Background Audit and feedback (A&F) interventions improve patient care but may result in unintended consequences. To evaluate plausible harms and maximise benefits, theorisation using logic models can ...

Objectives To document the burden of in-hospital falls and fractures, and to identify factors that may increase the risk of these events. Design A retrospective cohort analysis Setting The study was ...

Background With the introduction of Computerised Physician Order Entry (CPOE) in routine hospital care, a great deal of effort has been put into refining Clinical Decision Support Systems (CDSS) to ...

The time is ripe for a formal structured review of guidance on quality improvement reports Samuel Beckett wrote “ Ever tried. Ever failed. No matter. Try again. Fail again. Fail better .” Fiona Moss ...

Background: The potential severity of wrong patient/procedure/site of surgery and the view that these events are avoidable, make the prevention of such errors a priority. An intervention was set up to ...

Footnotes. Contributors JLS had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Concept and design: JLS, JS, ...

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 ...

The value of research in any topic area turns on its validity. Patient safety research has revealed—or, at least, given renewed urgency to—a raft of methodological issues. The meaning and thus the ...

Aim: To describe how quantitative data obtained from applying a series of indicators for preventable drug related morbidity (PDRM) in the electronic patient record in English general practice can be ...

Striving for Equity in the Quality and Safety of Patient Care. CONTENT. Latest content; Current issue; Archive; Browse by collection; Most read articles ...

Objective To provide a description of the Imperial College Mortality Surveillance System and subsequent investigations by the Care Quality Commission (CQC) in National Health Service (NHS) hospitals ...

Background Few studies have explored the work of sterile processing departments (SPD) from a systems perspective. Effective decontamination is critical for removing organic matter and reducing ...