Visualising differences in professionals' perspectives on quality and safety.

abstract：BACKGROUND:Meaningful partnering with patients is advocated to enhance care delivery. Little is known about how this is operationalised at the point of care during hospital ward rounds, where decision-making concerning patient care frequently occurs. OBJECTIVE:Describe participation of patients, with differing prefere...

journal_title：BMJ quality & safety

authors： Redley B,McTier L,Botti M,Hutchinson A,Newnham H,Campbell D,Bucknall T

更新日期：2019-01-01 00:00:00

abstract：BACKGROUND:In this study, we aim to develop a set of quality indicators for optimal perioperative diabetes care throughout the hospital care pathway and to gain insight into the feasibility of the indicator set in daily clinical practice by assessing the clinimetric properties of the indicators in a practice test. MET...

journal_title：BMJ quality & safety

authors： Hommel I,van Gurp PJ,Tack CJ,Wollersheim H,Hulscher ME

更新日期：2016-07-01 00:00:00

abstract：OBJECTIVE:To determine the quality and diagnostic accuracy of in-hospital adult clinical emergency calls. DESIGN:Prospective observational study. SETTING:Three National Health Service acute hospitals in England. PARTICIPANTS:Adult patients sustaining an in-hospital cardiac arrest (CA) or medical emergency (ME) which...

journal_title：BMJ quality & safety

authors： Akhtar N,Field RA,Greenwood L,Davies RP,Woolley S,Cooke MW,Perkins GD

更新日期：2012-03-01 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：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：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：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: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：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：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：OBJECTIVES:In order to improve its quality-assurance programme based on ISO 9001, the Central Sterile Supply Department of a public university hospital has performed a prospective risk analysis using the Preliminary Risk Analysis method (PRA). The objectives were the achievement of a global risk mapping related to the ...

journal_title：BMJ quality & safety

authors： Niel-Lainé J,Martelli N,Bonan B,Talon D,Desroches A,Prognon P,Vincent F

更新日期：2011-08-01 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：BACKGROUND AND OBJECTIVE:Quality of care is considered to be of central importance in healthcare, disability services and rehabilitation. People experiencing disability often access a range of health and social care services; for some, these services are integral parts of daily life. Little research has explored perspe...

journal_title：BMJ quality & safety

authors： Fadyl JK,McPherson KM,Kayes NM

更新日期：2011-01-01 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: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: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:Intravenous medication errors persist despite the use of smart pumps. This suggests the need for a standardised methodology for measuring errors and highlights the importance of identifying issues around smart pump medication administration in order to improve patient safety. OBJECTIVES:We conducted a mul...

journal_title：BMJ quality & safety

authors： Schnock KO,Dykes PC,Albert J,Ariosto D,Call R,Cameron C,Carroll DL,Drucker AG,Fang L,Garcia-Palm CA,Husch MM,Maddox RR,McDonald N,McGuire J,Rafie S,Robertson E,Saine D,Sawyer MD,Smith LP,Stinger KD,Vanderveen TW,

更新日期：2017-02-01 00:00:00

abstract：:'The Problem with…' series covers controversial topics related to efforts to improve healthcare quality, including widely recommended, but deceptively difficult strategies for improvement and pervasive problems that seem to resist solution. ...

journal_title：BMJ quality & safety

authors： de Vos MS,Hamming JF,Marang-van de Mheen PJ

更新日期：2018-09-01 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: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 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: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:In an international effort to reduce antibiotic resistance, in part suggested to be the effect of inappropriate antibiotic use, several quality indicators for outpatient antibiotic use have been proposed. In this study, geographical and educational differences in fluoroquinolone prescription in the treatment...

journal_title：BMJ quality & safety

authors： Ljung R,Reimers A,Ericsson O,Burström B

更新日期：2011-01-01 00:00:00

abstract：:Current methods used to evaluate the effects of healthcare improvement efforts have limitations. Designs with strong causal inference-such as individual patient or cluster randomisation-can be inappropriate and infeasible to use in single-centre settings. Simpler designs-such as prepost studies-are unable to infer cau...

journal_title：BMJ quality & safety

authors： Walkey AJ,Bor J,Cordella NJ

更新日期：2020-02-01 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：:This paper adopts methods from the organisational team training literature to outline how health professions education can improve patient safety. We argue that health educators can improve training quality by intentionally encouraging errors during simulation-based team training. Preventable medical errors are inevit...

journal_title：BMJ quality & safety

authors： King A,Holder MG Jr,Ahmed RA

更新日期：2013-06-01 00:00:00

abstract：BACKGROUND:Insulin is a high-risk medicine which may cause significant patient harm or death when given incorrectly. A 10-fold error in administered insulin dose commonly occurs when the abbreviation 'u' is used for 'units' and subsequently misinterpreted as a 'zero.' METHOD:A multidisciplinary working party was conve...

journal_title：BMJ quality & safety

authors： Dooley MJ,Wiseman M,McRae A,Murray D,Van De Vreede M,Topliss D,Poole SG,Wyatt S,Newnham H

更新日期：2011-07-01 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：:Risk-adjustment schemes are used to monitor hospital performance, on the assumption that excess mortality not explained by case mix is largely attributable to suboptimal care. We have developed a model to estimate the proportion of the variation in standardised mortality ratios (SMRs) that can be accounted for by vari...

journal_title：BMJ quality & safety

authors： Girling AJ,Hofer TP,Wu J,Chilton PJ,Nicholl JP,Mohammed MA,Lilford RJ

更新日期：2012-12-01 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