Effectiveness of double checking to reduce medication …
WEBMethods 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 ...
Authors | BMJ Quality & Safety
WEBBMJ Quality & Safety (formerly Quality & Safety in Health Care) is a leading international peer review journal in this growing area of quality and safety improvement.It provides essential information for those wanting to reduce harm and improve patient safety and the quality of care. The journal reports and reflects research, improvement initiatives and viewpoints and other discursive papers ...
Multidisciplinary teamwork: the good, bad, and everything in …
WEBJun 1, 2001 · The difficulties of multidisciplinary teamwork are also apparent in differing attitudes towards the way to bring about a good outcome, and even what actually constitutes a good outcome. For example, in teams caring for patients with stroke there are a number of “ideal outcomes” from the various stakeholders and staff involved—complete ...
Systematic review of the application of the plan–do–study–act …
WEBBackground Plan–do–study–act (PDSA) cycles provide a structure for iterative testing of changes to improve quality of systems. The method is widely accepted in healthcare improvement; however there is little overarching evaluation of how the method is applied. This paper proposes a theoretical framework for assessing the quality of application of PDSA cycles and explores the consistency ...
Quality and Safety in Health Care: a time of transition
WEBMar 1, 2002 · QHC becomes QSHC This issue of QHC marks its 10th anniversary—and the start of significant changes to the journal. QHC has become QSHC—Quality and Safety in Health Care . Safety is not a new topic for this journal. In the past we have included many papers relevant to risk management and the safety of health care. By adding “safety” to the title we acknowledge the growing realisation ...
Separating fact from fiction - BMJ Quality & Safety
WEBFact #3: Human factors work ranges from the individual to the organisational level. Fiction: Human factors is focused only on individuals. Individual-level human factors research in healthcare has included the redesign of electronic health records, computerised provider order entry systems, bar code medication administration systems ...
The human factor: the critical importance of effective teamwork …
WEBEffective communication and teamwork is essential for the delivery of high quality, safe patient care. Communication failures are an extremely common cause of inadvertent patient harm. The complexity of medical care, coupled with the inherent limitations of human performance, make it critically important that clinicians have standardised communication tools, create an environment in which ...
Healthcare-associated infections: where we came from and where …
WEBHealthcare-associated infections (HCAIs) are those infections acquired by an individual who is seeking medical care in any healthcare facility, including acute care hospitals, long-term care facilities (including nursing homes), outpatient surgical centres, dialysis centres or ambulatory care clinics.1 They are further defined as occurring at least 48 hours after hospitalisation or within 30 ...
A primer on PDSA: executing plan–do–study–act cycles in practice, …
WEBPlan-do–study–act (PDSA) cycles are the building blocks of iterative healthcare improvement.1 Although frequently regarded as separate from research,2 this quality improvement method remains rooted in the scientific method. The P in PDSA usually stands for ‘plan’ but could just as easily refer to ‘predict’. Each cycle combines prediction with a test of change (in effect, hypothesis ...
The Quadruple Aim: care, health, cost and meaning in work
WEBOct 1, 2015 · In 2008, Donald Berwick and colleagues provided a framework for the delivery of high value care in the USA, the Triple Aim, that is centred around three overarching goals: improving the individual experience of care; improving the health of populations; and reducing the per capita cost of healthcare.1 The intent is that the Triple Aim will guide the redesign of healthcare systems and the ...