‘Integration and learning’ is fundamental to our pursuit of quality improvement and patient safety. If we are to improve we must develop our wherewithal to learn. No easy task when preoccupied with extinguishing fires!
The purpose of any framework I guess is to help in some way to order thinking. A helping hand to make it more likely we achieve what we are striving for. The Health Foundation’s framework for the measurement and monitoring of safety offers just that. A guide to nurture our understanding of patient safety and to help us consider the broader range of information we need to establish not only whether care has been safe in the past but also if care will be safe today and in the future.
Data, or rather ‘information’ is needed to enable intelligent decision making. To intervene or not?, to change or stick?, to escalate or not? Used appropriately it is our unit of learning. Measuring is the process of accumulating information. Monitoring is keeping a check on those measurements over time looking for deviation or variation that might require deeper understanding, and learning.