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 ...
Centre for Quality of Care Research, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands M Ouwens, Centre for Quality of Care Research (KWAZO 117), Radboud University Nijmegen ...
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.
Background Reducing hospitalisations in heart failure (HF) requires organisational models for rapid optimisation, education and structured follow-up. Evidence on complex programmes in outermost or ...
Department of Patient Safety, Academic Medical Center, Amsterdam, The Netherlands Dr M A Boermeester, Department of Surgery, Academic Medical Center, Meibergdreef 9, G4-132.1, 1105 AZ Amsterdam, The ...
Methods Quasi-experimental longitudinal study using data from the National Neonatal Research Database on babies born <30 weeks’ gestation and admitted to a National Health Service neonatal unit.
4 Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, BD9 6RJ., Bradford, UK Correspondence to Dr Rosemary R C McEachan, Bradford Institute for Health Research, ...
Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety
The Cognitive Technologies Laboratory, University of Chicago, Chicago, Illinois, USA Correspondence to Nurit Porat, Hadassah University Medical Center, Ein Kerem, PO Box 12000, Jerusalem 91120, Israel ...
Background The organisation of junior doctors' work hours has been radically altered following the partial implementation of the European Working Time Directive. Poorly designed shift schedules cause ...
Background Literature depicts differences in ethical decision-making (EDM) between countries and intensive care units (ICU). Objectives To better conceptualise EDM climate in the ICU and to validate a ...
This paper considers the application of discrete choice experiments for eliciting preferences in the delivery of health care. Drawing upon the results from a recently completed systematic review, the ...
Correspondence to Dr Chuenjid Kongkaew, Centre for Safety and Quality in Health, Faculty of Pharmaceutical Sciences, Department of Pharmacy Practice, Naresuan University, Muang 65000, Thailand; ...
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