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Surgeons and systems working together to drive safety and quality
Surgeons and systems working together to drive safety and quality
Cardiac surgical outcomes are some of the most scrutinised results in medicine, both by the public as well as the surgeons...
Reconfiguring emergency and acute services: time to pause and reflect
Reconfiguring emergency and acute services: time to pause and reflect
A dominant trend over the past few decades has been the reconfiguration of acute hospital services to provide more central...
Adverse drug events leading to medical emergency team activation in hospitals: what can we learn?
Adverse drug events leading to medical emergency team activation in hospitals: what can we learn?
Adverse drug events (ADEs) raise major concerns in hospital care by causing morbidity and mortality in patients despite ac...
Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures in a day: a retrospective comparative cohort study
Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures in a day: a retrospective comparative cohort study
IntroductionWith increasing surgical workload, surgeons often have multiple operations in a day, especially in countries w...
Mortality before and after reconfiguration of the Danish hospital-based emergency healthcare system: a nationwide interrupted time series analysis
Mortality before and after reconfiguration of the Danish hospital-based emergency healthcare system: a nationwide interrupted time series analysis
IntroductionOver the past few decades, the number of emergency hospital visits has increased in several European countries...
Complex interplay between moral distress and other risk factors of burnout in ICU professionals: findings from a cross-sectional survey study
Complex interplay between moral distress and other risk factors of burnout in ICU professionals: findings from a cross-sectional survey study
Moral distress was positively associated for both emotional exhaustion and depersonalisation, as seen in the ‘univariate’ ...
Medication-related Medical Emergency Team activations: a case review study of frequency and preventability
Medication-related Medical Emergency Team activations: a case review study of frequency and preventability
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Cleara...
Quality and safety in the literature: April 2023
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Polypharmacy and continuity of care: medicines optimisation in the era of multidisciplinary teams
Polypharmacy and continuity of care: medicines optimisation in the era of multidisciplinary teams
Polypharmacy, and the negative effects that can arise from it, is increasingly recognised as an issue by healthcare system...
The debrief imperative: building teaming competencies and team effectiveness
The debrief imperative: building teaming competencies and team effectiveness
Healthcare providers are expected to communicate, coordinate and collaborate with people both within and outside their for...
Beyond the equity project: grounding equity in all quality improvement efforts
Beyond the equity project: grounding equity in all quality improvement efforts
Significant racial and socioeconomic disparities in care quality and patient safety persist across and within countries. R...
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis
IntroductionAdverse events (AEs) are costly,1 cause suffering for patients, their families and for healthcare professional...
Negotiating the polypharmacy paradox: a video-reflexive ethnography study of polypharmacy and its practices in primary care
Negotiating the polypharmacy paradox: a video-reflexive ethnography study of polypharmacy and its practices in primary care
Workshop discussions often centred on concerns around who is responsible for decision-making in the context of polypharmac...
Grand rounds in methodology: when are realist reviews useful, and what does a 'good realist review look like?
Grand rounds in methodology: when are realist reviews useful, and what does a 'good realist review look like?
Research in the quality and safety field often necessitates an approach that supports the development of an in-depth under...
Helping healthcare teams to debrief effectively: associations of debriefers actions and participants reflections during team debriefings
Helping healthcare teams to debrief effectively: associations of debriefers actions and participants reflections during team debriefings
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Cleara...
Impact of medical education on patient safety: finding the signal through the noise
Impact of medical education on patient safety: finding the signal through the noise
Medical education and patient care are inextricably linked. At this time, with the limitations of simulation training and ...
Top-down and bottom-up approaches to low-value care
Top-down and bottom-up approaches to low-value care
Low-value care refers to tests or treatments for which there is little evidence of benefit or more harm than benefit, whic...
'Show me the data! Using time series to display performance data for hospital boards
'Show me the data! Using time series to display performance data for hospital boards
Core to the role of a hospital board is establishing organisational strategy and multi-year priorities, ensuring processes...
Monitoring patients sexual orientation and gender identity: Can we ask? Should we ask? How do we ask?
Monitoring patients sexual orientation and gender identity: Can we ask? Should we ask? How do we ask?
There is a growing body of research which evidences that lesbian, gay, bisexual and/or transgender (LGBT+) people experien...
You can lead clinicians to water, but you cant make them drink: the role of tailoring in clinical performance feedback to improve care quality
You can lead clinicians to water, but you cant make them drink: the role of tailoring in clinical performance feedback to improve care quality
Health systems worldwide are focused on improving patient and population healthcare outcomes. Data are increasingly levera...
Evaluation of the NHS England evidence-based interventions programme: a difference-in-difference analysis
Evaluation of the NHS England evidence-based interventions programme: a difference-in-difference analysis
IntroductionLow value care can be defined as the ‘use of an intervention where evidence suggests it confers no or very lit...
National improvements in resident physician-reported patient safety after limiting first-year resident physicians extended duration work shifts: a pooled analysis of prospective cohort studies
National improvements in resident physician-reported patient safety after limiting first-year resident physicians extended duration work shifts: a pooled analysis of prospective cohort studies
Key messagesWhat is already known on this topicWork-hour limitations for first-year resident physicians have been enacted ...
Communication about sexual orientation and gender between clinicians, LGBT+ people facing serious illness and their significant others: a qualitative interview study of experiences, preferences and recommendations
Communication about sexual orientation and gender between clinicians, LGBT+ people facing serious illness and their significant others: a qualitative interview study of experiences, preferences and recommendations
OverviewThree main themes were generated: (1) creating positive first impressions and building rapport; (2) enhancing care...
Retrospective evaluation of an intervention based on training sessions to increase the use of control charts in hospitals
Retrospective evaluation of an intervention based on training sessions to increase the use of control charts in hospitals
Hospital characteristicsInformation about the 20 hospitals from the NHS Digital Peer Finder Tool15 at baseline is summaris...
Peer review of quality of care: methods and metrics
Peer review of quality of care: methods and metrics
The privilege of professional self-regulation rests on clinical peer review, a long-established method for assuring qualit...
Beyond mixed case lettering: reducing the risk of wrong drug errors requires a multimodal response
Beyond mixed case lettering: reducing the risk of wrong drug errors requires a multimodal response
Confusion between drug names that look and sound alike continues to occur and causes harm in all care settings, despite pe...
'You cant do quality between surgical cases and tea time: barriers to surgeon engagement in quality improvement
'You cant do quality between surgical cases and tea time: barriers to surgeon engagement in quality improvement
Much has been written about the challenges of surgeon engagement in quality and safety improvement work. In Taitz and coll...
Grand Rounds in Methodology: a new series to contribute to continuous improvement of methodology and scientific rigour in quality and safety
Grand Rounds in Methodology: a new series to contribute to continuous improvement of methodology and scientific rigour in quality and safety
In clinical practice, ‘grand rounds’ are well known as a method for continuing medical education. In the early 1900s, gran...
Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation
Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation
BackgroundDue to the fast-paced and complex environment, patients in hospitals and especially intensive care units (ICUs) ...
Effect of clinical peer review on mortality in patients ventilated for more than 24 hours: a cluster randomised controlled trial
Effect of clinical peer review on mortality in patients ventilated for more than 24 hours: a cluster randomised controlled trial
This study improves upon previous observational research10–12 on the effects of clinical PR as a measure to improve the qu...
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