The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study.

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: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：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：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：: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: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 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：OBJECTIVE:To examine the association of mortality by day of the week for emergency and elective patients. DESIGN:Retrospective observational study using the international dataset from the Global Comparators (GC) project consisting of hospital administrative data. SETTING:28 hospitals from England, Australia, USA and ...

journal_title：BMJ quality & safety

authors： Ruiz M,Bottle A,Aylin PP

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: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：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：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：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: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：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:Educational interventions to improve teamwork in crisis situations have proliferated in recent years with substantial variation in teamwork measurement. This systematic review aimed to synthesise available tools and their measurement properties in order to identify the most robust tool for measuring the team...

journal_title：BMJ quality & safety

authors： Boet S,Etherington N,Larrigan S,Yin L,Khan H,Sullivan K,Jung JJ,Grantcharov TP

更新日期：2019-04-01 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：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：BACKGROUND:Learning is in delicate balance with safety, as faculty supervisors try to foster trainee development while safeguarding patients. This balance is particularly challenging if trainees are allowed to experience the educational benefits of failure, acknowledged as a critical resource for developing competence ...

journal_title：BMJ quality & safety

authors： Klasen JM,Driessen E,Teunissen PW,Lingard LA

更新日期：2020-09-01 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：: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：OBJECTIVE:We sought to identify the characteristics of patients who experience medical emergency team calls in the radiology department (MET-RD) and the relationship between these characteristics and patient outcomes. DESIGN/PARTICIPANTS:Retrospective review of 111 inpatient MET-RD calls (May 2008-April 2010). SETTIN...

journal_title：BMJ quality & safety

authors： Ott LK,Pinsky MR,Hoffman LA,Clarke SP,Clark S,Ren D,Hravnak M

更新日期：2012-06-01 00:00:00

abstract：BACKGROUND:The egregious failings in patient safety at Mid Staffordshire NHS Foundation Trust between 2005 and 2009 identified by Sir Robert Francis QC in his public inquiry prompted him to recommend the introduction of a new criminal offence into English law in circumstances where a patient dies or is seriously harmed...

journal_title：BMJ quality & safety

authors： Yeung K,Horder J

更新日期：2014-06-01 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: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：OBJECTIVE:Hospital-acquired pressure injuries are localised skin injuries that cause significant mortality and are costly. Nursing best practices prevent pressure injuries, including time-consuming, complex tasks that lack payment incentives. The Braden Scale is an evidence-based stratification tool nurses use daily to...

journal_title：BMJ quality & safety

authors： Padula WV,Pronovost PJ,Makic MBF,Wald HL,Moran D,Mishra MK,Meltzer DO

更新日期：2019-02-01 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：: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：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: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