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 ...

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Patients, clinicians and managers all want to be reassured that their healthcare organisation is safe. But there is no consensus about what we mean when we ask whether a healthcare organisation is ...

School of Information, University of Michigan, Ann Arbor, Michigan, USA Correspondence to Professor Michael D Cohen, School of Information, University of Michigan, 1085 South University Avenue, 312 ...

There is wide belief that organisational culture shapes many aspects of performance, including safety. Yet proof of this relationship in a medical context is hard to find. In contrast to human factors ...

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 ...

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 ...

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 ...

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 ...

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 ...

Correspondence to Dr Heather Colquhoun, Occupational Science and Occupational Therapy, University of Toronto, 160-500 University Ave, Toronto, Ontario, Canada M5G1V7; heather.colquhoun{at}utoronto.ca ...

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 ...