Background: There is growing recognition of patients’ contributions to setting objectives for their own care, improving health outcomes and evaluating care. Objective: To quantify the extent to which ...

LEARNING FROM CLINICAL MICROSYSTEMS. We have worked with several microsystems seeking to improve their care for patients. Some of them seemed to have a clear sense of their identity as a system and, ...

Background Little is known about factors affecting implementation of patient safety programmes in low and middle-income countries. The goal of our study was to evaluate the implementation of a patient ...

Background: Medication errors (MEs) affect patient safety to a significant extent. Because these errors can lead to preventable adverse drug events (pADEs), it is important to know what type of ME is ...

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 ...

RESULTS Priority of topics for root-cause analysis. In the sample, 401 errors had reached patients. Most of the errors (n = 237) were found in the transcription stage, defined in this study as the ...

In the past 15 years, SEIPS (Systems Engineering Initiative for Patient Safety)1–3 and related conceptual models4 5 were developed to study and improve healthcare. These theoretical models depict how ...

Background High-quality antenatal care is important for ensuring optimal birth outcomes and reducing risks of maternal and fetal mortality and morbidity. The COVID-19 pandemic disrupted the usual ...

Introduction. Few can deny that emergency departments (EDs) in England are currently managing unprecedented levels of demand with over 40 000 people attending a major, or type 1, ED each day across ...

Background Healthcare is approaching a tipping point as burnout and dissatisfaction with work-life integration (WLI) in healthcare workers continue to increase. A scale evaluating common behaviours as ...

Results SMS in most of the RCCs was not systematically delivered, yet most stakeholders (n=78; respondent rate=50%) valued SMS. For centre 1, 7 barriers/12 enablers were identified, 14 barriers/9 ...

To achieve continuous quality improvement “it is not enough to do your best …” Continuous improvement in health care and elsewhere is not a contentious issue—but the means by which this may be ...