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Leadership and planning

A 90-day starting plan for a hospital safety programme

Use three stages to understand the current system, test practical improvements and review what remains unresolved.

Original planning guide · For local adaptation

Original AI-assisted planning guide from Nagpur IMA Safety. Adapt it with the responsible local team; it is not a clinician-reviewed protocol.

Days 1–30: understand the baseline

Identify the accountable leader and include representatives from different shifts and roles. Map the assistance route, reporting process and available support. Review existing procedures before creating new ones. Record urgent gaps and address them through the institution’s normal safety process rather than waiting for the end of the planning period.

Days 31–60: deliver a small set of improvements

Choose a manageable number of actions with owners and dates. Examples include clearer induction, an agreed backup contact or a revised complaints explanation. Practise the new arrangement through announced discussions or controlled exercises. Use real approved resources and consenting participants. Keep proposed services clearly distinguished from those actually available.

Days 61–90: check and continue

Ask staff whether the changes work on their shifts and inspect the evidence of completion. Review what failed, what needs resources and which gaps remain. Share an appropriate progress update and set the next review. The 90-day structure is a planning suggestion, not a guarantee that a hospital will become safe or meet every legal obligation within that period.

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