Introduction Data were used from inpatient, outpatient and accident and emergency surveys in acute trusts in England to examine consistency in patient-reported experience across services, and factors ...

Grand rounds in methodology: four critical decision points in statistical process control evaluations of quality improvement initiatives ...

Objective To evaluate the effectiveness of clinician-directed default nudges for reducing overuse of tests and treatments. Design A systematic review was conducted to synthesise evidence from ...

Objective To understand how lean thinking has been put into practice in healthcare and how it has worked. Design A realist literature review. Data sources The authors systematically searched for ...

Background Increasing attention is being given to the importance of communication in the delivery of high-quality healthcare. We sought to determine whether communication improved in a hospital ...

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

METHODS Of the first 4000 incidents reported to AIMS, those that made reference to regurgitation, vomiting or aspiration were extracted and analysed for relevance, presenting features, type of surgery ...

For many readers, the story of the quality of care at Mid Staffordshire NHS Trust in the UK from 2005 to 2009 will need little introduction. The substandard care provided and the combination of ...

To flourish, practice accreditation must meet challenges. It needs to manage uncertainty over its effectiveness and cost effectiveness, to address concerns that it erodes professional autonomy, and to ...

The evidence is clear: a strong culture of safety is necessary to deliver reliably safe care.1 Safety culture encompasses a group's shared values, assumptions, attitudes and patterns of behaviour ...

Background Pulmonary embolism (PE) is a potentially deadly disease and a diagnostic challenge in emergency departments (EDs). Established strategies exist for risk stratification and test stewardship ...

Background Problems of quality and safety persist in health systems worldwide. We conducted a large research programme to examine culture and behaviour in the English National Health Service (NHS).