BMJ Quality & Safety (previously Quality & Safety in Health Care) is an international peer review publication providing research, opinions, debates and reviews for academics, clinicians and healthcare managers focused on the quality and safety of health care and the science of …

Critical care workforce challenges. An experienced ICU workforce is a valuable resource. Staffing capacity, particularly for registered nurses, is the factor most likely to constrain the potential for an ICU to surge in capacity in response to demand.4 More recently, the COVID-19 pandemic illuminated the skills, knowledge and resources required to successfully treat critically ill …

Methods Five databases (PubMed, Embase, CINAHL, Ovid@Journals, OpenGrey) were searched for studies evaluating the use and effectiveness of double checking on reducing medication administration errors in a hospital setting. Included studies were required to report any of three outcome measures: an effect estimate such as a risk ratio or risk difference representing the association between ...

Background Healthcare systems are operating under substantial pressures. Clinicians and managers are constantly having to make adaptations, which are typically improvised, highly variable and not coordinated across teams. This study aimed to identify and describe the types of everyday pressures in intensive care and the adaptive strategies staff use to respond, with the longer-term aim of ...

The last 5 years have seen a rapid growth in research applying artificial intelligence or machine learning to improve the quality and safety of healthcare. This coincides with the release of web interfaces (such as ChatGPT from OpenAI and Copilot from Microsoft) that have enabled the general public (including health professionals and researchers) to easily access the latest generation of large ...

Jun 1, 2001 · Teams make up the building blocks of health care and every team—from the executive to the coal face—is composed of different professionals, ideally possessing a variety of skills necessary to produce safe and effective care.1 We are constantly reminded of the value of diversity within teams, but the reality is that working together from a variety of perspectives is sometimes difficult to ...

Dec 9, 2024 · Background Self-management support (SMS) is a recommended component of cancer survivorship care that improves health-related quality of life and reduces healthcare utilisation. However, widespread implementation has been difficult to achieve, with a gap in the literature on system-wide implementation efforts. This study examines contextual factors perceived to influence SMS adoption and ...

A slow but significant change has occurred in how healthcare professionals and organisations are expected to respond when something has gone wrong in a patient’s care.1 In 2001, the US accreditation organisation The Joint Commission began to require that healthcare facilities disclose all outcomes of care, including ‘unanticipated outcomes’, to patients.2 Over time and across the world ...

‘Safety netting’ refers to a range of activities to manage clinical uncertainty during consultations. This can include uncertainty about diagnosis, how disease may progress or whether or not a treatment will work. It is frequently delivered along the lines of ‘ come back and see me if this does not get better’ , but can also include more specific advice and steps to monitor the patient ...

Adaptable components harness practitioner agency and creativity. Hybrid interventions are uniquely comprised mechanisms of action from opposite ends of Greenhalgh and colleagues’ innovation theory spectrum.10 The fixed components are underpinned by a managerial mechanism of action (ie, specific, orderly, planned and make-it-happen). This is tested alongside a more social and emergent ...