Removal of doctors from practice for professional misconduct in Australia and New Zealand.

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：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：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 evaluate the effects of a clinical pharmacist service on health-related quality of life (HRQL) and prescribing of drugs. METHODS A randomised controlled study was performed in two internal medicine wards. The intervention consisted of medication reviews with feedback to the physicians, drug treatment disc...

journal_title：BMJ quality & safety

authors： Bladh L,Ottosson E,Karlsson J,Klintberg L,Wallerstedt SM

更新日期：2011-09-01 00:00:00

abstract：OBJECTIVES:To determine whether sharing of routinely collected health service performance data could have predicted a critical safety failure at an Australian maternity service. DESIGN:Observational quantitative descriptive study. SETTING:A public hospital maternity service in Victoria, Australia. DATA SOURCES:A pub...

journal_title：BMJ quality & safety

authors： Nowotny BM,Davies-Tuck M,Scott B,Stewart M,Cox E,Cusack K,Fletcher M,Saar E,Farrell T,Anil S,McKinlay L,Wallace EM

更新日期：2020-01-08 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：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：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：:Progress in reducing diagnostic errors remains slow partly due to poorly defined methods to identify errors, high-risk situations, and adverse events. Electronic trigger (e-trigger) tools, which mine vast amounts of patient data to identify signals indicative of a likely error or adverse event, offer a promising metho...

journal_title：BMJ quality & safety

authors： Murphy DR,Meyer AN,Sittig DF,Meeks DW,Thomas EJ,Singh H

更新日期：2019-02-01 00:00:00

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: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:Root cause analyses of surgical complications are of high importance to ensure surgical quality, but specific details on technical causes often remain unclear. Identifying subclinical intraoperative incidents attributable to technical errors is essential for developing rescue mechanisms to prevent adverse ou...

journal_title：BMJ quality & safety

authors： Bonrath EM,Gordon LE,Grantcharov TP

更新日期：2015-08-01 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

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：BACKGROUND:Despite the increased focus on improving patient's postacute care outcomes, best practices for reducing readmissions from skilled nursing facilities (SNFs) are unclear. The objective of this study was to observe processes used to prepare patients for postacute care in SNFs, and to explore differences between...

journal_title：BMJ quality & safety

authors： Manges KA,Ayele R,Leonard C,Lee M,Galenbeck E,Burke RE

更新日期：2020-09-21 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Due to the multitude of questions in the Hospital-Consumer Assessment of Healthcare Providers and Systems (H-CAHPS) survey, it may be difficult to decide where quality improvement efforts should be focused. Our organisation has supplemented the survey with a 'patient complaints' section. The s...

journal_title：BMJ quality & safety

authors： Kemp K,Warren S,Chan N,McCormack B,Santana M,Quan H

更新日期：2016-10-01 00:00:00

abstract：BACKGROUND:The discharge letter is the primary means of communication at patient discharge, yet discharge letters are often not completed on time. A multifaceted intervention was performed to improve communication in patient hand-off from the intensive care unit (ICU) to the wards by improving the timeliness of dischar...

journal_title：BMJ quality & safety

authors： Medlock S,Eslami S,Askari M,van Lieshout EJ,Dongelmans DA,Abu-Hanna A

更新日期：2011-11-01 00:00:00

abstract：IMPORTANCE:There is a paucity of literature on the quality and effectiveness of institutional morbidity & mortality (M&M) rounds processes. OBJECTIVE:We sought to implement and evaluate the effectiveness of a hospital-wide structured M&M rounds model at improving the quality of M&M rounds across multiple specialties. ...

journal_title：BMJ quality & safety

authors： Kwok ESH,Calder LA,Barlow-Krelina E,Mackie C,Seely AJE,Cwinn AA,Worthington JR,Frank JR

更新日期：2017-06-01 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：BACKGROUND:Community pharmacists are well positioned to support patients' minor ailments. The objective was to evaluate the clinical and humanistic impact of a minor ailment service (MAS) in community pharmacy compared with usual pharmacist care (UC). METHODS:A cluster randomised controlled trial was conducted. Interv...

journal_title：BMJ quality & safety

authors： Dineen-Griffin S,Benrimoj SI,Rogers K,Williams KA,Garcia-Cardenas V

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:Few studies have investigated whether clinicians can use checklists to verify their diagnostic decisions. Checklists may improve accuracy by prompting clinicians to reconsider or recollect information but might impair decision making by adding to clinicians' cognitive load. This study assessed whether checkl...

journal_title：BMJ quality & safety

authors： Sibbald M,de Bruin AB,Cavalcanti RB,van Merrienboer JJ

更新日期：2013-04-01 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：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：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：:This paper aims to draw attention to the social and micropolitical dimensions of attempting to implement improvements within healthcare organisations. It is argued that quality improvement initiatives, like other forms of organisational innovation, will fail unless they are conceived and implemented in such a way as t...

journal_title：BMJ quality & safety

authors： Langley A,Denis JL

更新日期：2011-04-01 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：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：: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：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:Experts in patient safety stress the importance of a shared culture of safety. Lack of consensus may be detrimental to patient safety. This study examines differences in patient safety culture perceptions among providers, management and staff in a large national survey of safety culture in ambulatory practic...

journal_title：BMJ quality & safety

authors： Hickner J,Smith SA,Yount N,Sorra J

更新日期：2016-08-01 00:00:00