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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...
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...
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...
Racial and ethnic disparities in common inpatient safety outcomes in a childrens hospital cohort
Racial and ethnic disparities in common inpatient safety outcomes in a childrens hospital cohort
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Burden of serious harms from diagnostic error in the USA
Burden of serious harms from diagnostic error in the USA
IntroductionDiagnostic error is a major source of preventable harms worldwide across clinical settings,1–6 but epidemiolog...
Development and validation of the Overall Fidelity Enactment Scale for Complex Interventions (OFES-CI)
Development and validation of the Overall Fidelity Enactment Scale for Complex Interventions (OFES-CI)
The OFES-CI can be helpful for those involved in QI. We can be more confident about a QI initiative that appears to be eff...
Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient?
Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient?
Studying near-miss errors is essential to preventing errors from reaching patients. When an error is committed, it may be ...
Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives
Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives
Machine learning (ML) solutions are increasingly entering healthcare. They are complex, sociotechnical systems that includ...
Quality and safety in the literature: February 2024
Quality and safety in the literature: February 2024
Healthcare quality and safety span multiple topics across the spectrum of academic and clinical disciplines. Keeping abre...
Contextualising opioid-related risk factors before an initial opioid prescription
Contextualising opioid-related risk factors before an initial opioid prescription
When asked about the similarities between the region of Valencia, Spain and the State of Oregon in the USA, an artificial-...
Work addiction and quality of care in healthcare: Working long hours should not be confused with addiction to work
Work addiction and quality of care in healthcare: Working long hours should not be confused with addiction to work
Behavioural addictions are addictions that do not involve the ingestion of psychoactive substances and yet feature all the...