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：INTRODUCTION:Intravenous medication errors persist despite the use of smart pumps. This suggests the need for a standardised methodology for measuring errors and highlights the importance of identifying issues around smart pump medication administration in order to improve patient safety. OBJECTIVES:We conducted a mul...

journal_title：BMJ quality & safety

authors： Schnock KO,Dykes PC,Albert J,Ariosto D,Call R,Cameron C,Carroll DL,Drucker AG,Fang L,Garcia-Palm CA,Husch MM,Maddox RR,McDonald N,McGuire J,Rafie S,Robertson E,Saine D,Sawyer MD,Smith LP,Stinger KD,Vanderveen TW,

更新日期：2017-02-01 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:Outcome benefits of using the WHO Surgical Safety Checklist rely on compliance with checklist administration. OBJECTIVE:To evaluate engagement of operating room (OR) subteams (anaesthesia, surgery and nursing), and compliance with administering checklist domains (Sign In, Time Out and Sign Out) and checklis...

journal_title：BMJ quality & safety

authors： Ong AP,Devcich DA,Hannam J,Lee T,Merry AF,Mitchell SJ

更新日期：2016-12-01 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 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:There have been repeated calls to better involve patients and the public and to place them at the centre of healthcare. Serious clinical and service failings in the UK and internationally increase the urgency and importance of addressing this problem. Despite this supportive policy context, progress to achie...

journal_title：BMJ quality & safety

authors： Ocloo J,Matthews R

更新日期：2016-08-01 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：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：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: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：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: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

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: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：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:Patient safety (PS) receives limited attention in health professional curricula. We developed and pilot tested four Objective Structured Clinical Examination (OSCE) stations intended to reflect socio-cultural dimensions in the Canadian Patient Safety Institute's Safety Competency Framework. SETTING AND PART...

journal_title：BMJ quality & safety

authors： Ginsburg LR,Tregunno D,Norton PG,Smee S,de Vries I,Sebok SS,VanDenKerkhof EG,Luctkar-Flude M,Medves J

更新日期：2015-03-01 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: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: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: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：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：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：: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：OBJECTIVES:To sustainably reduce the rate of mislabelled laboratory specimens through implementation of a series of interventions as led and coordinated by a multidisciplinary performance improvement team. METHODS:The quality improvement project was performed at Cedars-Sinai Medical Center in Los Angeles, an academic ...

journal_title：BMJ quality & safety

authors： Seferian EG,Jamal S,Clark K,Cirricione M,Burnes-Bolton L,Amin M,Romanoff N,Klapper E

更新日期：2014-08-01 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: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：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：OBJECTIVE:Computerised order sets have the potential to reduce clinical variation and improve patient safety but the effect is variable. We sought to evaluate the impact of changes to the design of an order set on the delivery of chlorhexidine mouthwash and hydroxyethyl starch (HES) to patients in the intensive care un...

journal_title：BMJ quality & safety

authors： Bourdeaux CP,Davies KJ,Thomas MJ,Bewley JS,Gould TH

更新日期：2014-05-01 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：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: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：:Cystic fibrosis (CF) is a chronic disease requiring patients to have frequent specialty healthcare visits to delay progression of lung disease, prevent and treat failure to thrive and initiate early interventions to prevent acute illness and complications. The CF Foundation recommends that patients have visits with th...

journal_title：BMJ quality & safety

authors： Berlinski A,Chambers MJ,Willis L,Homa K,Com G

更新日期：2014-04-01 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：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：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：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: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：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：OBJECTIVES:To determine whether the items on the Time Out and the Sign Out of the Surgical Safety Checklist are properly checked by operating room (OR) staff and to explore whether the number of checked items is influenced by the severity of the intervention and the use of the checklist as a memory tool during the Time...

journal_title：BMJ quality & safety

authors： Cullati S,Le Du S,Raë AC,Micallef M,Khabiri E,Ourahmoune A,Boireaux A,Licker M,Chopard P

更新日期：2013-08-01 00:00:00