qualitysafety.bmj2d
A realist review of how, why, for whom and in which contexts quality improvement in healthcare impacts inequalities
Introduction Quality improvement (QI) is aimed at improving care. Equity is one of the six domains of healthcare quality, as defined by the Institute of Medicine. If this domain is ignored, QI ...
qualitysafety.bmj2d
The beast and the burden: will pruning performance measurement improve quality?
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qualitysafety.bmj14d
Duration of antibiotic therapy in the intensive care unit: factors influencing decision-making during multidisciplinary meetings
Objectives In the intensive care unit (ICU), antibiotics are often given longer than recommended in guidelines. A better understanding of the factors influencing antibiotic therapy duration is needed ...
qualitysafety.bmj12d
Art of leading quality improvement
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qualitysafety.bmj1d
The run chart: a simple analytical tool for learning from variation in healthcare processes
Background Those working in healthcare today are challenged more than ever before to quickly and efficiently learn from data to improve their services and delivery of care. There is broad agreement ...
qualitysafety.bmj3d
How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study
Clinical Safety Research Unit, St Mary’s Hospital, London, UK R Davis, Clinical Safety Research Unit, Department of Bio-Surgery and Surgical Technology, 10th Floor, Queen Elizabeth The Queen Mother ...
qualitysafety.bmj1d
Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing
Background Patients are a valuable source of information about ways to prevent harm in primary care and are in a unique position to provide feedback about the factors that contribute to safety ...
qualitysafety.bmj4d
Research designs for studies evaluating the effectiveness of change and improvement strategies
3 Health Services Research Unit, University of Aberdeen, Aberdeen, UK Correspondence to: Professor M Eccles, Professor of Clinical Effectiveness, Centre for Health Services Research, 21 Claremont ...
qualitysafety.bmj1d
Preferences and understanding their effects on health
1 Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London WC1 7HT, UK 2 Department of Epidemiology and Public Health, University College London, London ...
qualitysafety.bmj8d
Designing a quality improvement intervention: a systematic approach
Most quality improvement or change management interventions are currently designed intuitively and their results are often disappointing. While improving the effectiveness of interventions requires ...
qualitysafety.bmj4d
Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety?
Introduction National Health Service hospitals and government agencies are increasingly using mortality rates to monitor the quality of inpatient care. Mortality and Morbidity (M&M) meetings, ...