Skip to main content

How Do Hospitals Deliver Safe, Effective and High Quality Care?

  • Chapter
  • First Online:
Hospital Transformation
  • 705 Accesses

Abstract

This chapter explores how hospitals provide safe, effective and high quality care. The development and role of external review as a process to identify areas of good and poor practice is described. Amalgamated learning from hospitals which have areas of outstanding practice is reviewed along with examples and case studies.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Teasdale GM. Learning from Bristol: report of the public inquiry into children’s heart surgery at Bristol Royal Infirmary 1984-1995. Br J Neurosurg. 2002;16(3):211–6.

    Article  CAS  Google Scholar 

  2. Francis R. Report of the mid staffordshire NHS foundation trust public inquiry. New directions for youth development. London: The Stationery Office; 2013.

    Google Scholar 

  3. The state of care in NHS acute hospitals [Internet] [cited 2018 Sep 17]. Available from: https://www.cqc.org.uk/sites/default/files/20170302b_stateofhospitals_web.pdf.

  4. Barton A. Patient safety and quality: an evidence-based handbook for nurses. AORN J. 2009;90(4):601–2.

    Article  Google Scholar 

  5. Delivering cost effective care in the NHS [Internet] [cited 2018 Sep 17]. Available from: https://www.cqc.org.uk/sites/default/files/20151028_delivering_cost_effective_care_in_the_NHS.pdf.

  6. WHO. What is quality of care and why is it important? [Internet]. World Health Organization; 2017 [cited 2018 Sep 17]. p. 1–4. Available from: http://www.who.int/maternal_child_adolescent/topics/quality-of-care/definition/en/.

  7. Goodacre S, Campbell M, Carter A. What do hospital mortality rates tell us about quality of care? Emerg Med J [Internet]. 2015 Mar 1 [cited 2018 Sep 17];32(3):244–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24064042.

  8. Keogh B. Review into the quality of care and treatment provided by 14 hospital trusts in England: overview report. London: Hm Govt; 2013.

    Google Scholar 

  9. Care Quality Commission. Sheffield Teaching Hospitals NHS Foundation Trust quality report [Internet]. 2016 [cited 2018 Sep 17]. Available from: https://www.cqc.org.uk/sites/default/files/new_reports/AAAE8129.pdf.

  10. Bennett D, Flory D. The healthy NHS board [Internet]. 2013. Available from: www.foresight-partnership.co.uk.

  11. Mannion R, Davies HTO, Jacobs R, Kasteridis P, Millar R, Freeman T. Do hospital boards matter for better, safer, patient care? Soc Sci Med [Internet]. 2017 Mar;177:278–87. Available from: https://www.sciencedirect.com/science/article/pii/S0277953617300527.

    Article  CAS  Google Scholar 

  12. Jones L, Pomeroy L, Robert G, Burnett S, Anderson JE, Fulop NJ. How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. BMJ Qual Saf [Internet]. 2017 Dec;26(12):978–86. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28689191.

    Article  Google Scholar 

  13. Alderwick H, Charles A, Jones B, Warburton W. Making the case for quality improvement: lessons for NHS boards and leaders. London: The Kings Fund; 2017. https://www.kingsfund.org.uk/publications/making-case-quality-improvement.

  14. Anandaciva S, Ward D, Randhawa M, Edge R. Leadership in today’s NHS. The King’s Fund [Internet]. [cited 2018 Sep 12]. Available from: https://www.kingsfund.org.uk/publications/leadership-todays-nhs.

  15. Why agility is imperative for healthcare organizations. McKinsey on Healthcare [Internet]. [cited 2018 Sep 17]. Available from: https://healthcare.mckinsey.com/why-agility-imperative-healthcare-organizations.

  16. Braithwaite J. Changing how we think about healthcare improvement. BMJ [Internet]. 2018 May 17 [cited 2018 Sep 12];361:k2014. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29773537.

  17. Tolib Mirzoev SK. What is health systems responsiveness? Review of existing knowledge and proposed conceptual framework. [cited 2018 Sep 18]; Available from: http://resyst.lshtm.ac.uk/.

  18. CQC. How CQC regulates: NHS and independent acute hospitals. Provider handbook, March 2015 [Internet]. 2015 [cited 2018 Sep 12]. Available from: https://www.cqc.org.uk/sites/default/files/20150327_acute_hospital_provider_handbook_march_15_update_01.pdf.

  19. Churchill N. Domain 4: ensuring that people have a positive experience of care [Internet]. 2013 [cited 2018 Sep 18]. Available from: https://www.england.nhs.uk/wp-content/uploads/2013/11/pat-expe.pdf.

  20. Baker GR (Commission on L, in the Nhs) M. The roles of leaders in high-performing health care systems. Comm Leadersh Manag NHS Kings Fund. 2011.

    Google Scholar 

  21. Freedom to speak up an independent review into creating an open and honest reporting culture in the NHS Freedom to speak up-a review of whistleblowing in the NHS 2 [Internet]. 2015 [cited 2018 Sep 11]. Available from: http://freedomtospeakup.org.uk/wp-content/uploads/2014/07/F2SU_web.pdf.

  22. Ham C. Improving NHS care by engaging staff and devolving decision making: report of the review of staff engagement and empowerment in the NHS. King’s Fund [Internet]. 2014 [cited 2018 Sep 11];2014:1–76. Available from: https://www.kingsfund.org.uk/sites/default/files/field/field_publication_file/improving-nhs-care-by-engaging-staff-and-devolving-decision-making-jul14.pdf.

  23. Collins B. Staff engagement Six building blocks for harnessing the creativity and enthusiasm of NHS staff [Internet]. 2015 [cited 2018 Sep 11]. Available from: https://www.kingsfund.org.uk/sites/default/files/field/field_publication_file/staff-engagement-feb-2015.pdf.

  24. NHSEmployers. Staff involvement, quality improvement and staff engagement. The missing links? Brief 110 [Internet]. 2017 [cited 2018 Sep 11];(July). Available from: http://www.nhsemployers.org/-/media/Employers/Publications/Staff-involvement-quality-improvement-and-staff-engagement.pdf.

  25. Caring for quality in health lessons learnt from 15 reviews of health care quality [Internet]. [cited 2018 Sep 11]. Available from: https://www.oecd.org/els/health-systems/Caring-for-Quality-in-Health-Final-report.pdf.

  26. Department of Health. A promise to learn-a commitment to act: improving the safety of patients in England. National Advisory Group on the Safety of Patients in England [Internet]. 2013 [cited 2018 Sep 11]. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/226703/Berwick_Report.pdf.

  27. Vincent C, Burnett S, Carthey J. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. BMJ Qual Saf [Internet]. 2014 Aug 1 [cited 2018 Sep 11];23(8):670–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24764136.

    Article  Google Scholar 

  28. Harvard Business School. Value-based health care delivery - institute for strategy and competitiveness - Harvard Business School [Internet]. 2014 [cited 2018 Sep 11]. p. 1. Available from: https://www.isc.hbs.edu/health-care/vbhcd/Pages/default.aspx.

  29. Porter ME. What is value in health care? N Engl J Med [Internet]. 2010 Dec 23 [cited 2018 Sep 11];363(26):2477–81. Available from: http://www.nejm.org/doi/abs/10.1056/NEJMp1011024.

  30. ICHOM – international consortium for health outcomes measurement [Internet]. [cited 2018 Sep 17]. Available from: http://www.ichom.org/.

  31. Openness and honesty when things go wrong: the professional duty of candour [Internet]. [cited 2018 Sep 17]. Available from: www.nmc.org.uk/concerns-nurses-midwives/.

  32. NHS Improvement: “investigation fatigue” prevents trusts learning from mistakes. Health Serv J [Internet]. [cited 2018 Sep 17]. Available from: https://www.hsj.co.uk/policy-and-regulation/nhs-improvement-investigation-fatigue-prevents-trusts-learning-from-mistakes/7021967.article.

  33. NRLS reporting [Internet]. [cited 2018 Sep 17]. Available from: https://report.nrls.nhs.uk/nrlsreporting/.

  34. Labella B, Giannantoni P, Raho V, Tozzi Q, Caracci G. Disseminating good practices for patient safety: the experience of the Italian National Observatory on Good Practices for Patient Safety. Epidemiol Biostat Public Health. 2016 [cited 2018 Dec 21]. Available from: https://ebph.it/article/download/11691/10842.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Patrick Dobbs .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Dobbs, P. (2019). How Do Hospitals Deliver Safe, Effective and High Quality Care?. In: Burke, D., Godbole, P., Cash, A. (eds) Hospital Transformation. Springer, Cham. https://doi.org/10.1007/978-3-030-15448-6_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-15448-6_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-15447-9

  • Online ISBN: 978-3-030-15448-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics