The National Patient Safety Improvement Programme (NPSIP) is in a unique position to identify and support the spread and adoption of effective evidence-based practice across England.


This workstream facilitates and accelerates the pace of adoption making sure that the whole system can benefit from these interventions.

In 2019/20 the programme is supporting the spread and adoption of four priority interventions, and will also identify evidence-based interventions that will help inform future priorities. 


2019/20 priority interventions:

Emergency Department Safety Checklist 

The emergency department (ED) patient safety checklist is a simple time-based framework that outlines clinical tasks that need completing for each patient in the first hours of their admittance to an ED. It aims to standardise and improve the delivery of basic care in EDs, improve resilience during periods of crowding, improve the safety and clinical outcomes of patients, and improve ED performance against Best Practice Tariffs. 

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Chronic obstructive pulmonary disease (COPD) Discharge Care Bundle 

COPD is the second most common lung disease in the UK with an estimated 1.2 million people living with the condition. The British Thoracic Society (BTS) developed a COPD Discharge Care Bundle with the aim of improving care and reducing readmissions for patients admitted with an acute exacerbations of COPD (AECOPD).


PReCePT was developed by the West of England AHSN in collaboration with University Hospitals Bristol NHS Foundation Trust, and involved both patients and staff. This evidence-based, cost-effective project was designed to help reduce cerebral palsy in babies through the increased antenatal administration of magnesium sulphate (MgSO4) to mothers during preterm labour, costing from £1 per individual dose.

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Emergency Laparotomy Care Bundle 

Approximately 30,000 emergency laparotomies are performed annually with a mortality rate of about 15 per cent within 30 days of surgery. The high average length of stay for these patients costs the NHS in England about £650 million per year.

The Emergency Laparotomy Care Bundle aims to improve standards of care for patients undergoing emergency laparotomy surgery, and reduce mortality rates, complications and hospital length of stay.

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