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Patient work self-managing medicines: a skilled job at the sharp end of care
Patient work self-managing medicines: a skilled job at the sharp end of care
Maintaining the safety and continuity of medicines at care transitions is a long-standing healthcare challenge and a globa...
Patient-activated escalation in hospital: patients and their families are ready!
Patient-activated escalation in hospital: patients and their families are ready!
Sutton et al report in this edition of BMJ Quality and Safety the findings from a qualitative process evaluation of a pilo...
Assessing patient work system factors for medication management during transition of care among older adults: an observational study
Assessing patient work system factors for medication management during transition of care among older adults: an observational study
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Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study
Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study
BackgroundPatient involvement in patient safetyThere is a well-established body of literature on patient involvement in pa...
What do clinical practice guidelines say about deprescribing? A scoping review
What do clinical practice guidelines say about deprescribing? A scoping review
WHAT IS ALREADY KNOWN ON THIS TOPICWHAT THIS STUDY ADDSWhile deprescribing recommendations are increasingly being incorpor...
The good, the bad and the ugly: What do we really do when we identify the best and the worst organisations?
The good, the bad and the ugly: What do we really do when we identify the best and the worst organisations?
IntroductionQuality improvement (QI) efforts commonly identify the best and worst performing healthcare organisations. Som...
Sex, drugs and rock 'n roll: the only reasons for regulators to target individuals
Sex, drugs and rock 'n roll: the only reasons for regulators to target individuals
Healthcare regulators are having trouble keeping up. There is always a lag between regulators getting on top of things and...
Improving medication safety in both adults and children: what will it take?
Improving medication safety in both adults and children: what will it take?
Medications continue to represent a major cause of harm, both in inpatients and outpatients and in adults and children. In...
Measuring gist-based perceptions of medication benefit-to-harm ratios
Measuring gist-based perceptions of medication benefit-to-harm ratios
In this issue of the journal, Wegwarth et al report on a study that sought to identify general practitioner (GP) character...
Paediatric medication incident reporting: a multicentre comparison study of medication errors identified at audit, detected by staff and reported to an incident system
Paediatric medication incident reporting: a multicentre comparison study of medication errors identified at audit, detected by staff and reported to an incident system
IntroductionPaediatric medication errors remain one of the most important patient safety issues for children and can have ...
General practitioners risk literacy and real-world prescribing of potentially hazardous drugs: a cross-sectional study
General practitioners risk literacy and real-world prescribing of potentially hazardous drugs: a cross-sectional study
WHAT IS ALREADY KNOWN ON THIS TOPICThe pervasive issue of overusing medical care, particularly in the context of potential...
Common contributing factors of diagnostic error: A retrospective analysis of 109 serious adverse event reports from Dutch hospitals
Common contributing factors of diagnostic error: A retrospective analysis of 109 serious adverse event reports from Dutch hospitals
WHAT IS ALREADY KNOWN ON THIS TOPICThe impact of diagnostic errors on patient harm and patient safety is larger than other...
Diagnostic error in mental health: a review
Diagnostic error in mental health: a review
IntroductionTimely and appropriate diagnosis in mental health is an essential first step towards effective treatment. Miss...
Surgical informed consent practices and influencing factors in sub-Saharan Africa: a scoping review of the literature
Surgical informed consent practices and influencing factors in sub-Saharan Africa: a scoping review of the literature
WHAT IS ALREADY KNOWN ON THIS TOPICThe informed consent process is an essential element in the delivery of quality surgica...
Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention. A quality improvement project and difference-in-difference analysis
Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention. A quality improvement project and difference-in-difference analysis
WHAT IS ALREADY KNOWN ON THIS TOPICThere are known difficulties in adopting barcode medication administration technology, ...
Checking all the boxes: a checklist for when and how to use checklists effectively
Checking all the boxes: a checklist for when and how to use checklists effectively
Checklists are a type of cognitive aid used to guide task performance; they have been adopted as an important safety inter...
Locums: threat or opportunity
Locums: threat or opportunity
The medical workforce is key to service quality. Organisations have a duty to develop their workforce—to ensure profession...
Pragmatic trials are needed to assess the effectiveness of enhanced recovery after surgery protocols on patient safety
Pragmatic trials are needed to assess the effectiveness of enhanced recovery after surgery protocols on patient safety
Contemporary healthcare systems comprise a myriad of organisations and professionals committed to patient care. These syst...
Contextualising opioid-related risk factors before an initial opioid prescription
Contextualising opioid-related risk factors before an initial opioid prescription
When asked about the similarities between the region of Valencia, Spain and the State of Oregon in the USA, an artificial-...
Work addiction and quality of care in healthcare: Working long hours should not be confused with addiction to work
Work addiction and quality of care in healthcare: Working long hours should not be confused with addiction to work
Behavioural addictions are addictions that do not involve the ingestion of psychoactive substances and yet feature all the...
Medical safety huddles to engage frontline physicians in patient safety: calling physicians back to the table
Medical safety huddles to engage frontline physicians in patient safety: calling physicians back to the table
It is broadly recognised that everyone has a role in making healthcare safe,1 yet hospitals continue to struggle with inco...
Education and educational interventions: moving beyond information provision
Education and educational interventions: moving beyond information provision
Many of us will be familiar with educational outreach visits (EVs), which according to the Effective Practice and Organisa...
Initial opioid prescription characteristics and risk of opioid misuse, poisoning and dependence: retrospective cohort study
Initial opioid prescription characteristics and risk of opioid misuse, poisoning and dependence: retrospective cohort study
WHAT IS ALREADY KNOWN ON THIS TOPICStudies in the USA have shown that some patient factors, such as young age or low socio...
Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study
Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study
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Effects of ethical climate in association with tenure on work addiction, quality of care and staff retention: a cross-sectional study
Effects of ethical climate in association with tenure on work addiction, quality of care and staff retention: a cross-sectional study
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Effect of implementing a heart failure admission care bundle on hospital readmission and mortality rates: interrupted time series study
Effect of implementing a heart failure admission care bundle on hospital readmission and mortality rates: interrupted time series study
IntroductionHeart failure (HF) affects approximately 64 million people around the world as of 2017, with health expenditur...
A realist synthesis of educational outreach visiting and integrated academic detailing to influence prescribing in ambulatory care: why relationships and dialogue matter
A realist synthesis of educational outreach visiting and integrated academic detailing to influence prescribing in ambulatory care: why relationships and dialogue matter
WHAT IS ALREADY KNOWN ON THIS TOPICEducational outreach visits (EV) are a complex and effective strategy employed internat...
Quality and safety in the literature: January 2024
Quality and safety in the literature: January 2024
Healthcare quality and safety span multiple topics across the spectrum of academic and clinical disciplines. Keeping abrea...
The Ethical Complexity of Restricting Visitors during the COVID-19 Pandemic
The Ethical Complexity of Restricting Visitors during the COVID-19 Pandemic
Across the globe, there were significant variations in government responses to the COVID-19 pandemic, with some countries ...
Meeting external demands to improve quality and safety of care: learning systematically from the literature
Meeting external demands to improve quality and safety of care: learning systematically from the literature
Practices that are known to be effective in improving patient safety are routinely either left unimplemented or not sustai...
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