A tool to identify falling care quality

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A safety trigger tool was developed so individual wards could anticipate where standards may start to deteriorate and therefore act to prevent care failures occurring


Carolyn Moore is an independent consultant and former director of nursing, who worked on the QuESTT tool, coordinating its development on behalf of NHS South West and directors of nursing across the region; Liz Childs is director of nursing and governance and deputy chief executive, South Devon Healthcare Foundation Trust; she was project director.

Moore C, Childs L (2011) A tool to identify falling care quality. Nursing Times; 107: 49/50, 14–16. Issues raised in the Mid Staffordshire Foundation Trust inquiry led staff at NHS South West to develop a tool that could predict falling standards, so preventive action could be taken before failings in care occurred. This article describes how the Quality, Effectiveness and Safety Trigger Tool (QuESTT) was developed and implemented in practice.

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