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The importance of measurement tools in building a safe environment.

The topic of measurement in patient safety is a very important one as it underpins the whole care process. Outcome measures are needed so that we may judge the success or failure of a care quality process or initiative. Outcome measures in health care can include mortality figures, number of complaints received, adverse incidents, and so on. There is in reality a plethora of outcome measures that can be used. Once the measures have been chosen then delivery systems are generally matched to those measures. For example, if there is an outcome measure based on the number of complaints received about a particular care service then resources normally would follow this measurement with the aim of monitoring and trying to reduce complaints. Resources may well be diverted from other areas in order to do this. The precise mechanism of patient safety and health measurement will have effects throughout the healthcare system so it is very important that they are chosen carefully. The Health Foundation has recently published two papers in this important area: A framework for measuring and monitoring safety (the guide) (Health Foundation, 2014a) and Measuring what really matters: Towards a coherent measurement system to support person-centered care (thought paper) (Health Foundation, 2014b).The Health Foundation is a charity that is helping improve the quality of care in the UK and is working on a number of important patient safety initiatives.