The SAFER patient flow bundle blends five elements of best practice. It’s important to implement all five together for cumulative benefits and it works particularly well when you use it with the ‘Red2Green days’ approach.
this guidance to your local circumstances, to support engagement and continuous
The five elements of the SAFER patient flow bundle are:
– Senior review. All patients will have a senior
review before midday by a clinician able to make management and discharge
A – All patients will have an expected discharge date and clinical criteria for discharge. This is set assuming ideal recovery and assuming no unnecessary waiting.
F – Flow of patients will commence at the earliest opportunity from assessment units to inpatient wards. Wards that routinely receive patients from assessment units will ensure the first patient arrives on the ward by 10 am.
E – Early discharge. 33% of patients will be discharged from base inpatient wards before midday.
R – Review. A systematic multi-disciplinary team review of patients with extended lengths of stay (>7 days – ‘stranded patients’) with a clear ‘home first’ mindset.
To get started use our practical SAFER patient flow bundle rapid improvement guide to introduce best practice and reduce delays for your patients.
These SAFER patient flow bundle slides are useful for introducing the bundle to your teams. You can adapt them for local use and training.
An example implementation checklist that you can adapt for local use.
Many aspects of the SAFER patient flow bundle aren't new to ward teams; some teams find a baseline assessment is a good place to start.
This tool was co-designed by a ward and improvement team members. It can help you gain a clear picture of your current practice, before you attempt to implement the SAFER patient flow bundle.
Many providers have successfully implemented the SAFER patient flow bundle. These case studies show good practice and how the providers have benefited.
You can find more case studies on The Academy of Fabulous Stuff website.
Use these videos in your training and launch events.
For webinars covering the key principles of Safer, faster, better and how to apply them in your systems, visit our Safer, faster, better webinar page.
Find out more
Some providers have dedicated webpages of resources to support their improving flow programmes and implementation of the SAFER patient flow bundle. Gloucestershire Hospitals NHS Foundation Trust’s website is a great example.
The SAFER patient flow bundle is best implemented with Red2Green days; find out more and use the resources on the Red2Green campaign page.
You can also follow these hashtags on Twitter for highlights of the latest achievements across the country.
- Red2Green campaign
- Are your patients fit to sit?
- The SAFER patient flow bundle and Red2Green days approach
You can also access all our rapid improvement guides to support improvements in urgent and emergency care at rapid improvement guides.