‘The Problem with…’ series covers controversial topics related to efforts to improve healthcare quality, including widely recommended but deceptively difficult strategies for improvement and pervasive ...

Correspondence to Ms Eileen Relihan, Medication Safety Office, Chief Executive Offices, St James's Hospital, James's Street, Dublin 8, Ireland; erelihan{at}stjames.ie Design and participants Pre- and ...

Violations are deliberate deviations from standard procedure. The usual reaction is to attempt to eliminate them and reprimand those concerned. However, the situation is not that simple. Firstly, ...

Errors must be accepted as evidence of systems flaws, not character flaws.”—Lucian Leape1 In losing Lucian Leape to heart ...

Objectives Redesign in healthcare has increased the focus on the needs of the patient. The redesign process typically involves a review of current practice using the patient pathway before considering ...

1 Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Armstrong Institute for Patient Safety & Quality, Baltimore, Maryland, USA 2 Department of ...

Correspondence to: Dr Johan Thor Medical Management Centre, Berzelius väg 3, 5th floor, Karolinska Institutet, S-171 77 Stockholm, Sweden; johan.thor{at}ki.se Objective: To systematically review the ...

2 National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) North West London (NWL), Imperial College London, London, UK Objectives ...

1 Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA 2 Center for Surgery and Public Health, Brigham and Women’s Hospital, Boston, Massachusetts, ...

Evaluating the effects of increasing nursing numbers on quality of newborn care in understaffed neonatal units in Kenya: a prospective intervention study ...

3 Nursing Research Institute, St. Vincent's & Mater Health Sydney and Australian Catholic University, Darlinghurst, New South Wales, Australia 4 Faculty of Pharmacy, Sydney, New South Wales, Australia ...

Introduction: Effective feedback from incident reporting systems in healthcare is essential if organisations are to learn from failures in the delivery of care. Despite the wide-scale development and ...