Intended for healthcare professionals

Letters Is quality of care improving?

View from English pilot site of Safer Patients Initiative

BMJ 2011; 342 doi: (Published 01 March 2011) Cite this as: BMJ 2011;342:d1313
  1. Stephen Ramsden, director1
  1. 1Transforming Health, Maids Moreton, Buckinghamshire MK18 1FB, UK
  1. sramsden2{at}

I was the chief executive officer of Luton and Dunstable Hospital, the pilot site in England for the Safer Patients Initiative, 2004-8 (SPI1). The main objective of SPI1 was to reduce adverse events (as measured by the global trigger tool) by half. We achieved this, as well as a reduction of 55% in cardiac arrests, the main reason why our hospital standardised mortality ratio fell from being …

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