Redesigning care to meet national recommendation of four or more yearly clinic visits in patients with cystic fibrosis.

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：BACKGROUND:Timely reporting and acknowledgement are crucial steps in critical laboratory results (CLR) management. The authors previously showed that an automated pathway incorporating short messaging system (SMS) texts, auto-escalation, and manual telephone back-up improved the rate and speed of physician acknowledgem...

journal_title：BMJ quality & safety

authors： Ti LK,Ang SB,Saw S,Sethi SK,Yip JW

更新日期：2012-08-01 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：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: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：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: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：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：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：: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：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：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: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: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：OBJECTIVE:To examine the effectiveness and cost-effectiveness of the community pharmacy New Medicine Service (NMS) at 26 weeks. METHODS:Pragmatic patient-level parallel randomised controlled trial in 46 English community pharmacies. 504 participants aged ≥14, identified in the pharmacy when presenting a prescription f...

journal_title：BMJ quality & safety

authors： Elliott RA,Boyd MJ,Tanajewski L,Barber N,Gkountouras G,Avery AJ,Mehta R,Davies JE,Salema NE,Craig C,Latif A,Waring J,Chuter A

更新日期：2020-04-01 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：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：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：BACKGROUND:Quality collaboratives are widely endorsed as a potentially effective method for translating and spreading best practices for acute myocardial infarction (AMI) care. Nevertheless, hospital success in improving performance through participation in collaboratives varies markedly. We sought to understand what d...

journal_title：BMJ quality & safety

authors： Bradley EH,Brewster AL,McNatt Z,Linnander EL,Cherlin E,Fosburgh H,Ting HH,Curry LA

更新日期：2018-03-01 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：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：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:Distraction and interruption are endemic in the clinical environment and contribute to error. This study assesses whether simulation-based training with targeted feedback can improve undergraduate management of distractions and interruptions to reduce error-making. DESIGN:A prospective non-randomised contro...

journal_title：BMJ quality & safety

authors： Thomas I,Nicol L,Regan L,Cleland J,Maliepaard D,Clark L,Walker K,Duncan J

更新日期：2015-02-01 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

abstract：OBJECTIVE:To examine the association of consultants' experience with mortality by day of the week when elective surgery was performed. DESIGN:Retrospective observational study using English hospital administrative data. SETTING:All acute and specialist English National Health Service (NHS) hospitals carrying out elec...

journal_title：BMJ quality & safety

authors： Ruiz M,Bottle A,Aylin PP

更新日期：2016-05-01 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：: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：PURPOSE:To evaluate the impact of implementation of a dedicated intensivist-led medical emergency team (IL-MET) on mortality in patients admitted to the intensive care unit (ICU). METHODS:All adult ward admissions to the ICU between July 2002 and December 2009 were reviewed (n=1920) after excluding readmissions and ad...

journal_title：BMJ quality & safety

authors： Karvellas CJ,de Souza IA,Gibney RT,Bagshaw SM

更新日期：2012-02-01 00:00:00

abstract：OBJECTIVE:The goal of this study was to identify barriers and facilitators to the optimal management of critically ill children who present initially to community hospitals and how best to support the needs of front-line healthcare providers in these settings prior to transfer to the regional academic paediatric health...

journal_title：BMJ quality & safety

authors： Gilleland J,McGugan J,Brooks S,Dobbins M,Ploeg J

更新日期：2014-06-01 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