qualitysafety.bmj5d
A realist review of how, why, for whom and in which contexts quality improvement in healthcare impacts inequalities
Introduction Quality improvement (QI) is aimed at improving care. Equity is one of the six domains of healthcare quality, as defined by the Institute of Medicine. If this domain is ignored, QI ...
qualitysafety.bmj5d
The beast and the burden: will pruning performance measurement improve quality?
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qualitysafety.bmj2d
The next phase of healthcare improvement: what can we learn from social movements?
To date, improvement in health care has relied mainly on a “top down” programme by programme approach to service change and development. This has spawned a multitude of different and often impressive ...
qualitysafety.bmj6d
How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study
Clinical Safety Research Unit, St Mary’s Hospital, London, UK R Davis, Clinical Safety Research Unit, Department of Bio-Surgery and Surgical Technology, 10th Floor, Queen Elizabeth The Queen Mother ...
qualitysafety.bmj4d
The run chart: a simple analytical tool for learning from variation in healthcare processes
Background Those working in healthcare today are challenged more than ever before to quickly and efficiently learn from data to improve their services and delivery of care. There is broad agreement ...
qualitysafety.bmj2d
Rate of avoidable deaths in a Norwegian hospital trust as judged by retrospective chart review
Background The proportion of avoidable hospital deaths is challenging to estimate, but has great implications for quality improvement and health policy. Many studies and monitoring tools are based on ...
qualitysafety.bmj6d
Methodology and rationale for the measurement of harm with trigger tools
The growing recognition of harm as an unwelcome and frequently unrecognized byproduct of health care has initiated focused efforts to create highly reliable organizations for safe healthcare delivery.
qualitysafety.bmj5d
International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process
Correspondence to Ann-Marie Howell, Surgery and Cancer, Imperial College, 1029 QEQM St Mary's Hospital, Praed Street, London W2 1NY, UK; a.howell{at}imperial.ac.uk Background Patient safety incident ...
qualitysafety.bmj6d
Reconcilable differences: correcting medication errors at hospital admission and discharge
3 Division of General Internal Medicine and Patient Safety Service, Sunnybrook & Women’s College Health Sciences Centre and Associate Professor, Department of Medicine, University of Toronto, Toronto, ...
qualitysafety.bmj7d
Research designs for studies evaluating the effectiveness of change and improvement strategies
3 Health Services Research Unit, University of Aberdeen, Aberdeen, UK Correspondence to: Professor M Eccles, Professor of Clinical Effectiveness, Centre for Health Services Research, 21 Claremont ...
qualitysafety.bmj10d
A look into the nature and causes of human errors in the intensive care unit
Objectives: The purpose of this study was to investigate the nature and causes of human errors in the intensive care unit (ICU), adopting approaches proposed by human factors engineering. The basic ...
qualitysafety.bmj5d
“Cotton Mather, you dog, dam you! I’l inoculate you with this; with a pox to you”: smallpox inoculation, Boston, 1721
Department of Epidemiology and Biostatistics, Case School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA Correspondence to: Professor D Neuhauser Department of Epidemiology and ...