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It is up to healthcare professionals to talk to us in a way that we can understand: informed consent processes in people with an intellectual disability
It is up to healthcare professionals to talk to us in a way that we can understand: informed consent processes in people with an intellectual disability
People with an intellectual disability form a sizeable minority group. Estimates of prevalence vary, depending on criteria...
Routine versus prompted clinical debriefing: aligning aims, mechanisms and implementation
Routine versus prompted clinical debriefing: aligning aims, mechanisms and implementation
The great art of learning is to understand but little at a time. —John LockeClinical debriefing (CD) is rapidly gaining t...
Economic analysis of surgical outcome monitoring using control charts: the SHEWHART cluster randomised trial
Economic analysis of surgical outcome monitoring using control charts: the SHEWHART cluster randomised trial
WHAT IS ALREADY KNOWN ON THIS TOPICWHAT THIS STUDY ADDSIn this national, parallel, cluster-randomised trial including 40 h...
Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments
Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments
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Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders
Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders
IntroductionAccessed by around 750 000 women in the UK in 2019 alone,1–3 antenatal care is crucial in improving birth outc...
Equitable and accessible informed healthcare consent process for people with intellectual disability: a systematic literature review
Equitable and accessible informed healthcare consent process for people with intellectual disability: a systematic literature review
What is already known on this topicPeople with intellectual disability are frequently excluded from decision-making proces...
What and when to debrief: a scoping review examining interprofessional clinical debriefing
What and when to debrief: a scoping review examining interprofessional clinical debriefing
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Interrupting false narratives: applying a racial equity lens to healthcare quality data
Interrupting false narratives: applying a racial equity lens to healthcare quality data
Across the globe, awareness of racial and ethnic health inequities and the need for healthcare systems to address them are...
Lost in translation: does measuring 'adherence to the Surgical Safety Checklist indicate true implementation fidelity?
Lost in translation: does measuring 'adherence to the Surgical Safety Checklist indicate true implementation fidelity?
The use of checklists in surgery is a best practice.1 There is a plethora of evidence that suggests using the WHO Surgical...
Elusive but hopefully not illusive: coordinating care for patients with heart failure with preserved ejection fraction
Elusive but hopefully not illusive: coordinating care for patients with heart failure with preserved ejection fraction
Depending on your perspective, a unicorn could be either a magical horned creature or a billion-dollar start-up. Alternati...
Effective use of interdisciplinary approaches in healthcare quality: drawing on operations and visual management
Effective use of interdisciplinary approaches in healthcare quality: drawing on operations and visual management
Thinkers from the broad field of quality management, such as Edwards Deming, have influenced the more focused field of hea...
Intrapartum electronic fetal monitoring: imperfect technologies and clinical uncertainties--what can a human factors and social science approach add?
Intrapartum electronic fetal monitoring: imperfect technologies and clinical uncertainties--what can a human factors and social science approach add?
For many women, fetal well-being in labour is assessed using continuous electronic fetal monitoring with cardiotocography ...
CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity
CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity
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Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis
Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis
WHAT IS ALREADY KNOWN ON THIS TOPICIntrapartum electronic fetal monitoring has been repeatedly identified as a major area ...
Informing understanding of coordination of care for patients with heart failure with preserved ejection fraction: a secondary qualitative analysis
Informing understanding of coordination of care for patients with heart failure with preserved ejection fraction: a secondary qualitative analysis
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Practice or perfect? Coaching for a growth mindset to improve the quality of healthcare
Practice or perfect? Coaching for a growth mindset to improve the quality of healthcare
Perfection in this science, or rather art [i.e. medicine] takes longer to be mastered than human life [affords]—Maimonides...
How to co-design a prototype of a clinical practice tool: a framework with practical guidance and a case study
How to co-design a prototype of a clinical practice tool: a framework with practical guidance and a case study
BackgroundClinical practice tools—ranging from medicine reconciliation charts through to diagnosis support tools and track...
Our mission and how we hope to move the field forward: statement from the BMJ Quality & Safety senior editorial team 2023
Our mission and how we hope to move the field forward: statement from the BMJ Quality & Safety senior editorial team 2023
The challengeDespite progress in many areas, the world continues to face significant and growing challenges to the deliver...
Changing the patient safety mindset: can safety cases help?
Changing the patient safety mindset: can safety cases help?
Safety cases in industryIn the UK and several other countries, including Norway, Australia and New Zealand, operators of s...
Using patient and carer perspectives to improve medication safety at transitions of care
Using patient and carer perspectives to improve medication safety at transitions of care
It is widely known—among healthcare professionals as well as patient safety researchers—that transfers of care are a high-...
Identifying patients with additional needs isnt enough to improve care: harnessing the benefits and avoiding the pitfalls of classification
Identifying patients with additional needs isnt enough to improve care: harnessing the benefits and avoiding the pitfalls of classification
Classification—the process of sorting people or things into groups according to shared qualities or characteristics—is inc...
What can Safety Cases offer for patient safety? A multisite case study
What can Safety Cases offer for patient safety? A multisite case study
Case study: the Safer Clinical Systems programmeOur analysis draws on an evaluation we conducted of a programme known as S...
Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review
Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review
WHAT IS ALREADY KNOWN ON THIS TOPICHOW THIS STUDY MIGHT AFFECT RESEARCH, PRACTICE OR POLICYThe measurement gaps found prov...
Talking about falls: a qualitative exploration of spoken communication of patients fall risks in hospitals and implications for multifactorial approaches to fall prevention
Talking about falls: a qualitative exploration of spoken communication of patients fall risks in hospitals and implications for multifactorial approaches to fall prevention
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Choosing Wisely and the climate crisis: a role for clinicians
Choosing Wisely and the climate crisis: a role for clinicians
There are growing calls for healthcare to confront it’s role in the climate crisis. Estimates suggest that carbon emission...
Systematic review of clinical debriefing tools: attributes and evidence for use
Systematic review of clinical debriefing tools: attributes and evidence for use
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Is targeting healthcares carbon footprint really the best we can do to help address the climate crisis?
Is targeting healthcares carbon footprint really the best we can do to help address the climate crisis?
I write this commentary as wildfires rage around the world, including in Greece, Italy, Siberia, Algeria and the USA. In m...
Making lemonade out of lemons: an approach to combining variable race and ethnicity data from hospitals for quality and safety efforts
Making lemonade out of lemons: an approach to combining variable race and ethnicity data from hospitals for quality and safety efforts
Equity is one of the six core healthcare quality domains in ‘Crossing the Quality Chasm’, published by the Institute of Me...
Towards comprehensive fidelity evaluations: consideration of enactment measures in quality improvement interventions
Towards comprehensive fidelity evaluations: consideration of enactment measures in quality improvement interventions
Within healthcare services worldwide, there is a continual emphasis on innovation, including the development, evaluation a...
How safe is the diagnostic process in healthcare?
How safe is the diagnostic process in healthcare?
The seminal report To Err is Human focused on a wide range of serious patient safety concerns; diagnostic error was mentio...
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