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：:This paper adopts methods from the organisational team training literature to outline how health professions education can improve patient safety. We argue that health educators can improve training quality by intentionally encouraging errors during simulation-based team training. Preventable medical errors are inevit...

journal_title：BMJ quality & safety

authors： King A,Holder MG Jr,Ahmed RA

更新日期：2013-06-01 00:00:00

abstract：:Medical errors continue to occur despite multiple strategies devised for their prevention. Although many safety initiatives lead to improvement, they are often short lived and unsustainable. Our goal was to build a culture of patient safety within a structure that optimised teamwork and ongoing engagement of the healt...

journal_title：BMJ quality & safety

authors： Thomas L,Galla C

更新日期：2013-05-01 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:Few studies have investigated whether clinicians can use checklists to verify their diagnostic decisions. Checklists may improve accuracy by prompting clinicians to reconsider or recollect information but might impair decision making by adding to clinicians' cognitive load. This study assessed whether checkl...

journal_title：BMJ quality & safety

authors： Sibbald M,de Bruin AB,Cavalcanti RB,van Merrienboer JJ

更新日期：2013-04-01 00:00:00

abstract：BACKGROUND:Our goal was to compare hospital scores from the most widely used commercial website in the USA to hospital scores from more systematic measures of patient experience and outcomes, and to assess what drives variation in the commercial website scores. METHODS:For a national sample of US hospitals, we compare...

journal_title：BMJ quality & safety

authors： Bardach NS,Asteria-Peñaloza R,Boscardin WJ,Dudley RA

更新日期：2013-03-01 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：OBJECTIVE:Neonates are at high risk for significant morbidity and mortality from medication prescribing errors. Despite general awareness of these risks, mistakes continue to happen. Alerts in computerised physician order entry intended to help prescribers avoid errors have not been effective enough. This improvement p...

journal_title：BMJ quality & safety

authors： Sullivan KM,Suh S,Monk H,Chuo J

更新日期：2013-03-01 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：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: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：BACKGROUND:Advocates for quality and safety have called for healthcare that is patient-centred and decision-making that involves patients. OBJECTIVE:The aim of the paper is to explore the barriers and facilitators to patient-centred care in the hospital discharge process. METHODS:A qualitative study using purposive s...

journal_title：BMJ quality & safety

authors： Hesselink G,Flink M,Olsson M,Barach P,Dudzik-Urbaniak E,Orrego C,Toccafondi G,Kalkman C,Johnson JK,Schoonhoven L,Vernooij-Dassen M,Wollersheim H,European HANDOVER Research Collaborative.

更新日期：2012-12-01 00:00:00

abstract：:Risk-adjustment schemes are used to monitor hospital performance, on the assumption that excess mortality not explained by case mix is largely attributable to suboptimal care. We have developed a model to estimate the proportion of the variation in standardised mortality ratios (SMRs) that can be accounted for by vari...

journal_title：BMJ quality & safety

authors： Girling AJ,Hofer TP,Wu J,Chilton PJ,Nicholl JP,Mohammed MA,Lilford RJ

更新日期：2012-12-01 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：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: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: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：:The world is not flat. Hierarchy is a fact of life in society and in healthcare institutions. National, specialty-specific and institutional cultures may play an important role in shaping today's patient-safety climate. The influence of power distance on safety interventions is under-studied. Checklists may make power...

journal_title：BMJ quality & safety

authors： Raghunathan K

更新日期：2012-07-01 00:00:00

abstract：BACKGROUND:Errors in clinical reasoning occur in most cases in which the diagnosis is missed, delayed or wrong. The goal of this review was to identify interventions that might reduce the likelihood of these cognitive errors. DESIGN:We searched PubMed and other medical and non-medical databases and identified addition...

journal_title：BMJ quality & safety

authors： Graber ML,Kissam S,Payne VL,Meyer AN,Sorensen A,Lenfestey N,Tant E,Henriksen K,Labresh K,Singh H

更新日期：2012-07-01 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：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：: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：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：OBJECTIVE:To determine the quality and diagnostic accuracy of in-hospital adult clinical emergency calls. DESIGN:Prospective observational study. SETTING:Three National Health Service acute hospitals in England. PARTICIPANTS:Adult patients sustaining an in-hospital cardiac arrest (CA) or medical emergency (ME) which...

journal_title：BMJ quality & safety

authors： Akhtar N,Field RA,Greenwood L,Davies RP,Woolley S,Cooke MW,Perkins GD

更新日期：2012-03-01 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：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：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：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：: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：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：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 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：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：INTRODUCTION:Individual effort and practice systems contribute to quality performance, but the nature of their contributions remains unclear. METHODS:This study assessed the roles of individual attributes and behaviours versus practice attributes in quality performance by assessing general internists' perceptions of f...

journal_title：BMJ quality & safety

authors： Pham HH,Bernabeo EC,Chesluk BJ,Holmboe ES

更新日期：2011-08-01 00:00:00

abstract：OBJECTIVE:Patient safety studies have identified older adults as a high-risk group for adverse events (AEs). As frequent users of the emergency department (ED), they are vulnerable to the negative consequences of ED crowding. The study objective was to determine whether a prolonged ED stay is associated with an increas...

journal_title：BMJ quality & safety

authors： Ackroyd-Stolarz S,Read Guernsey J,Mackinnon NJ,Kovacs G

更新日期：2011-07-01 00:00:00

abstract：BACKGROUND:There is widespread recognition that leadership skills are essential for effective performance in the workplace, but the evidence detailing effective leadership behaviours for surgeons during operations is unclear. DATA SOURCES:Boolean searches of four on-line databases and detailed hand search of relevant ...

journal_title：BMJ quality & safety

authors： Henrickson Parker S,Yule S,Flin R,McKinley A

更新日期：2011-07-01 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：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 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 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