An ethicist's journey as a patient: are we sliding down the slippery slope to sloppy healthcare?

abstract：BACKGROUND:In Scotland, the uptake of clinic-based breast (72%) and cervical (77%) screening is higher than home-based colorectal screening (~60%). To inform new approaches to increase uptake of colorectal screening, we compared the perceptions of colorectal screening among women with different screening histories. ME...

journal_title：BMJ quality & safety

authors： Kotzur M,McCowan C,Macdonald S,Wyke S,Gatting L,Campbell C,Weller D,Crighton E,Steele RJC,Robb KA

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND:Diagnostic error is commonly defined as a missed, delayed or wrong diagnosis and has been described as among the most important patient safety hazards. Diagnostic errors also account for the largest category of medical malpractice high severity claims and total payouts. Despite a large literature on the inci...

journal_title：BMJ quality & safety

authors： Gunderson CG,Bilan VP,Holleck JL,Nickerson P,Cherry BM,Chui P,Bastian LA,Grimshaw AA,Rodwin BA

更新日期：2020-12-01 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：INTRODUCTION:Although registered nurses (RNs) are central in patient care, we have not found prior research that specifically addresses how RNs assess the safety of patient care at their workplace and how factors in RNs' work environment are related to their assessments. This study aims to address these issues. METHOD...

journal_title：BMJ quality & safety

authors： Smeds Alenius L,Tishelman C,Runesdotter S,Lindqvist R

更新日期：2014-03-01 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：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：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：:The use of statistical process control (SPC) charts in healthcare is increasing. The primary purpose of SPC is to distinguish between common-cause variation which is attributable to the underlying process, and special-cause variation which is extrinsic to the underlying process. This is important because improvement u...

journal_title：BMJ quality & safety

authors： Mohammed MA,Panesar JS,Laney DB,Wilson R

更新日期：2013-04-01 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：BACKGROUND:Standard operating procedures (SOPs) should improve safety in the operating theatre, but controlled studies evaluating the effect of staff-led implementation are needed. METHODS:In a controlled interrupted time series, we evaluated three team process measures (compliance with WHO surgical safety checklist, ...

journal_title：BMJ quality & safety

authors： Morgan L,New S,Robertson E,Collins G,Rivero-Arias O,Catchpole K,Pickering SP,Hadi M,Griffin D,McCulloch P

更新日期：2015-02-01 00:00:00

abstract：RESEARCH QUESTIONS:The paper explores which type of quality aspects (structure, process, outcome) most strongly determines patients' overall assessment of healthcare, and whether there is a variation between different types of patient groups in this respect. METHODS:Secondary analyses were undertaken on survey data fr...

journal_title：BMJ quality & safety

authors： Rademakers J,Delnoij D,de Boer D

更新日期：2011-04-01 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:This article is an exploration of views and experiences of Patient Safety Walkrounds, a widely recommended strategy for identifying patient safety problems and improving safety culture. DESIGN AND SETTING:Qualitative analysis of semistructured, in-depth interviews with 11 senior leaders and 33 front-line sta...

journal_title：BMJ quality & safety

authors： Rotteau L,Shojania KG,Webster F

更新日期：2014-10-01 00:00:00

abstract：OBJECTIVES:Systemic issues can adversely affect the diagnostic process. Many system-related barriers can be masked by 'resilient' actions of frontline providers (ie, actions supporting the safe delivery of care in the presence of pressures that the system cannot readily adapt to). We explored system barriers and resili...

journal_title：BMJ quality & safety

authors： Smith MW,Davis Giardina T,Murphy DR,Laxmisan A,Singh H

更新日期：2013-12-01 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: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：BACKGROUND:Patient safety experts have postulated that increasing patient participation in communications during patient handovers will improve the quality of patient transitions, and that this may reduce hospital readmissions. Choosing strategies that enhance patient safety through improved handovers requires better u...

journal_title：BMJ quality & safety

authors： Flink M,Hesselink G,Pijnenborg L,Wollersheim H,Vernooij-Dassen M,Dudzik-Urbaniak E,Orrego C,Toccafondi G,Schoonhoven L,Gademan PJ,Johnson JK,Öhlén G,Hansagi H,Olsson M,Barach P,HANDOVER Research Collaborative.

更新日期：2012-12-01 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：OBJECTIVES:To synthesise qualitative studies that investigated the experiences of healthcare professionals with using information from patient-reported outcome measures (PROMs) to improve the quality of care. DESIGN:A qualitative systematic review was conducted by searching PubMed, PsycINFO and CINAHL with no time res...

journal_title：BMJ quality & safety

authors： Boyce MB,Browne JP,Greenhalgh J

更新日期：2014-06-01 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: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：: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:The American College of Surgeons' Trauma Quality Improvement Program (TQIP) provides trauma centres with performance reports on their processes and outcomes of care relative to their peers. This study explored how performance reports are used by trauma centre leaders to engage in performance improvement and ...

journal_title：BMJ quality & safety

authors： Gotlib Conn L,Hoeft C,Neal M,Nathens A

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Under the 'Choosing Wisely' (CW) framework, professional organisations internationally have advocated limiting imaging for asymptomatic patients following curative cancer therapy, based on limited value and high cost. F18-fluorodeoxyglucose (FDG) positron emission tomography-CT (PET/CT) was widely adopted lo...

journal_title：BMJ quality & safety

authors： Paltiel O,Raviv Sharabi G,Tzemach R,Rechavi T,Trachtenberg E,Goldschmidt N,Dann EJ,Bar-Shalom R

更新日期：2020-05-28 00:00:00

abstract：INTRODUCTION:Hip fractures are associated with high rates of morbidity and mortality and their incidence is set to increase. The National Hip Fracture Database and the Best Practice Tariff were introduced with the aim of improving patient care. This complete audit cycle charts the substantial clinical improvements that...

journal_title：BMJ quality & safety

authors： Hawkes D,Baxter J,Bailey C,Holland G,Ruddlesdin J,Wall A,Wykes P

更新日期：2015-08-01 00:00:00

abstract：OBJECTIVE:To empirically assess the quality of hospital care in China and trends over a 5-year period during which the government significantly increased its investment in healthcare. DESIGN:Retrospective, observational study comparing hospital quality between two periods: October 2012-March 2013 and October 2017-Marc...

journal_title：BMJ quality & safety

authors： Jian W,Figueroa J,Woskie L,Yao X,Zhou Y,Li Z,Li C,Yao L,Yip WC

更新日期：2019-12-01 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: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：OBJECTIVES:To determine frequencies of healthcare workers (HCWs) speak up-related behaviours and the association of speak up-related safety climate with speaking up and withholding voice. DESIGN:Cross-sectional survey of doctors and nurses. Data were analysed using multilevel logistic regression models SETTING: 4 hosp...

journal_title：BMJ quality & safety

authors： Schwappach D,Richard A

更新日期：2018-10-01 00:00:00