Background Low-value practices, defined as tests or treatments that are used in practice despite not being supported by evidence, account for 20%–30% of healthcare expenditure; moreover, some ...

Importance Patient safety and systems integration (PSSI) simulations help uncover hazards that jeopardise patient safety. Using direct observation, video analysis and systems-focused debriefing, they ...

Background In situ simulation (ISS) has seen broad use in academic emergency medicine (EM). Studies with limited clinical ...

Importance Quality improvement efforts on general medical wards are often driven by organisational or clinician priorities, ...

Background Clinical encounters with patients who display challenging behaviours (eg, rude, demanding) are increasingly common in emergency departments and can heighten negative emotions, compromise ...

1 Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia 2 Radiofrequency Identification Applications Laboratory, ...

Background Surgical complications represent a significant cause of morbidity and mortality with the rate of major complications after inpatient surgery estimated at 3–17% in industrialised countries.

Northwestern Memorial Hospital, Feinberg School of Medicine, Northwestern University, Chicago, USA Correspondence to: M Husch Research Pharmacist Coordinator, Patient Safety Team, Northwestern ...

Objective To introduce a new type of risk-adjusted (RA) exponentially weighted moving average (EWMA) chart and to compare it to a commonly used type of variable life adjusted display chart for ...

Background Many hospital systems seek to improve patient satisfaction as assessed by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. A systematic review of the ...

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