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Disclosing medical errors: prioritising the needs of patients and families
Disclosing medical errors: prioritising the needs of patients and families
A slow but significant change has occurred in how healthcare professionals and organisations are expected to respond when ...
Progressing patient safety in the Emergency Medical Services
Progressing patient safety in the Emergency Medical Services
Patients are vulnerable during emergency episodes outside the formal care sector, for example, care provided by paramedics...
Five golden rules for successful measurement of improvement
Five golden rules for successful measurement of improvement
Too often, seemingly simple interventions are implemented without fully considering how the intervention might achieve the...
Moving the needle: using quality improvement to address gaps in sickle cell care
Moving the needle: using quality improvement to address gaps in sickle cell care
In 2008, the Sickle Cell Society of the UK published clinical standards for the care of adults with sickle cell disease (S...
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis
IntroductionThe phenomenon of feedback is well researched within healthcare, including, for example, debriefing, patient e...
Visual identifiers for people with dementia in hospitals: a qualitative study to unravel mechanisms of action for improving quality of care
Visual identifiers for people with dementia in hospitals: a qualitative study to unravel mechanisms of action for improving quality of care
WHAT IS ALREADY KNOWN ON THIS TOPICHospitalised patients with dementia often experience poor care. Visual identifiers for ...
Error disclosure in neonatal intensive care: a multicentre, prospective, observational study
Error disclosure in neonatal intensive care: a multicentre, prospective, observational study
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Successful quality improvement project to increase hydroxyurea prescriptions for children with sickle cell anaemia
Successful quality improvement project to increase hydroxyurea prescriptions for children with sickle cell anaemia
AbstractHydroxyurea (HU) is an effective but underused disease-modifying therapy for patients with sickle cell anaemia (SC...
Clinical decision-making and algorithmic inequality
Clinical decision-making and algorithmic inequality
Decision support algorithms based on historical data will make recommendations that are influenced by past inequality. Det...
How can we finally reduce repetitive routine laboratory tests for hospitalised patients?
How can we finally reduce repetitive routine laboratory tests for hospitalised patients?
Repeatedly performing routine laboratory tests on hospitalised patients is unnecessary and harmful. It causes discomfort, ...
Evaluating equity in performance of an electronic health record-based 6-month mortality risk model to trigger palliative care consultation: a retrospective model validation analysis
Evaluating equity in performance of an electronic health record-based 6-month mortality risk model to trigger palliative care consultation: a retrospective model validation analysis
In this retrospective model validation analysis, we identified a number of differences in the predictive performance of an...
Repurposing the Ordering of Routine Laboratory Tests in Hospitalised Medical Patients (RePORT): results of a cluster randomised stepped-wedge quality improvement study
Repurposing the Ordering of Routine Laboratory Tests in Hospitalised Medical Patients (RePORT): results of a cluster randomised stepped-wedge quality improvement study
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Effect of a health system payment and quality improvement programme for tonsillectomy in Ontario, Canada: an interrupted time series analysis
Effect of a health system payment and quality improvement programme for tonsillectomy in Ontario, Canada: an interrupted time series analysis
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Days alive and at home after hip fracture: a cross-sectional validation of a patient-centred outcome measure using routinely collected data
Days alive and at home after hip fracture: a cross-sectional validation of a patient-centred outcome measure using routinely collected data
Design and settingThis was a population-based cross-sectional study using linked health administrative data in Ontario, Ca...
Patient-centred outcomes of imaging tests: recommendations for patients, clinicians and researchers
Patient-centred outcomes of imaging tests: recommendations for patients, clinicians and researchers
IntroductionMultiple frameworks have been developed to evaluate diagnostic tests, which typically include generating evide...
Imperfection in adverse event detection: is this the opportunity to mature our focus on preventing harm in paediatrics?
Imperfection in adverse event detection: is this the opportunity to mature our focus on preventing harm in paediatrics?
In a recent issue of BMJ Quality and Safety, Dillner and colleagues aim to estimate the incidence of paediatric adverse ev...
Embracing carers: when will adult hospitals fully adopt the same practices as childrens hospitals?
Embracing carers: when will adult hospitals fully adopt the same practices as childrens hospitals?
Everyday, in children’s hospitals across the world, medical teams meet with hospitalised children and their family members...
Learning how and why complex improvement interventions work: insights from implementation science
Learning how and why complex improvement interventions work: insights from implementation science
Many quality improvement (QI) interventions can be complex, comprising multiple inter-related components that target a ran...
Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada
Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada
The Measurement and Monitoring of Safety Framework (MMSF) is a conceptual model to guide organisations in assessing safety...
Choosing Wisely for quality improvement: more is not always better
Choosing Wisely for quality improvement: more is not always better
It is not an entirely original observation that critical care medicine can be divided into two eras: a ‘maximalist’ era an...
What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study
What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study
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Mixed-methods study examining family carers perceptions of the relationship between intrahospital transitions and patient readiness for discharge
Mixed-methods study examining family carers perceptions of the relationship between intrahospital transitions and patient readiness for discharge
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Impact of COVID-19 on opioid use in those awaiting hip and knee arthroplasty: a retrospective cohort study
Impact of COVID-19 on opioid use in those awaiting hip and knee arthroplasty: a retrospective cohort study
AbstractBackground COVID-19 has had a detrimental impact on access to hip and knee arthroplasty surgery. We set out to exa...
Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative
Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative
WHAT IS ALREADY KNOWN ON THIS TOPICAn initial study of the Measurement and Monitoring of Safety Framework (MMSF) provided ...
Reducing unnecessary diagnostic phlebotomy in intensive care: a prospective quality improvement intervention
Reducing unnecessary diagnostic phlebotomy in intensive care: a prospective quality improvement intervention
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Emotional safety is patient safety
Emotional safety is patient safety
A growing body of research on patients’ and families’ understanding and conceptualisation of patient safety1 2 begs the qu...
High cost of broken relationships
High cost of broken relationships
Turnover is costly. When primary care physicians (PCPs) leave their practice for another location, leave medicine altogeth...
Improving risk stratification and decision support for deteriorating hospital patients
Improving risk stratification and decision support for deteriorating hospital patients
In the 1990s, there was increased interest in understanding the antecedents to serious adverse events such as in-hospital ...
How can routine colorectal cancer screening in the USA be considered low value in other countries?
How can routine colorectal cancer screening in the USA be considered low value in other countries?
Low-value services and healthcare overuse are tests, treatments or other medical interventions that provide little to no b...
How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory
How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory
WHAT IS ALREADY KNOWN ON THIS TOPICEfforts to involve patients in patient safety continue to revolve around professionally...
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