Patient safety: closing the implementation gap
Over the years many of us have tried to implement new measures to improve patient safety, but we are often forced to admit that things haven’t turned out as we had originally intended.
In 2003 when I joined the National Patient Safety Agency (NPSA), a group of us wrote national patient safety guidance for the NHS, which was based on a systematic review of the research, international and national patient safety knowledge and understanding, personal experience, expertise and judgement. But despite being widely disseminated, these strategies have never been successfully implemented at scale. This is disappointing, but it has led us to a realisation that simply telling people to get on with it is not the answer.
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