[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-661158-105":59,"doc-detail-661158-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","nhs-improvement-patient-safety-alert-decision-flowchart","NHS Improvement Patient Safety Alert Decision Flowchart","","This document provides a systematic decision-making framework for determining whether a patient safety issue, resource, or intervention meets the formal criteria for an NHS Improvement Patient Safety Alert. It outlines a sequential process, starting from the definition of the NHS Improvement remit and the assessment of potential risks regarding death or disability. The flowchart guides users through critical diagnostic steps: evaluating the feasibility of addressing issues at the source, determining if the problem is novel or under-recognized, and ensuring proposed actions are constructive and systemic rather than merely advisory. Furthermore, it details requirements for interventions, emphasizing the necessity for evidence-based cost justification, feasibility, and potential equality impact. By following these rigorous guidelines, organizations can effectively identify which issues require official systemic intervention, thereby minimizing errors and enhancing patient safety across the healthcare landscape. The content serves as a foundational tool for the National Patient Safety Alerting Committee (NaPSAC) to maintain standardization and efficacy in safety reporting and risk management protocols.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/nhs-improvement-patient-safety-alert-decision-flowchart/661158/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/nhs-improvement-patient-safety-alert-decision-flowchart/661158.png","ImageObject",300,407,{"name":92,"@type":93},"BAd apple","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-10-28",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What defines the remit for an NHS Improvement Patient Safety Alert?","Question",{"text":112,"@type":113},"The remit is defined by instances where systemic actions can be taken to prevent or reduce errors of omission or commission by healthcare staff.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What is the criteria for a risk to qualify regarding death or disability?",{"text":117,"@type":113},"It must be considered 'more likely than not' that the issue would lead to one or more potentially avoidable deaths or instances of disability in the healthcare system per 50 million population within the following year.",{"name":119,"@type":110,"acceptedAnswer":120},"Why must actions for an Alert be systemic?",{"text":121,"@type":113},"Systemic actions are required because they effectively mitigate risks at the organizational level rather than relying solely on raising awareness or issuing warnings to individuals.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},661158,1793158864,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":81},19241458193282,"https://us-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Deciding if the patient safety issue, resources or intervention meet the criteria for an NHS Improvement Patient Safety Alert  \nA. NHS Improvement’s Patient Safety Alert remit is defined as “when systemic actions can be taken to prevent or reduce errors of omission or commission by healthcare staff”’.  \nB. Agreed by NaPSAC as “more likely than not one or more potentially avoidable deaths or disability in healthcare per 50 million population in the following year”.  \nC. An example of addressing an issue at source is manufacturers of medical equipment or IT systems changing their design in such a way that it eliminates the risk of error.  \nD. To be constructive, actions must do more than raise awareness or warn people to be vigilant against error. They require healthcare organisations to take systemic action, not actions that are more effectively delivered by professional organisations such as royal colleges.  \nE. ‘Resources and interventions’ can include new technology or new networks or collaboratives, as well as more traditional resource sets. To support an Alert, they must do more than describe correct care and additionally help to systemically reduce the risk of error.  \nF. As defined by NaPSAC – see [https://www.england.nhs.uk/patient-safety/national](https://www.england.nhs.uk/patient-safety/national)patient-safety-alerting-committee/  \nSource: Patient safety review and response report October 2018 to March 2019","cbCaikcOLrI2iFO0","https://ap.wps.com/l/cbCaikcOLrI2iFO0","pdf",352291,"English","# Decision Criteria Overview\n## Remit and Risk Assessment\n## Addressing Issues at Source\n## Evaluating Systemic Actions and Interventions","[{\"question\":\"What defines the remit for an NHS Improvement Patient Safety Alert?\",\"answer\":\"The remit is defined by instances where systemic actions can be taken to prevent or reduce errors of omission or commission by healthcare staff.\"},{\"question\":\"What is the criteria for a risk to qualify regarding death or disability?\",\"answer\":\"It must be considered 'more likely than not' that the issue would lead to one or more potentially avoidable deaths or instances of disability in the healthcare system per 50 million population within the following year.\"},{\"question\":\"Why must actions for an Alert be systemic?\",\"answer\":\"Systemic actions are required because they effectively mitigate risks at the organizational level rather than relying solely on raising awareness or issuing warnings to individuals.\"}]","NHS Improvement Patient Safety Alert Decision Flowchart | PDF"]