Effectiveness of double checking to reduce medication …
网页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 …
Authors | BMJ Quality & Safety
网页BMJ 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 …
Systematic review of the application of the plan–do–study–act …
网页Background 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 …
Multidisciplinary teamwork: the good, bad, and everything in …
网页2001年6月1日 · 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 ...
A primer on PDSA: executing plan–do–study–act cycles in practice, …
网页Plan-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 …
Antibiotic overuse: managing uncertainty and mitigating against ...
网页Antibiotic overuse contributes to the growing threat of antimicrobial resistance (AMR). Despite local, national and global initiatives to target the problem, reducing overuse is challenging. Levels of antibiotic prescribing in hospitals in the UK are still rising year on year.1 Pandolfo et al ’s2 study in this issue of BMJ Quality & Safety provides new …
The human factor: the critical importance of effective teamwork …
网页Effective 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 …
The Quadruple Aim: care, health, cost and meaning in work
网页2015年10月1日 · 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 …
The problem with root cause analysis | BMJ Quality & Safety
网页The unhealthy quest for ‘the’ root cause. The first problem with RCA is its name. By implying—even inadvertently—that a single root cause (or a small number of causes) can be found, the term ‘root cause analysis’ promotes a flawed reductionist view.10 Incident investigation in the aftermath of an adverse event is intended to identify the latent and …
Healthcare-associated infections: where we came from and where …
网页Healthcare-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 …
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