PRASE stands for Patient Reporting and Action for a Safe Environment. It is a set of evidence-based tools for collecting feedback from patients about how safe they feel whilst receiving healthcare, and presenting this feedback to staff. It was developed by the Yorkshire Quality and Safety Research Group.
The tools are:
1. A set of questions for collecting patient feedback, called the ‘Patient Measure of Safety’ (PMOS) that has been derived from evidence about the factors that can lead to patient safety incidents. Questions relate to 8 areas that we know contribute to safe and quality care: communication and teamwork; organisation and care planning; access to resources; the environment (e.g. ward); information flow; staff roles and responsibilities; staff training; delays.
2. A format for patients to provide more open-ended and detailed feedback about specific care experiences or incidents (good or bad) which is called the ‘Patient Incident Reporting Tool’ (PIRT).
3. A reporting structure that allows feedback to be provided in a visually appealing way that can help staff plan how they would like to respond.
PRASE feedback has been designed to be collected face-to-face through facilitated conversations with the patient and/or their carer. It has not been developed as a self-completed questionnaire.
PRASE tools were originally developed for use in hospital (in-patient) settings but have also been used in emergency departments and adapted for primary care and residential care homes.
This video provides an overview of the logic behind PRASE, its key principles, and how hospital volunteers can be invited to collect feedback from patients.
You can request the tools for your own use
PRASE tools (Patient Measures of Safety – PMOS and Patient Incident Reporting Tool – PIRT) can be provided free of charge on request. There are a number of different versions of PMOS now available:
Questionnaires will be provided in a format suitable for use by whoever will collect the feedback, along with guidance on how to organise and score the data that is collected so that a report can be produced. A sample staff report will also be provided that illustrates how the data can be presented.
PRASE is a powerful, evidence based tool to capture patient feedback on patient safety. It is local (ward based, rather than top down) but with the capacity for trust wide collation. It can improve interdisciplinary relationships and enhance a culture of true patient-centred care.
Robin Jeffrey, Consultant Renal Physician
PRASE feedback has triggered a ‘back to basics’ approach with the nursing team, focussing on minimising delays in answering patient’s buzzers.
Jeanne Poblacion, Senior Ward sister