qualitysafety.bmj6d
A realist review of how, why, for whom and in which contexts quality improvement in healthcare impacts inequalities
Introduction Quality improvement (QI) is aimed at improving care. Equity is one of the six domains of healthcare quality, as defined by the Institute of Medicine. If this domain is ignored, QI ...
qualitysafety.bmj6d
The beast and the burden: will pruning performance measurement improve quality?
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qualitysafety.bmj1d
Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety
Patients, clinicians and managers all want to be reassured that their healthcare organisation is safe. But there is no consensus about what we mean when we ask whether a healthcare organisation is ...
qualitysafety.bmj2d
The Model for Understanding Success in Quality (MUSIQ): building a theory of context in healthcare quality improvement
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 ...
qualitysafety.bmj9d
Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety?
Introduction National Health Service hospitals and government agencies are increasingly using mortality rates to monitor the quality of inpatient care. Mortality and Morbidity (M&M) meetings, ...
qualitysafety.bmj3d
A typology of organisational cultures
There is wide belief that organisational culture shapes many aspects of performance, including safety. Yet proof of this relationship in a medical context is hard to find. In contrast to human factors ...
qualitysafety.bmj8d
How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study
Clinical Safety Research Unit, St Mary’s Hospital, London, UK R Davis, Clinical Safety Research Unit, Department of Bio-Surgery and Surgical Technology, 10th Floor, Queen Elizabeth The Queen Mother ...
qualitysafety.bmj3d
The next phase of healthcare improvement: what can we learn from social movements?
To date, improvement in health care has relied mainly on a “top down” programme by programme approach to service change and development. This has spawned a multitude of different and often impressive ...
qualitysafety.bmj5d
The run chart: a simple analytical tool for learning from variation in healthcare processes
Background Those working in healthcare today are challenged more than ever before to quickly and efficiently learn from data to improve their services and delivery of care. There is broad agreement ...
qualitysafety.bmj7d
Methodology and rationale for the measurement of harm with trigger tools
The growing recognition of harm as an unwelcome and frequently unrecognized byproduct of health care has initiated focused efforts to create highly reliable organizations for safe healthcare delivery.
qualitysafety.bmj6d
International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process
Correspondence to Ann-Marie Howell, Surgery and Cancer, Imperial College, 1029 QEQM St Mary's Hospital, Praed Street, London W2 1NY, UK; a.howell{at}imperial.ac.uk Background Patient safety incident ...
qualitysafety.bmj9d
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A realist review of how, why, for whom and in which contexts quality improvement in healthcare impacts inequalities ...