Debra Larsen and colleagues describe how the use of a process based on the ‘plan, do, study, act’ model has raised staff morale and improved care

Holding regular safety briefings and debriefings has improved safety and the patient experience at one trust. The approach was piloted in an elective orthopaedic inpatient setting and includes obtaining real time patient feedback. The comments are themed, which enables staff to introduce service changes to rectify any problems. Staff using the tools have adopted the process as part of their working schedule. The authors discuss the advantages of using such an approach, which they believe can be introduced in any inpatient, outpatient and day-case setting to promote a safety culture in teams and obtain patient feedback that can be acted on promptly.