Utilising improvement science methods to optimise medication reconciliation.

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:We sought to investigate the formal and informal ways preregistration students from medicine, nursing, pharmacy and the allied healthcare professions learn about patient safety. METHODS:We drew on Eraut's framework on formal and informal acquisition of professional knowledge to undertake a series of phased ...

journal_title：BMJ quality & safety

authors： Cresswell K,Howe A,Steven A,Smith P,Ashcroft D,Fairhurst K,Bradley F,Magnusson C,McArthur M,Pearson P,Sheikh A,Patient Safety Education Research Group.

更新日期：2013-10-01 00:00:00

abstract：OBJECTIVES:To demonstrate complementary results of regression and statistical process control (SPC) chart analyses for hospital-acquired pressure ulcers (HAPUs), and identify possible links between changes and opportunities for improvement between hospital microsystems and macrosystems. METHODS:Ordinary least squares ...

journal_title：BMJ quality & safety

authors： Padula WV,Mishra MK,Weaver CD,Yilmaz T,Splaine ME

更新日期：2012-06-01 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：OBJECTIVE:To assess the quality of guidelines, consensus statements and systematic reviews on flu and pneumococcal immunisations in HIV-infected children. METHOD:The authors screened PubMed and Embase databases until the year 2009 for guidelines, consensus statements and systematic reviews on flu and pneumococcal immu...

journal_title：BMJ quality & safety

authors： Giannattasio A,Lo Vecchio A,Albano F,Giacomet V,Barbarino A,Guarino A

更新日期：2011-05-01 00:00:00

abstract：BACKGROUND:There have been repeated calls to better involve patients and the public and to place them at the centre of healthcare. Serious clinical and service failings in the UK and internationally increase the urgency and importance of addressing this problem. Despite this supportive policy context, progress to achie...

journal_title：BMJ quality & safety

authors： Ocloo J,Matthews R

更新日期：2016-08-01 00:00:00

abstract：BACKGROUND:Monitoring blood pressure at 72 hours and 7-10 days post partum in women with hypertensive disorders is recommended to decrease morbidity. However, there are no recommendations as to how to achieve this. OBJECTIVE:To compare the effectiveness of text-based blood pressure monitoring to in-person visits for w...

journal_title：BMJ quality & safety

authors： Hirshberg A,Downes K,Srinivas S

更新日期：2018-11-01 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 Previous research has shown a correlation between physician job satisfaction and patient satisfaction with quality of care, but the connection between job satisfaction of other primary care team members and patient satisfaction is yet unclear. OBJECTIVE To evaluate whether there is an association between pa...

journal_title：BMJ quality & safety

authors： Szecsenyi J,Goetz K,Campbell S,Broge B,Reuschenbach B,Wensing M

更新日期：2011-06-01 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

abstract：:Medical errors continue to occur despite multiple strategies devised for their prevention. Although many safety initiatives lead to improvement, they are often short lived and unsustainable. Our goal was to build a culture of patient safety within a structure that optimised teamwork and ongoing engagement of the healt...

journal_title：BMJ quality & safety

authors： Thomas L,Galla C

更新日期：2013-05-01 00:00:00

abstract：BACKGROUND:Existing evidence indicates that reducing nurse staffing and/or skill mix adversely affects care quality. Nursing shortages may lead managers to dilute nursing team skill mix, substituting assistant personnel for registered nurses (RNs). However, no previous studies have described the relationship between nu...

journal_title：BMJ quality & safety

authors： Bridges J,Griffiths P,Oliver E,Pickering RM

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Educational interventions to improve teamwork in crisis situations have proliferated in recent years with substantial variation in teamwork measurement. This systematic review aimed to synthesise available tools and their measurement properties in order to identify the most robust tool for measuring the team...

journal_title：BMJ quality & safety

authors： Boet S,Etherington N,Larrigan S,Yin L,Khan H,Sullivan K,Jung JJ,Grantcharov TP

更新日期：2019-04-01 00:00:00

abstract：OBJECTIVE:Administrative data systems are used to identify hospital-based patient safety events; few studies evaluate their accuracy. We assessed the accuracy of a new set of patient safety indicators (PSIs; designed to identify in hospital complications). STUDY DESIGN:Prospectively defined analysis of registry data (...

journal_title：BMJ quality & safety

authors： McIsaac DI,Hamilton GM,Abdulla K,Lavallée LT,Moloo H,Pysyk C,Tufts J,Ghali WA,Forster AJ

更新日期：2020-03-01 00:00:00

abstract：OBJECTIVE:To examine the association of consultants' experience with mortality by day of the week when elective surgery was performed. DESIGN:Retrospective observational study using English hospital administrative data. SETTING:All acute and specialist English National Health Service (NHS) hospitals carrying out elec...

journal_title：BMJ quality & safety

authors： Ruiz M,Bottle A,Aylin PP

更新日期：2016-05-01 00:00:00

abstract：:There have been repeated calls from all quarters of healthcare for more clinicians to be leaders. The risks of not accepting this responsibility have been demonstrated by harrowing reports into failed care in England. Ambiguity persists over what clinical leadership encompasses, how it can be developed and how to insp...

journal_title：BMJ quality & safety

authors： Ramanuj PP,Ryland H,Mitchell EW,Parvizi N,Chinthapalli K

更新日期：2014-08-01 00:00:00

abstract：OBJECTIVE:Valid, reliable critical appraisal tools advance quality improvement (QI) intervention impacts by helping stakeholders identify higher quality studies. QI approaches are diverse and differ from clinical interventions. Widely used critical appraisal instruments do not take unique QI features into account and e...

journal_title：BMJ quality & safety

authors： Hempel S,Shekelle PG,Liu JL,Sherwood Danz M,Foy R,Lim YW,Motala A,Rubenstein LV

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:Plan-do-study-act (PDSA) cycles provide a structure for iterative testing of changes to improve quality of systems. The method is widely accepted in healthcare improvement; however there is little overarching evaluation of how the method is applied. This paper proposes a theoretical framework for assessing t...

journal_title：BMJ quality & safety

authors： Taylor MJ,McNicholas C,Nicolay C,Darzi A,Bell D,Reed JE

更新日期：2014-04-01 00:00:00

abstract：BACKGROUND:Learning is in delicate balance with safety, as faculty supervisors try to foster trainee development while safeguarding patients. This balance is particularly challenging if trainees are allowed to experience the educational benefits of failure, acknowledged as a critical resource for developing competence ...

journal_title：BMJ quality & safety

authors： Klasen JM,Driessen E,Teunissen PW,Lingard LA

更新日期：2020-09-01 00:00:00

abstract：OBJECTIVE:Implement and demonstrate feasibility of in situ simulations to identify latent safety threats (LSTs) at a higher rate than lab-based training, and reinforce teamwork training in a paediatric emergency department (ED). METHODS:Multidisciplinary healthcare providers responded to critical simulated patients in...

journal_title：BMJ quality & safety

authors： Patterson MD,Geis GL,Falcone RA,LeMaster T,Wears RL

更新日期：2013-06-01 00:00:00

abstract：OBJECTIVE:To assess the effectiveness of a multifaceted intervention based on industrial process improvement to identify and sustainably correct deficiencies in thromboprophylaxis delivery. SUMMARY BACKGROUND DATA:Deep vein thrombosis and pulmonary embolism are major causes of morbidity and mortality in surgical patie...

journal_title：BMJ quality & safety

authors： Kreckler S,Morgan RD,Catchpole K,New S,Handa A,Collins G,McCulloch P

更新日期：2013-11-01 00:00:00

abstract：BACKGROUND:Good outcomes for in-hospital cardiac arrest (IHCA) depend on a skilled resuscitation team, prompt initiation of high-quality cardiopulmonary resuscitation and defibrillation, and organisational structures to support IHCA response. We examined the role of nurses in resuscitation, contrasting higher versus lo...

journal_title：BMJ quality & safety

authors： Guetterman TC,Kellenberg JE,Krein SL,Harrod M,Lehrich JL,Iwashyna TJ,Kronick SL,Girotra S,Chan PS,Nallamothu BK

更新日期：2019-11-01 00:00:00

abstract：:This commentary explores the nature of creating safety in the here-and-now. Creating safety encompasses two dimensions: revisiting specific behaviours by focusing on substandard performance (reflection), and a more broad-ranging attention to everyday behaviours that are taken as given (reflexivity). The piece pays par...

journal_title：BMJ quality & safety

authors： Iedema R

更新日期：2011-04-01 00:00:00

abstract：BACKGROUND:Improved hospital care is needed to reduce newborn mortality in low/middle-income countries (LMIC). Nurses are essential to the delivery of safe and effective care, but nurse shortages and high patient workloads may result in missed care. We aimed to examine nursing care delivered to sick newborns and identi...

journal_title：BMJ quality & safety

authors： Gathara D,Serem G,Murphy GAV,Obengo A,Tallam E,Jackson D,Brownie S,English M

更新日期：2020-01-01 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：:The opening keynote session of the 16th Annual National Patient Safety Foundation Patient Safety Congress, held 14-16 May 2014, featured a debate addressing the merits and challenges of accountability with respect to key issues in patient safety. The specific resolution debated was: Certain safety practices should be ...

journal_title：BMJ quality & safety

authors： McTiernan P,Wachter RM,Meyer GS,Gandhi TK

更新日期：2015-02-01 00:00:00

abstract：OBJECTIVE:To explore whether differences between collaboratives with respect to type of topic, type of targets, measures (systems) are also reflected in the degree of effectiveness. STUDY SETTING:182 teams from long-term healthcare organisation developed improvement initiatives in seven quality-improvement collaborati...

journal_title：BMJ quality & safety

authors： Strating MM,Nieboer AP,Zuiderent-Jerak T,Bal RA

更新日期：2011-04-01 00:00:00

abstract：INTRODUCTION:Adverse events (AEs) affect 3-12% of hospitalised patients. These are estimates from a labour-intensive chart review process,which is not feasible outside research. Clinical deterioration on the wards triggers a rapid response teams (RRTs) consult and can be used to identify an AE prospectively. OBJECTIVE...

journal_title：BMJ quality & safety

authors： Amaral AC,McDonald A,Coburn NG,Xiong W,Shojania KG,Fowler RA,Chapman M,Adhikari NK

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:Free-text directions generated by prescribers in electronic prescriptions can be difficult for patients to understand due to their variability, complexity and ambiguity. Pharmacy staff are responsible for transcribing these directions so that patients can take their medication as prescribed. However, little ...

journal_title：BMJ quality & safety

authors： Zheng Y,Jiang Y,Dorsch MP,Ding Y,Vydiswaran VGV,Lester CA

更新日期：2020-05-25 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