoring of Safety Framework provides a conceptual model to guide organisations in assessing safety. The Health Foundation funded a large-scale programme to assess the value and impact of applying the Framework in regional and frontline care settings. We explored the experiences and reflections of key participants in the programme.
methodsThe study was conducted in the nine healthcare organisations in England and Scotland testing the Framework (three regional improvement bodies, six frontline settings). Post hoc interviews with clinical and managerial staff were analysed using template analysis.
findingsParticipants reported that the Framework promoted a substantial shift in their thinking about how safety is actively managed in their environment. It provided a common language, facilitated a more inquisitive approach and encouraged a more holistic view of the components of safety. These changes in conceptual understanding, however, did not always translate into broader changes in practice, with many sites only addressing some aspects of the Framework. One of the three regions did embrace the Framework in its entirety and achieved wider impact with a range of interventions. This region had committed leaders who took time to fully understand the concepts, who maintained a flexible approach to exploring the utility of the Framework and who worked with frontline staff to translate the concepts for local settings.
conclusionsThe Measuring and Monitoring of Safety Framework has the potential to support a broader and richer approach to organisational safety. Such a conceptually based initiative requires both committed leaders who themselves understand the concepts and more time to establish understanding and aims than might be needed in a standard improvement programme.
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