Background While the incidence of hospital adverse events appeared to be declining before 2019, the COVID-19 pandemic may ...

1 Houston Veterans Affairs Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Department of ...

Variability and persistent gaps in reporting have been consistently observed across studies evaluating adverse events in healthcare, dating back to the early days of the patient safety movement.

This example provides a summary of a real case that occurred in a hospital and the failure to learn from the incident in spite of a root cause analysis. In a large acute hospital, a patient underwent ...

Correspondence to Dr Marshall H Chin, Section of General Internal Medicine, University of Chicago, Chicago, IL 60637, USA; mchin{at}medicine.bsd.uchicago.edu In this editorial, I summarise the ...

Objective—To review the literature on the benefits and disadvantages of clinical and medical audit, and to assess the main facilitators and barriers to conducting the audit process. Design—A ...

2 Professor of General Practice, Department of General Practice, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium 3 Professor of Quality in Health Care, Clinical Governance Research ...

Box 1 IOM recommendations Establish a national focus on patient safety by creating a centre for patient safety within the Agency for Healthcare Research and Quality. Identify and learn from errors by ...

Correspondence to Dr Peter M Farrehi, Department of Internal Medicine, University of Michigan, 1500 E. Medical Center Drive, Rm 2722 CVC, SPC 5853, Ann Arbor, MI 48109, USA, pfarrehi{at}umich.edu We ...

Department of Learning, Informatics, Management and Ethics (LIME), Medical Management Centre (MMC), Karolinska Institutet, Stockholm, Sweden Correspondence to Susanne Ullström, Department of Learning, ...

Background Discrepant attitudes about teamwork among nurses and physicians exist in operating rooms and intensive care units. Little is known about teamwork attitudes on general medical services.

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 ...