Healthcare workers could learn much from the engineering and civil aviation industries about safety management. The medical community is becoming more open to learning safety lessons from other ...

Medical errors continue to occur despite multiple strategies devised for their prevention. Although many safety initiatives lead to improvement, they are often short lived and unsustainable. Our goal ...

Background The authors aimed to determine US and UK doctors' professional values and reported behaviours, and the extent to which these vary with the context of care. Method 1891 US and 1078 UK ...

CDS-Dx work The report by Sibbald et al published in this issue of BMJ Quality & Safety adds to the growing evidence that decision support can improve the diagnostic process. 4 This study was ...

Evaluation of improvement initiatives in healthcare is essential to establishing whether interventions are effective and to understanding how and why they work in order to enable replication. Although ...

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 ...

Chronic conditions are increasingly the primary concern of healthcare systems throughout the world. In response to this challenge, the World Health Organization has joined with the MacColl Institute ...

1 Division of General Internal Medicine, Brigham and Women's Hospital, Partners HealthCare System, and Harvard Medical School, Boston, MA, USA Correspondence to: Dr R Kaushal, Division of General ...

Background Medication non-adherence in ambulatory care has received substantial attention in the literature, but less so as it affects acute care. Accordingly, we aimed to estimate the frequency with ...

Background Quality improvement (QI) efforts have become widespread in healthcare, however there is significant variability in their success. Differences in context are thought to be responsible for ...

In his recent book Ignorance: how it drives science, Stewart Firestein states, ‘Knowledge is a big subject. Ignorance is bigger.’1 Firestein's book does not explore the ways of knowledge, but the ...

Background Nursing workload is increasingly thought to contribute to both nurses' quality of working life and quality/safety of care. Prior studies lack a coherent model for conceptualising and ...