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 ...

Footnotes. Contributors All authors made substantial contributions to conception and design, and/or acquisition of data, and/or analysis and interpretation of data; all authors participated in ...

Patients. Reasons for consulting in primary care vary across the year,7 therefore a random sampling frame was developed to ensure sampled consultations were spread evenly across the calendar year, ...

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 Surgical errors in ophthalmology can have devastating consequences. We developed an artificial intelligence (AI)-based surgical safety system to prevent errors in patient identification, ...

Introduction The term ‘second victim’ refers to the healthcare professional who experiences emotional distress following an adverse event. This distress has been shown to be similar to that of the ...

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 ...

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 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 ...

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, ...

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 ...

For patients in the intensive care unit (ICU), prolonged mechanical ventilation is associated with poor outcomes. A quality improvement (QI) initiative with the aim of reducing median time on the ...