'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds.

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 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：OBJECTIVE:To determine the association between daily levels of registered nurse (RN) and nursing assistant staffing and hospital mortality. DESIGN:This is a retrospective longitudinal observational study using routinely collected data. We used multilevel/hierarchical mixed-effects regression models to explore the asso...

journal_title：BMJ quality & safety

authors： Griffiths P,Maruotti A,Recio Saucedo A,Redfern OC,Ball JE,Briggs J,Dall'Ora C,Schmidt PE,Smith GB,Missed Care Study Group.

更新日期：2019-08-01 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: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：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: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：BACKGROUND:Relatively little is known about how scorecards presenting performance indicators influence medication safety. We evaluated the effects of implementing a ward-level medication safety scorecard piloted in two English NHS hospitals and factors influencing these. METHODS:We used a mixed methods, controlled bef...

journal_title：BMJ quality & safety

authors： Ramsay AI,Turner S,Cavell G,Oborne CA,Thomas RE,Cookson G,Fulop NJ

更新日期：2014-02-01 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：:Cystic fibrosis (CF) is a chronic disease requiring patients to have frequent specialty healthcare visits to delay progression of lung disease, prevent and treat failure to thrive and initiate early interventions to prevent acute illness and complications. The CF Foundation recommends that patients have visits with th...

journal_title：BMJ quality & safety

authors： Berlinski A,Chambers MJ,Willis L,Homa K,Com G

更新日期：2014-04-01 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：: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: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：BACKGROUND:Catheter-associated urinary tract infections (CAUTI) are costly, common and often preventable by reducing unnecessary urinary catheter (UC) use. METHODS:To summarise interventions to reduce UC use and CAUTIs, we updated a prior systematic review (through October 2012), and a meta-analysis regarding interven...

journal_title：BMJ quality & safety

authors： Meddings J,Rogers MA,Krein SL,Fakih MG,Olmsted RN,Saint S

更新日期：2014-04-01 00:00:00

abstract：BACKGROUND:Interest in patient safety (PS) is growing exponentially, fuelled by epidemiological research unveiling the extent of unsafe care. However, there is little information about the frequency of harm in developing and transitional countries. To address this issue, the authors performed a study known as the Ibero...

journal_title：BMJ quality & safety

authors： Aranaz-Andrés JM,Aibar-Remón C,Limón-Ramírez R,Amarilla A,Restrepo FR,Urroz O,Sarabia O,García-Corcuera LV,Terol-García E,Agra-Varela Y,Gonseth-García J,Bates DW,Larizgoitia I,IBEAS team.

更新日期：2011-12-01 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: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

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：:Statistical hypothesis testing involving the comparison of three or more means and/or proportions is a frequent undertaking in medical statistics. For comparison of means, analysis of variance is a common choice and for comparison of proportions, χ(2) tests are common. However, both these approaches have important lim...

journal_title：BMJ quality & safety

authors： Mohammed MA,Holder R

更新日期：2012-06-01 00:00:00

abstract：OBJECTIVE:To examine how disciplinary tribunals assess different forms of misconduct in deciding whether to remove doctors from practice for professional misconduct. DESIGN AND SETTING:Multivariable regression analysis of 485 cases in which tribunals found doctors guilty of professional misconduct. The cases came from...

journal_title：BMJ quality & safety

authors： Elkin K,Spittal MJ,Elkin D,Studdert DM

更新日期：2012-12-01 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：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：BACKGROUND:A growing body of peer-reviewed studies demonstrate the importance of safety culture in healthcare safety improvement, but little attention has focused on developing a common set of definitions, dimensions and measures. OBJECTIVES:Specific objectives of this literature review include: summarising definition...

journal_title：BMJ quality & safety

authors： Halligan M,Zecevic A

更新日期：2011-04-01 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：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：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：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：: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: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