qualitysafety.bmj3d
Assessing safety culture: guidelines and recommendations
Department of Anaesthesiology and Critical Care Medicine, The Johns Hopkins University, Baltimore, MD, USA Correspondence to: Associate Professor P J Pronovost Department of Anaesthesiology and ...
qualitysafety.bmj3d
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.bmj4d
Investigators are human too: outcome bias and perceptions of individual culpability in patient safety incident investigations
Background Healthcare patient safety investigations inappropriately focus on individual culpability and the target of ...
qualitysafety.bmj7d
Demystifying theory and its use in improvement
The role and value of theory in improvement work in healthcare has been seriously underrecognised. We join others in proposing that more informed use of theory can strengthen improvement programmes ...
qualitysafety.bmj7d
Beyond “see one, do one, teach one”: toward a different training paradigm
Johns Hopkins University School of Medicine, Quality and Safety Research Group, Baltimore, MD, USA In the process of acquiring new skills, physicians-in-training may expose patients to harm because ...
qualitysafety.bmj7d
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.bmj7d
Addressing the challenges of knowledge co-production in quality improvement: learning from the implementation of the researcher-in-residence model
The concept of knowledge co-production is used in health services research to describe partnerships (which can involve researchers, practitioners, managers, commissioners or service users) with the ...
qualitysafety.bmj8d
Improving feedback on junior doctors’ prescribing errors: mixed-methods evaluation of a quality improvement project
1 Centre for Medication Safety and Service Quality, Imperial College Healthcare NHS Trust, London, UK 2 Centre for Patient Safety and Service Quality, Imperial College London, London, UK ...
qualitysafety.bmj9d
Measuring patient safety climate: a review of surveys
1 Department of Community and Family Medicine, Dartmouth Medical School, Hanover, NH, USA 2 Departments of Pediatrics and of Internal Medicine, Dartmouth Medical School, Hanover, NH, USA 3 Veterans ...
qualitysafety.bmj10d
Finding patients before they crash: the next major opportunity to improve patient safety
Correspondence to Dr David W Bates, Division of General Internal Medicine, The Center for Patient Safety Research and Practice, Brigham and Women's Hospital, 1620 Tremont St, Boston, MA 2120, USA; ...
qualitysafety.bmj10d
A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name
1 Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, Ontario, Canada Too often, however, improvement teams go through the motions of PDSA cycles without really ...
qualitysafety.bmj10d
Electronic health records and adverse drug events after patient transfer
Background Our objective was to examine the frequencies of medication error and adverse drug events (ADEs) at the time of patient transfer in a system with an ...