Safety culture in healthcare: a review of concepts, dimensions, measures and progress.

abstract：BACKGROUND:National Hospital Quality Measures (NHQM) should accurately reflect quality of care, as they increasingly impact reimbursement and reputation. However, similar to risk adjustment of outcomes measures, NHQM process measures pose unique methodological concerns, including lack of representativeness of the final...

journal_title：BMJ quality & safety

authors： Bruckel J,Liu X,Hohmann SF,Karson AS,Mort E,Shahian DM

更新日期：2017-03-01 00:00:00

abstract：BACKGROUND:There is widespread recognition that leadership skills are essential for effective performance in the workplace, but the evidence detailing effective leadership behaviours for surgeons during operations is unclear. DATA SOURCES:Boolean searches of four on-line databases and detailed hand search of relevant ...

journal_title：BMJ quality & safety

authors： Henrickson Parker S,Yule S,Flin R,McKinley A

更新日期：2011-07-01 00:00:00

abstract：PURPOSE:To compare the effectiveness of two types of online learning methodologies for improving the patient-safety behaviours mandated in the Joint Commission National Patient Safety Goals (NPSG). METHODS:This randomised controlled trial was conducted in 2010 at Massachusetts General Hospital and Brigham and Women's ...

journal_title：BMJ quality & safety

authors： Shaw TJ,Pernar LI,Peyre SE,Helfrick JF,Vogelgesang KR,Graydon-Baker E,Chretien Y,Brown EJ,Nicholson JC,Heit JJ,Co JP,Gandhi T

更新日期：2012-10-01 00:00:00

abstract：OBJECTIVE:Paediatric cardiac surgery has a low error tolerance and demands high levels of cognitive and technical performance. Growing evidence suggests that further improvements in patient outcomes depend on system factors, in particular, effective team skills. The hypotheses that small intraoperative non-routine even...

journal_title：BMJ quality & safety

authors： Schraagen JM,Schouten T,Smit M,Haas F,van der Beek D,van de Ven J,Barach P

更新日期：2011-07-01 00:00:00

abstract：BACKGROUND:Relatively little is known about how scorecards presenting performance indicators influence medication safety. We evaluated the effects of implementing a ward-level medication safety scorecard piloted in two English NHS hospitals and factors influencing these. METHODS:We used a mixed methods, controlled bef...

journal_title：BMJ quality & safety

authors： Ramsay AI,Turner S,Cavell G,Oborne CA,Thomas RE,Cookson G,Fulop NJ

更新日期：2014-02-01 00:00:00

abstract：BACKGROUND:Non-drug technologies offer many benefits, but have been associated with adverse events, prompting calls for improved postmarket surveillance. There is little empirical research to guide the development of such a system. The purpose of this study was to identify optimal postmarket surveillance strategies for...

journal_title：BMJ quality & safety

authors： Gagliardi AR,Umoquit M,Lehoux P,Ross S,Ducey A,Urbach DR

更新日期：2013-03-01 00:00:00

abstract：BACKGROUND:Patient safety (PS) receives limited attention in health professional curricula. We developed and pilot tested four Objective Structured Clinical Examination (OSCE) stations intended to reflect socio-cultural dimensions in the Canadian Patient Safety Institute's Safety Competency Framework. SETTING AND PART...

journal_title：BMJ quality & safety

authors： Ginsburg LR,Tregunno D,Norton PG,Smee S,de Vries I,Sebok SS,VanDenKerkhof EG,Luctkar-Flude M,Medves J

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:Errors in clinical reasoning occur in most cases in which the diagnosis is missed, delayed or wrong. The goal of this review was to identify interventions that might reduce the likelihood of these cognitive errors. DESIGN:We searched PubMed and other medical and non-medical databases and identified addition...

journal_title：BMJ quality & safety

authors： Graber ML,Kissam S,Payne VL,Meyer AN,Sorensen A,Lenfestey N,Tant E,Henriksen K,Labresh K,Singh H

更新日期：2012-07-01 00:00:00

abstract：OBJECTIVE:To examine how disciplinary tribunals assess different forms of misconduct in deciding whether to remove doctors from practice for professional misconduct. DESIGN AND SETTING:Multivariable regression analysis of 485 cases in which tribunals found doctors guilty of professional misconduct. The cases came from...

journal_title：BMJ quality & safety

authors： Elkin K,Spittal MJ,Elkin D,Studdert DM

更新日期：2012-12-01 00:00:00

abstract：BACKGROUND:Readmissions of chronic obstructive pulmonary disease (COPD) have devastating effects on patient quality-of-life, disease progression and healthcare cost. Effective interventions to reduce COPD readmissions are needed. OBJECTIVES:Reduce 30-day all-cause readmissions by (1) creating a COPD care bundle that a...

journal_title：BMJ quality & safety

authors： Zafar MA,Panos RJ,Ko J,Otten LC,Gentene A,Guido M,Clark K,Lee C,Robertson J,Alessandrini EA

更新日期：2017-11-01 00:00:00

abstract：OBJECTIVE:The goal of this study was to identify barriers and facilitators to the optimal management of critically ill children who present initially to community hospitals and how best to support the needs of front-line healthcare providers in these settings prior to transfer to the regional academic paediatric health...

journal_title：BMJ quality & safety

authors： Gilleland J,McGugan J,Brooks S,Dobbins M,Ploeg J

更新日期：2014-06-01 00:00:00

abstract：BACKGROUND:Interest in human factors has increased across healthcare communities and institutions as the value of human centred design in healthcare becomes increasingly clear. However, as human factors is becoming more prominent, there is growing evidence of confusion about human factors science, both anecdotally and ...

journal_title：BMJ quality & safety

authors： Russ AL,Fairbanks RJ,Karsh BT,Militello LG,Saleem JJ,Wears RL

更新日期：2013-10-01 00:00:00

abstract：BACKGROUND:Careful design of preprinted order sets is needed to prevent medical overuse. Recent work suggests that removing a single checkbox from an order set changes physicians' clinical decision-making. LOCAL PROBLEM:During a 2-month period, our coronary care unit (CCU) ordered almost eight times as many serum thyr...

journal_title：BMJ quality & safety

authors： Leis B,Frost A,Bryce R,Lyon AW,Coverett K

更新日期：2019-10-01 00:00:00

abstract：INTRODUCTION:Emergent evidence suggests that patients can identify and report safety issues while in hospital. However, little is known about the best method for collecting information from patients about safety concerns. This study presents an exploratory pilot of three mechanisms for collecting data on safety concern...

journal_title：BMJ quality & safety

authors： O'Hara JK,Armitage G,Reynolds C,Coulson C,Thorp L,Din I,Watt I,Wright J

更新日期：2017-01-01 00:00:00

abstract：OBJECTIVE:Neonates are at high risk for significant morbidity and mortality from medication prescribing errors. Despite general awareness of these risks, mistakes continue to happen. Alerts in computerised physician order entry intended to help prescribers avoid errors have not been effective enough. This improvement p...

journal_title：BMJ quality & safety

authors： Sullivan KM,Suh S,Monk H,Chuo J

更新日期：2013-03-01 00:00:00

abstract：BACKGROUND:Burnout is widespread among healthcare providers and is associated with adverse safety behaviours, operational and clinical outcomes. Little is known with regard to the explanatory links between burnout and these adverse outcomes. OBJECTIVES:(1) Test the psychometric properties of a brief four-item burnout ...

journal_title：BMJ quality & safety

authors： Profit J,Sharek PJ,Amspoker AB,Kowalkowski MA,Nisbet CC,Thomas EJ,Chadwick WA,Sexton JB

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Patient-reported outcome measures (PROMs) often produce skewed distributions of individual scores after a healthcare intervention. For health performance indicators derived from skewed distributions, funnel plots designed with symmetric control limits may increase the risk of false alarms about poor performa...

journal_title：BMJ quality & safety

authors： Neuburger J,Cromwell DA,Hutchings A,Black N,van der Meulen JH

更新日期：2011-12-01 00:00:00

abstract：OBJECTIVE:Hospital care comprises nearly a third of US healthcare expenditures. Fifteen to 20 per cent of this spending is considered to be potentially preventable. Risk prediction models have suboptimal accuracy and typically exclude patient experience data. No studies have explored patient perceptions of the likeliho...

journal_title：BMJ quality & safety

authors： Carter J,Ward C,Wexler D,Donelan K

更新日期：2018-09-01 00:00:00

abstract：BACKGROUND:Realising the full potential of the WHO Surgical Safety Checklist (SSC) to reduce perioperative harm requires the constructive engagement of all operating room (OR) team members during its administration. To facilitate research on SSC implementation, a valid and reliable instrument is needed for measuring OR...

journal_title：BMJ quality & safety

authors： Devcich DA,Weller J,Mitchell SJ,McLaughlin S,Barker L,Rudolph JW,Raemer DB,Zammert M,Singer SJ,Torrie J,Frampton CM,Merry AF

更新日期：2016-10-01 00:00:00

abstract：BACKGROUND:Healthcare systems worldwide are concerned with strengthening board-level governance of quality. We applied Lozeau, Langley and Denis' typology (transformation, customisation, loose coupling and corruption) to describe and explain the organisational response to an improvement intervention in six hospital boa...

journal_title：BMJ quality & safety

authors： Jones L,Pomeroy L,Robert G,Burnett S,Anderson JE,Morris S,Capelas Barbosa E,Fulop NJ

更新日期：2019-03-01 00:00:00

abstract：BACKGROUND:Patient and public involvement (PPI) is often an essential requirement for research funding. Distinctions can be drawn between clinical research, which generally focuses on patients, and implementation research, which generally focuses on health professional behaviour. There is uncertainty about the role of ...

journal_title：BMJ quality & safety

authors： Gray-Burrows KA,Willis TA,Foy R,Rathfelder M,Bland P,Chin A,Hodgson S,Ibegbuna G,Prestwich G,Samuel K,Wood L,Yaqoob F,McEachan RRC

更新日期：2018-10-01 00:00:00

abstract：BACKGROUND:Patient participation in care is a fundamental element of safe and high-quality healthcare with the potential to enhance health outcomes and improve patient satisfaction. OBJECTIVES:To test the efficacy of a clinician-facilitated, bedside multimedia (MyStay) intervention designed to support patient particip...

journal_title：BMJ quality & safety

authors： McDonall J,de Steiger R,Reynolds J,Redley B,Livingston PM,Hutchinson AF,Botti M

更新日期：2019-10-01 00:00:00

abstract：OBJECTIVE:To assess quality of care for children presenting with acute abdominal pain using validated indicators. DESIGN:Audit of care quality for acute abdominal pain according to 21 care quality indicators developed and validated in four stages. SETTING AND PARTICIPANTS:Medical records of children aged 1-15 years r...

journal_title：BMJ quality & safety

authors： Zurynski Y,Churruca K,Arnolda G,Dalton S,Ting HP,Hibbert PD,Molloy C,Wiles LK,de Wet C,Braithwaite J

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND:A safe delivery is part of a good start in life, and a continuous focus on preventing harm during delivery is crucial, even in settings with a good safety record. In January 2013, the labour unit at Copenhagen University Hospital, Hvidovre, undertook a quality improvement (QI) project to prevent asphyxia and...

journal_title：BMJ quality & safety

authors： Hollesen RVB,Johansen RLR,Rørbye C,Munk L,Barker P,Kjaerbye-Thygesen A

更新日期：2018-08-01 00:00:00

abstract：BACKGROUND:The safety-and-quality movement is now two decades old. Errors persist despite best efforts, indicating that there are entrenched overt and perhaps less explicit barriers limiting the success of improvement efforts. OBJECTIVES AND HYPOTHESES: To examine the perspectives of five groups of healthcare worker...

journal_title：BMJ quality & safety

authors： Travaglia JF,Nugus PI,Greenfield D,Westbrook JI,Braithwaite J

更新日期：2012-09-01 00:00:00

abstract：AIM:To evaluate the effectiveness of a 'Do not interrupt' bundled intervention to reduce non-medication-related interruptions to nurses during medication administration. METHODS:A parallel eight cluster randomised controlled study was conducted in a major teaching hospital in Adelaide, Australia. Four wards were rando...

journal_title：BMJ quality & safety

authors： Westbrook JI,Li L,Hooper TD,Raban MZ,Middleton S,Lehnbom EC

更新日期：2017-09-01 00:00:00

abstract：OBJECTIVES:To sustainably reduce the rate of mislabelled laboratory specimens through implementation of a series of interventions as led and coordinated by a multidisciplinary performance improvement team. METHODS:The quality improvement project was performed at Cedars-Sinai Medical Center in Los Angeles, an academic ...

journal_title：BMJ quality & safety

authors： Seferian EG,Jamal S,Clark K,Cirricione M,Burnes-Bolton L,Amin M,Romanoff N,Klapper E

更新日期：2014-08-01 00:00:00

abstract：OBJECTIVE:To determine the association between daily levels of registered nurse (RN) and nursing assistant staffing and hospital mortality. DESIGN:This is a retrospective longitudinal observational study using routinely collected data. We used multilevel/hierarchical mixed-effects regression models to explore the asso...

journal_title：BMJ quality & safety

authors： Griffiths P,Maruotti A,Recio Saucedo A,Redfern OC,Ball JE,Briggs J,Dall'Ora C,Schmidt PE,Smith GB,Missed Care Study Group.

更新日期：2019-08-01 00:00:00

abstract：OBJECTIVE:We sought to identify the characteristics of patients who experience medical emergency team calls in the radiology department (MET-RD) and the relationship between these characteristics and patient outcomes. DESIGN/PARTICIPANTS:Retrospective review of 111 inpatient MET-RD calls (May 2008-April 2010). SETTIN...

journal_title：BMJ quality & safety

authors： Ott LK,Pinsky MR,Hoffman LA,Clarke SP,Clark S,Ren D,Hravnak M

更新日期：2012-06-01 00:00:00

abstract：OBJECTIVE:To assess the psychometric properties of the French-language version of the Hospital Survey on Patient Safety Culture (HSOPSC). METHODS:Data were obtained from a staff survey at a Swiss multisite hospital. We computed descriptive statistics and internal consistency coefficients, then conducted a confirmatory...

journal_title：BMJ quality & safety

authors： Perneger TV,Staines A,Kundig F

更新日期：2014-05-01 00:00:00