Case-mix adjusted hospital mortality is a poor proxy for preventable mortality: a modelling study.

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 describe the development of evidence-based electronic prescribing (e-prescribing) triggers and treatment algorithms for potentially inappropriate medications (PIMs) for older adults. DESIGN:Literature review, expert panel and focus group. SETTING:Primary care with access to e-prescribing systems. PARTIC...

journal_title：BMJ quality & safety

authors： Hume AL,Quilliam BJ,Goldman R,Eaton C,Lapane KL

更新日期：2011-10-01 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 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: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：: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：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：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 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：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: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：: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：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：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: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：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：OBJECTIVE:Computerised order sets have the potential to reduce clinical variation and improve patient safety but the effect is variable. We sought to evaluate the impact of changes to the design of an order set on the delivery of chlorhexidine mouthwash and hydroxyethyl starch (HES) to patients in the intensive care un...

journal_title：BMJ quality & safety

authors： Bourdeaux CP,Davies KJ,Thomas MJ,Bewley JS,Gould TH

更新日期：2014-05-01 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:Our goal was to compare hospital scores from the most widely used commercial website in the USA to hospital scores from more systematic measures of patient experience and outcomes, and to assess what drives variation in the commercial website scores. METHODS:For a national sample of US hospitals, we compare...

journal_title：BMJ quality & safety

authors： Bardach NS,Asteria-Peñaloza R,Boscardin WJ,Dudley RA

更新日期：2013-03-01 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: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：:'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：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:Interest in the use of social network analysis (SNA) in healthcare research has increased, but there has been little methodological research on how to choose the name generators that are often used to collect primary data on the social connection between individuals for SNA. OBJECTIVE:We sought to determine...

journal_title：BMJ quality & safety

authors： Burt RS,Meltzer DO,Seid M,Borgert A,Chung JW,Colletti RB,Dellal G,Kahn SA,Kaplan HC,Peterson LE,Margolis P

更新日期：2012-12-01 00:00:00

abstract：BACKGROUND:Transfers of care have become increasingly frequent and complex with shorter inpatient stays and changes in work hour regulations. Potential hazards exist with transfers. There are few reports of institution-wide efforts to improve handoffs. METHODS:An institution-wide physician handoff task force was devel...

journal_title：BMJ quality & safety

authors： Horwitz LI,Schuster KM,Thung SF,Hersh DC,Fisher RL,Shah N,Cushing W,Nunes J,Silverman DG,Jenq GY

更新日期：2012-10-01 00:00:00

abstract：OBJECTIVES:To provide national estimates of the number and clinical and economic burden of medication errors in the National Health Service (NHS) in England. METHODS:We used UK-based prevalence of medication errors (in prescribing, dispensing, administration and monitoring) in primary care, secondary care and care hom...

journal_title：BMJ quality & safety

authors： Elliott RA,Camacho E,Jankovic D,Sculpher MJ,Faria R

更新日期：2021-02-01 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: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: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