This is a secondary driver from leadership at all levels to support a culture of safety within the Deteriorating Patient driver diagram
Change ideas
The examples below show how this secondary driver can be implemented in practice. Additional change ideas can be found in the Deteriorating Patient driver diagram
- Practitioner: Timely reporting and sharing of adverse events, successes and opportunities for improvement
- Team: Teams routinely collect, review and act on care assurance data, and contribute to local governance processes
- Organisation: Clinical governance processes include oversight of deteriorating patient data, improvement and priorities
Evidence and resources
- Fulop NJ, Ramsay AIG. Governance and Leadership. Cambridge University Press; 2023.
- Healthcare Improvement Scotland. A national framework for reviewing and learning from adverse events in NHS Scotland [online]. 2025
- Healthcare Improvement Scotland. Clinical governance standards [online]. 2026
- Healthcare Improvement Scotland. Quality management system [online]. 2025
- National Wellbeing Hub [online].
