Most quality improvement or change management interventions are currently designed intuitively and their results are often disappointing. While improving the effectiveness of interventions requires ...

Safety in the clinical environment is based on structures that reduce the probability of harm, on evidence that enhances the likelihood of actions that increase favourable outcomes, and on explicit ...

3 Institute for Healthcare Studies and Department of Pediatrics, Feinberg School of Medicine, Northwestern University and Children’s Memorial HospitalChicago, IL, USA 4 Feinberg School of ...

Background Tools that proactively identify factors that contribute to accidents have been developed within high-risk industries. Although patients provide feedback on their experience of care in ...

Objective To understand what patients and family members know about problems and failures in healthcare. Design Qualitative, semistructured open-ended interviews were conducted with 39 patients and 80 ...

1 Department of Pediatrics, Perinatal Institute, James M. Anderson Centre for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA 2 Associates in Process ...

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 ...

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Correspondence to: Professor W B Runciman, Department of Anaesthesia and Intensive Care, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia 5000; wrunciman{at}bigpond.com In considering ...

Background Patients on general hospital wards who deteriorate clinically are often not recognised as needing an escalation in care, and effective interventions are delayed. This study reviews a ...