Background Healthcare patient safety investigations inappropriately focus on individual culpability and the target of ...

At least one error at any stage 73.4 (54.4 to 89.7) No error made at any stage 26.6 (10.3 to 45.6) With error-checking at each stage At least one error at any stage ...

Department of Anaesthesiology and Critical Care Medicine, The Johns Hopkins University, Baltimore, MD, USA Correspondence to: Associate Professor P J Pronovost Department of Anaesthesiology and ...

The concept of knowledge co-production is used in health services research to describe partnerships (which can involve researchers, practitioners, managers, commissioners or service users) with the ...

The role and value of theory in improvement work in healthcare has been seriously underrecognised. We join others in proposing that more informed use of theory can strengthen improvement programmes ...

1 Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, Ontario, Canada Too often, however, improvement teams go through the motions of PDSA cycles without really ...

1 Department of Community and Family Medicine, Dartmouth Medical School, Hanover, NH, USA 2 Departments of Pediatrics and of Internal Medicine, Dartmouth Medical School, Hanover, NH, USA 3 Veterans ...

Johns Hopkins University School of Medicine, Quality and Safety Research Group, Baltimore, MD, USA In the process of acquiring new skills, physicians-in-training may expose patients to harm because ...

Improvement (defined broadly as purposive efforts to secure positive change) has become an increasingly important activity and field of inquiry within healthcare. This article offers an overview of ...

Providing clinical care is above all a service; in that sense, the medical profession aspires to Aristotelian phronesis, or prudence—being ‘capable of action with regard to things that are good and ...

3 National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Wessex, Southampton, UK Objective To determine the association between daily ...

1 Centre for Medication Safety and Service Quality, Imperial College Healthcare NHS Trust, London, UK 2 Centre for Patient Safety and Service Quality, Imperial College London, London, UK ...