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: Share opportunities for improvement and collaborate on testing changes
- Team: Explore existing processes to identify and share learning, for example MDT morbidity and mortality meetings
- Organisation: Local process to share and act on reliable data and learning between teams, hospitals and boards
Evidence and resources
- Healthcare Improvement Scotland. A national framework for reviewing and learning from adverse events in NHS Scotland [online]. 2025
- Healthcare Improvement Scotland. Engaging communities [online]. 2025
- Healthcare Improvement Scotland. Enablers of quality and change [online]. 2025 Available from: https://www.healthcareimprovementscotland.scot/improving-care/scottish-approach-to-change/enablers-of-quality-and-change/
- McDonald PL, Foley TJ, Verheij R, Braithwaite J, Rubin J, Harwood K, et al. Data to knowledge to improvement: creating the learning health system. BMJ 2024; 384 :e076175
- Public Services Delivery Scotland. Safety culture discussion cards [online]. 2018