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Locums: threat or opportunity
Locums: threat or opportunity
The medical workforce is key to service quality. Organisations have a duty to develop their workforce—to ensure profession...
Pragmatic trials are needed to assess the effectiveness of enhanced recovery after surgery protocols on patient safety
Pragmatic trials are needed to assess the effectiveness of enhanced recovery after surgery protocols on patient safety
Contemporary healthcare systems comprise a myriad of organisations and professionals committed to patient care. These syst...
Taking action on inequities: a structural paradigm for quality and safety
Taking action on inequities: a structural paradigm for quality and safety
As quality improvement and patient safety (QIPS) practitioners, we aspire to improve care for all patients, caregivers and...
Locum doctor working and quality and safety: a qualitative study in English primary and secondary care
Locum doctor working and quality and safety: a qualitative study in English primary and secondary care
WHAT IS ALREADY KNOWN ON THIS TOPICDespite longstanding policy concerns about the implications of locum working for qualit...
Accuracy of telephone triage for predicting adverse outcomes in suspected COVID-19: an observational cohort study
Accuracy of telephone triage for predicting adverse outcomes in suspected COVID-19: an observational cohort study
Key messagesHow this study might affect research, practice or policyTelephone triage can have an important role in managin...
Quality, safety and artificial intelligence
Quality, safety and artificial intelligence
Healthcare quality and safety span multiple topics across the spectrum of academic and clinical disciplines. Keeping abre...
Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy
Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy
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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...
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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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...