qualitysafety.bmj1d
What to expect when you're evaluating healthcare improvement: a concordat approach to managing collaboration and uncomfortable realities
Evaluation of improvement initiatives in healthcare is essential to establishing whether interventions are effective and to understanding how and why they work in order to enable replication. Although ...
qualitysafety.bmj1d
How to study improvement interventions: a brief overview of possible study types
Improvement (defined broadly as purposive efforts to secure positive change) has become an increasingly important activity and field of inquiry within healthcare. This article offers an overview of ...
qualitysafety.bmj2d
Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review
Background Diagnostic error incurs enormous human and economic costs. The dual-process model reasoning provides a framework for understanding the diagnostic process ...
qualitysafety.bmj4d
Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety
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 ...
qualitysafety.bmj5d
The published literature on handoffs in hospitals: deficiencies identified in an extensive review
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 ...
qualitysafety.bmj6d
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.bmj6d
What is a prescribing error?
Objective—To develop a practitioner led definition of a prescribing error for use in quantitative studies of their incidence. Design—Two stage Delphi technique ...
qualitysafety.bmj6d
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
A typology of organisational cultures
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 ...
qualitysafety.bmj6d
Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework
1 School of Pharmacy and Pharmaceutical Sciences, University of Manchester, UK 2 School of Psychological Sciences, University of Manchester, UK Correspondence to: Dr D M Ashcroft Senior Clinical ...
qualitysafety.bmj6d
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.bmj8d
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 ...