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Situation Awareness for Everyone (S.A.F.E) - Dissemination and Spread

PIPSQC is pleased to announce the RCPCH has received funding to spread the learning from the Situation Awareness for Everyone (S.A.F.E) programme - and is looking for clinical teams from hospitals around the country to join the programme as they spread and scale up.


The RCPCH has received funding from the Health Foundation to spread the learning from the SAFE programme. This is an opportunity for clinical teams from hospitals around the country to buddy up with teams that have been in the programme previously.


From 2014-2016, the RCPCH led this two year programme in partnership with 28 hospitals to develop test and introduce the concept of situation awareness in hospitals with the resultant change in team culture and process. The patient outcomes over the longer term would be decreased deterioration, decreased transfers to higher levels of care and decreased mortality and morbidity. We used a suite of quality improvement techniques. The main intervention was the huddle, a short meeting to discuss patients, and a new way of determining concern. We have developed a Resource Centre which helps sites implement the programme's core principles to improve communication, build a safety-based culture and deliver better outcomes for children and young people:

- S.A.F.E Resource Pack: http://www.rcpch.ac.uk/safe-resource


The Anna Freud Centre studied the programme and concluded "while no clear pattern in our more distal outcome measures, such as cardiac arrests and transfers to ICU, could be discerned, staff could give clear examples of the benefits of implementation, particularly in terms of staff communication and teamwork, organisation and efficiency, and awareness of patient risk and safety issues".
We believe here will be a lag phase between the change in culture and team work to the clinical outcomes which will come to fruition over time.


We are looking for clinical teams to join the programme as we spread and scale up. Teams that join will attend a one day workshop to learn the methodology and then will be partnered with one of the 28 hospital teams that have been on the programme, supported by the RCPCH. We will give access to measurement system and provide webinar support. What is needed is clinical leadership, support by your executive team, commitment to attend and then try the methodology, a sense of fun and inquiry and the desire to make a real difference by thinking and acting differently.

How can you join?

You can register to participate by emailing Nuala Flewett at: nuala.flewett@rcpch.ac.uk

You will need to submit the names and contact details of your team who will be attending the workshop with you, as well as your preference for the location and date by Friday 29th September, 2017. Below is the list of dates when we will be holding the workshops around the country (exact locations TBC). You only need to attend one of them - the closest or otherwise most convenient:

- London: November 20th, 2017
- Liverpool, North West: January 11th, 2018
- Newcastle upon Tyne, North East: January 26th, 2018
- TBC, Midlands: February 9th, 2018
- Southampton, South of England: March 19th, 2018