Speak up-related climate and its association with healthcare workers' speaking up and withholding voice behaviours: a cross-sectional survey in Switzerland.

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: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：BACKGROUND:Human auditing has been the gold standard for evaluating hand hygiene (HH) compliance but is subject to the Hawthorne effect (HE), the change in subjects' behaviour due to their awareness of being observed. For the first time, we used electronic HH monitoring to characterise the duration of the HE on HH even...

journal_title：BMJ quality & safety

authors： Vaisman A,Bannerman G,Matelski J,Tinckam K,Hota SS

更新日期：2020-11-01 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：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：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：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：OBJECTIVE:This article is an exploration of views and experiences of Patient Safety Walkrounds, a widely recommended strategy for identifying patient safety problems and improving safety culture. DESIGN AND SETTING:Qualitative analysis of semistructured, in-depth interviews with 11 senior leaders and 33 front-line sta...

journal_title：BMJ quality & safety

authors： Rotteau L,Shojania KG,Webster F

更新日期：2014-10-01 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：: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：BACKGROUND:Patient and family engagement (PFE) in healthcare is an important element of the transforming healthcare system; however, the prevalence of various PFE practices in the USA is not known. OBJECTIVE:We report on a survey of hospitals in the USA regarding their PFE practices during 2013-2014. RESULTS:The resp...

journal_title：BMJ quality & safety

authors： Herrin J,Harris KG,Kenward K,Hines S,Joshi MS,Frosch DL

更新日期：2016-03-01 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：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：: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:Realising the full potential of the WHO Surgical Safety Checklist (SSC) to reduce perioperative harm requires the constructive engagement of all operating room (OR) team members during its administration. To facilitate research on SSC implementation, a valid and reliable instrument is needed for measuring OR...

journal_title：BMJ quality & safety

authors： Devcich DA,Weller J,Mitchell SJ,McLaughlin S,Barker L,Rudolph JW,Raemer DB,Zammert M,Singer SJ,Torrie J,Frampton CM,Merry AF

更新日期：2016-10-01 00:00:00

abstract：BACKGROUND:Diagnostic errors (missed, delayed or wrong diagnosis) have recently gained attention and are associated with significant preventable morbidity and mortality. The authors reviewed the recent literature and identified interventions that address system-related factors that contribute directly to diagnostic err...

journal_title：BMJ quality & safety

authors： Singh H,Graber ML,Kissam SM,Sorensen AV,Lenfestey NF,Tant EM,Henriksen K,LaBresh KA

更新日期：2012-02-01 00:00:00

abstract：:People who are sick are often the most vulnerable in society. They frequently rely on caring and competent healthcare professionals and should and do have expectations of a safe and caring environment. In a recent unexpected adventure through the healthcare system, the organisation, professionalism, caring and compass...

journal_title：BMJ quality & safety

authors： McCullough M

更新日期：2011-11-01 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：BACKGROUND:We sought to investigate the formal and informal ways preregistration students from medicine, nursing, pharmacy and the allied healthcare professions learn about patient safety. METHODS:We drew on Eraut's framework on formal and informal acquisition of professional knowledge to undertake a series of phased ...

journal_title：BMJ quality & safety

authors： Cresswell K,Howe A,Steven A,Smith P,Ashcroft D,Fairhurst K,Bradley F,Magnusson C,McArthur M,Pearson P,Sheikh A,Patient Safety Education Research Group.

更新日期：2013-10-01 00:00:00

abstract：:In a high-reliability organisation (HRO), safety and quality (SQ) is an organisational priority, and all workforce members are engaged, continuously learning and improving their work. To build organisational capacity for SQ work, we have developed a role-tailored capacity-building framework that we are currently emplo...

journal_title：BMJ quality & safety

authors： Aboumatar HJ,Weaver SJ,Rees D,Rosen MA,Sawyer MD,Pronovost PJ

更新日期：2017-08-01 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:Prevention of healthcare-associated urinary tract infection (UTI) has been the focus of a national effort, yet appropriate indications for insertion and removal of urinary catheters (UC) among surgical patients remain poorly defined. METHODS:We developed and implemented a standardised approach to perioperat...

journal_title：BMJ quality & safety

authors： Sadeghi M,Leis JA,Laflamme C,Sparkes D,Ditrani W,Watamaniuk A,Taggar R,Jinnah F,Avaness M,Vearncombe M,Nathens AB

更新日期：2019-01-01 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：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: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：: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: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：: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: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