From tokenism to empowerment: progressing patient and public involvement in healthcare improvement.

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：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:Improved hospital care is needed to reduce newborn mortality in low/middle-income countries (LMIC). Nurses are essential to the delivery of safe and effective care, but nurse shortages and high patient workloads may result in missed care. We aimed to examine nursing care delivered to sick newborns and identi...

journal_title：BMJ quality & safety

authors： Gathara D,Serem G,Murphy GAV,Obengo A,Tallam E,Jackson D,Brownie S,English M

更新日期：2020-01-01 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：BACKGROUND:The safety-and-quality movement is now two decades old. Errors persist despite best efforts, indicating that there are entrenched overt and perhaps less explicit barriers limiting the success of improvement efforts. OBJECTIVES AND HYPOTHESES: To examine the perspectives of five groups of healthcare worker...

journal_title：BMJ quality & safety

authors： Travaglia JF,Nugus PI,Greenfield D,Westbrook JI,Braithwaite J

更新日期：2012-09-01 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：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：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: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：PURPOSE:To compare the effectiveness of two types of online learning methodologies for improving the patient-safety behaviours mandated in the Joint Commission National Patient Safety Goals (NPSG). METHODS:This randomised controlled trial was conducted in 2010 at Massachusetts General Hospital and Brigham and Women's ...

journal_title：BMJ quality & safety

authors： Shaw TJ,Pernar LI,Peyre SE,Helfrick JF,Vogelgesang KR,Graydon-Baker E,Chretien Y,Brown EJ,Nicholson JC,Heit JJ,Co JP,Gandhi T

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：: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: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 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: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：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：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：:There have been repeated calls from all quarters of healthcare for more clinicians to be leaders. The risks of not accepting this responsibility have been demonstrated by harrowing reports into failed care in England. Ambiguity persists over what clinical leadership encompasses, how it can be developed and how to insp...

journal_title：BMJ quality & safety

authors： Ramanuj PP,Ryland H,Mitchell EW,Parvizi N,Chinthapalli K

更新日期：2014-08-01 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：INTRODUCTION:Hip fractures are associated with high rates of morbidity and mortality and their incidence is set to increase. The National Hip Fracture Database and the Best Practice Tariff were introduced with the aim of improving patient care. This complete audit cycle charts the substantial clinical improvements that...

journal_title：BMJ quality & safety

authors： Hawkes D,Baxter J,Bailey C,Holland G,Ruddlesdin J,Wall A,Wykes P

更新日期：2015-08-01 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 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：: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: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：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:Recent research suggests that hospital rates of postoperative venous thromboembolism (VTE) are subject to surveillance bias: the more hospitals 'look for' VTE, the more VTE they find. However, little is known about what drives variation in hospital VTE imaging rates. We conducted an observational study to ex...

journal_title：BMJ quality & safety

authors： Chung JW,Ju MH,Kinnier CV,Haut ER,Baker DW,Bilimoria KY

更新日期：2014-11-01 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：OBJECTIVE:To understand what patients and family members know about problems and failures in healthcare. DESIGN:Qualitative, semistructured open-ended interviews were conducted with 39 patients and 80 family members about their experiences of incidents in tertiary healthcare. Nineteen interviews involved more than one...

journal_title：BMJ quality & safety

authors： Iedema R,Allen S,Britton K,Gallagher TH

更新日期：2012-03-01 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: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