Prevalence of harmful diagnostic errors in hospitalised adults: a systematic review and meta-analysis.

abstract：:OBJECTIVE To evaluate the effects of a clinical pharmacist service on health-related quality of life (HRQL) and prescribing of drugs. METHODS A randomised controlled study was performed in two internal medicine wards. The intervention consisted of medication reviews with feedback to the physicians, drug treatment disc...

journal_title：BMJ quality & safety

authors： Bladh L,Ottosson E,Karlsson J,Klintberg L,Wallerstedt SM

更新日期：2011-09-01 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：INTRODUCTION:Trauma resuscitation is a complex and time-sensitive endeavour with significant risk for error. These errors can manifest from sequential system, team and knowledge-based failures, defined as latent safety threats (LSTs). In situ simulation (ISS) provides a novel prospective approach to recreate clinical s...

journal_title：BMJ quality & safety

authors： Petrosoniak A,Fan M,Hicks CM,White K,McGowan M,Campbell D,Trbovich P

更新日期：2020-10-23 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：BACKGROUND AND OBJECTIVE:Quality of care is considered to be of central importance in healthcare, disability services and rehabilitation. People experiencing disability often access a range of health and social care services; for some, these services are integral parts of daily life. Little research has explored perspe...

journal_title：BMJ quality & safety

authors： Fadyl JK,McPherson KM,Kayes NM

更新日期：2011-01-01 00:00:00

abstract：BACKGROUND:Insulin is a high-risk medicine which may cause significant patient harm or death when given incorrectly. A 10-fold error in administered insulin dose commonly occurs when the abbreviation 'u' is used for 'units' and subsequently misinterpreted as a 'zero.' METHOD:A multidisciplinary working party was conve...

journal_title：BMJ quality & safety

authors： Dooley MJ,Wiseman M,McRae A,Murray D,Van De Vreede M,Topliss D,Poole SG,Wyatt S,Newnham H

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：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：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：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：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：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：BACKGROUND:In 2005, The Joint Commission included medication reconciliation as a National Patient Safety Goal to reduce medication errors related to omissions, duplications and interactions. Hospitals continue to struggle to implement successful programmes that meet these objectives. METHODS:The authors used improveme...

journal_title：BMJ quality & safety

authors： White CM,Schoettker PJ,Conway PH,Geiser M,Olivea J,Pruett R,Kotagal UR

更新日期：2011-04-01 00:00:00

abstract：OBJECTIVE:To describe the development of evidence-based electronic prescribing (e-prescribing) triggers and treatment algorithms for potentially inappropriate medications (PIMs) for older adults. DESIGN:Literature review, expert panel and focus group. SETTING:Primary care with access to e-prescribing systems. PARTIC...

journal_title：BMJ quality & safety

authors： Hume AL,Quilliam BJ,Goldman R,Eaton C,Lapane KL

更新日期：2011-10-01 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：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: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:To assess the quality of guidelines, consensus statements and systematic reviews on flu and pneumococcal immunisations in HIV-infected children. METHOD:The authors screened PubMed and Embase databases until the year 2009 for guidelines, consensus statements and systematic reviews on flu and pneumococcal immu...

journal_title：BMJ quality & safety

authors： Giannattasio A,Lo Vecchio A,Albano F,Giacomet V,Barbarino A,Guarino A

更新日期：2011-05-01 00:00:00

abstract：OBJECTIVES:To demonstrate complementary results of regression and statistical process control (SPC) chart analyses for hospital-acquired pressure ulcers (HAPUs), and identify possible links between changes and opportunities for improvement between hospital microsystems and macrosystems. METHODS:Ordinary least squares ...

journal_title：BMJ quality & safety

authors： Padula WV,Mishra MK,Weaver CD,Yilmaz T,Splaine ME

更新日期：2012-06-01 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：: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: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：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: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: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

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: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: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: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: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