Key points

  • Dr Carol Peden focuses on where patient safety work is directed within her hospital.
  • She discusses the areas of safety that have challenged her, and the lessons she has learned trying to improve safety in an acute hospital setting.

Dr Carol Peden offers reflections on the measurement and monitoring of safety from the perspective of a practising clinician based at a busy district general hospital.

The Health Foundation is calling for a stepwise change in thinking about patient safety. This paper forms part of a programme of work we are undertaking to help answer the question: 'How do we know care is safe?' We want to build on a culture that has focused almost exclusively on measuring past harm and enhance this to incorporate approaches to measurement that also establish the presence of safety.

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