Measuring patient safety at a national, organization, and system level

Thomas Lamont, Jason Leitch

Research output: Chapter in Book/Report/Conference proceedingChapter


Measurement of patient safety at the system and organizational level provides the data for a prospective improvement in patient safety. Measurement happens at the individual and team levels and, if we want to have a wider understanding of patient safety within a system, at the organizational or regional and national levels. The main aim of measurement is for us to learn rather than to judge. As healthcare is a complex enterprise, the measurement of safety will require many different approaches in order to obtain a true reflection of the overall safety of the system. Include here can be the measurement of never events, sentinel events, and clinical adverse events of lesser impact. Measurement should be part of daily work with rapid feedback to clinical teams, so that they can mitigate when necessary. It can be done manually or, given the increasing use of electronic records, digitally.
Original languageEnglish
Title of host publicationOxford professional practice
Subtitle of host publicationHandbook of patient safety
EditorsPeter Lachman, Jane Runnacles, Anita Jayadev, John Brennan, John Fitzsimons
Place of PublicationOxford
PublisherOxford University Press
Number of pages12
ISBN (Electronic)9780191939303
ISBN (Print)9780192846877
Publication statusPublished - 1 Mar 2022


  • never events
  • sentinel events
  • case note review
  • hospital standardized mortality ratio (HSMR)
  • hospital-acquired infections


Dive into the research topics of 'Measuring patient safety at a national, organization, and system level'. Together they form a unique fingerprint.

Cite this