Using report cards and dashboards to drive quality improvement: lessons learnt and lessons still to learn
Interactions: understanding people and process in prescribing in primary care
Quick and dirty? A systematic review of the use of rapid ethnographies in healthcare organisation and delivery
Hospital culture and clinical performance: where next?
Systematic review and meta-analysis of the effectiveness of pharmacist-led medication reconciliation in the community after hospital discharge
Are the NHS national outcomes frameworks past their sell-by date?
Raising up the voices of the closest observers of care
Implementation science at the crossroads
Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer
Lending a hand: could machine learning help hospital staff make better use of patient feedback?
Performance of statistical process control methods for regional surgical site infection surveillance: a 10-year multicentre pilot study
How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study
A qualitative study of patient involvement in medicines management after hospital discharge: an under-recognised source of systems resilience
Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary care
Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study
Increasing the use of patient decision aids in orthopaedic care: results of a quality improvement project
Transportation characteristics associated with non-arrivals to paediatric clinic appointments: a retrospective analysis of 51 580 scheduled visits
The association between patient experience factors and likelihood of 30-day readmission: a prospective cohort study
Ratings game: an analysis of Nursing Home Compare and Yelp ratings
Improving PICC use and outcomes in hospitalised patients: an interrupted time series study using MAGIC criteria
Effect of a population-level performance dashboard intervention on maternal-newborn outcomes: an interrupted time series study
Roadmap for improving the accuracy of respiratory rate measurements
Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout
Balancing measures or a balanced accounting of improvement impact : a qualitative analysis of individual and focus group interviews with improvement experts in Scotland
Impact of an inpatient electronic prescribing system on prescribing error causation : a qualitative evaluation in an English hospital
Reorganisation of stroke care and impact on mortality in patients admitted during weekends : a national descriptive study based on administrative data
Precommitting to choose wisely about low-value services : a stepped wedge cluster randomised trial
Night-time communication at Stanford University Hospital : perceptions, reality and solutions
Quality of provider-offered Medicare Advantage plans
Intraoperative non-technical skills : a critical target for improving surgical outcomes
Are quality improvement collaboratives effective? A systematic review
Simplifying care : when is the treatment burden too much for patients living in poverty?
Postmarket medical device safety : moving beyond voluntary reporting
People’s experiences of hospital care on the weekend : secondary analysis of data from two national patient surveys
Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned?
Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards
To GP or not to GP : a natural experiment in children triaged to see a GP in a tertiary paediatric emergency department (ED)
Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures and catheter-associated urinary tract infections : results of a national collaborative
Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare
Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency department : a randomised controlled trial
Mortality, readmission and length of stay have different relationships using hospital-level versus patient-level data : an example of the ecological fallacy affecting hospital performance indicators
Frequency of low-value care in Alberta, Canada : a retrospective cohort study
Impact of out-of-hours admission on patient mortality : longitudinal analysis in a tertiary acute hospital
Wisdom of patients : predicting the quality of care using aggregated patient feedback
An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients
Addressing the multisectoral impact of pressure injuries in the USA, UK and abroad
Identifying vendors in studies of electronic health records : the editor replies
Questions regarding the authors’ conclusions about the lack of change in Hospital Survey on Patient Safety Culture (HSOPS) scores related to reduction of hospital-acquired infections
On being human : reflections on a daily error
Do the stars align? Distribution of high-quality ratings of healthcare sectors across US markets
Problems with discharge summaries produced by electronic health records : why are the vendors not named?
Correction : Advancing Implementation Science for Quality and Safety in Primary Health Care
Nursing home Facebook reviews : who has them, and how do they relate to other measures of quality and experience?
Factors influencing the reporting of adverse medical device events : qualitative interviews with physicians about higher risk implantable devices
Simple example of a practical solution to make patient feedback more useful
Are Facebook user ratings associated with hospital cost, quality and patient satisfaction? A cross-sectional analysis of hospitals in New York State
Does early return to theatre add value to rates of revision at 3 years in assessing surgeon performance for elective hip and knee arthroplasty? National observational study
Advancing infection prevention and antimicrobial stewardship through improvement science
Anticipation, teamwork and cognitive load : chasing efficiency during robot-assisted surgery
The use of patient feedback by hospital boards of directors : a qualitative study of two NHS hospitals in England
Consistency of pressure injury documentation across interfacility transfers
Outpatient CPOE orders discontinued due to ‘erroneous entry’ : prospective survey of prescribers’ explanations for errors
Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors : an observational study of voided orders
Impact of two-step urine culture ordering in the emergency department : a time series analysis
A single-centre hospital-wide handoff standardisation report : what is so special about that?
Assessing the safety culture of care homes : a multimethod evaluation of the adaptation, face validity and feasibility of the Manchester Patient Safety Framework
High Reliability and ‘Cargo Cult QI’
A growth mindset approach to preparing trainees for medical error
From polyformacy to formacology
Patients' reports of adverse events : a data linkage study of Australian adults aged 45 years and over
Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals : a mixed methods study
Large-scale implementation of the I-PASS handover system at an academic medical centre
Effectiveness of a ‘Do not interrupt’ bundled intervention to reduce interruptions during medication administration : a cluster randomised controlled feasibility study
Root-cause analysis
A qualitative study of emergency physicians’ perspectives on PROMS in the emergency department
Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies : a qualitative study
Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention
Deaths from preventable adverse events originating in hospitals
Estimating preventable hospital deaths
Getting to grips with the beast
Modifying head nurse messages during daily conversations as leverage for safety climate improvement
Combining qualitative and quantitative operational research methods to inform quality improvement in pathways that span multiple settings
Nursing skill mix and patient outcomes
The associations between work–life balance behaviours, teamwork climate and safety climate
Recognising the value of infection prevention and its role in addressing the antimicrobial resistance crisis
What we know about designing an effective improvement intervention (but too often fail to put into practice)
A primer on PDSA
A patient feedback reporting tool for OpenNotes
Microanalysis of video from the operating room
Our current approach to root cause analysis
What can a participatory approach to evaluation contribute to the field of integrated care?
What have we learnt after 15 years of research into the ‘weekend effect’?
Beyond hand hygiene
Remembering to learn
Development of a high-value care culture survey
Arrival by ambulance explains variation in mortality by time of admission
Estimating deaths due to medical error
A work observation study of nuclear medicine technologists
When patient-centred care is worth doing well
The evolution of morbidity and mortality conferences
Variations in GPs' decisions to investigate suspected lung cancer
Incident reporting
Bed utilisation and increased risk of Clostridium difficile infections in acute hospitals in England in 2013/2014
The problem with ‘5 whys’
Learning from near misses in aviation
Patient and family empowerment as agents of ambulatory care safety and quality
Incident reporting must result in local action
Responding to the challenge of look-alike, sound-alike drug names
Discerning quality
The global burden of diagnostic errors in primary care
Implementation and de-implementation
Interventions to improve hospital patient satisfaction with healthcare providers and systems
Triggering safer general practice care
Socioeconomic status influences the toll paediatric hospitalisations take on families
Six ways not to improve patient flow
Extended opening hours in primary care
Clinical summaries for hospitalised patients
Implementation of a structured hospital-wide morbidity and mortality rounds model
Extended opening hours and patient experience of general practice in England
Opening up to Open Notes and adding the patient to the team
The problem with root cause analysis
Reviewing deaths in British and US hospitals
Can we use patient-reported feedback to drive change? The challenges of using patient-reported feedback and how they might be addressed
Theory-based and evidence-based design of audit and feedback programmes
When doctors share visit notes with patients
Cognitive tests predict real-world errors
What is the potential of patient shadowing as a patient-centred method?
Opportunities to improve clinical summaries for patients at hospital discharge
Workarounds to hospital electronic prescribing systems
A scoping review of online repositories of quality improvement projects, interventions and initiatives in healthcare
Response to
Assessing content validity and user perspectives on the Team Check-up Tool
How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation
Safety risks associated with the lack of integration and interfacing of hospital health information technologies
Implementation of the trigger review method in Scottish general practices
Towards optimising local reviews of severe incidents in maternity care
How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time
Ranking hospitals on avoidable death rates derived from retrospective case record review : methodological observations and limitations
Safety in healthcare is a moving target
Temporal trends in patient safety in the Netherlands : reductions in preventable adverse events or the end of adverse events as a useful metric?
Emotional harm from disrespect : the neglected preventable harm
The problem with checklists
Lack of standardisation between specialties for human factors content in postgraduate training : an analysis of specialty curricula in the UK
Are we recording postoperative complications correctly? Comparison of NHS Hospital Episode Statistics with the American College of Surgeons National Surgical Quality Improvement Program
Exploring demographic and lifestyle associations with patient experience following telephone triage by a primary care doctor or nurse : secondary analyses from a cluster randomised controlled trial
Patient and carer identified factors which contribute to safety incidents in primary care : a qualitative study
A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals
Competition in collaborative clothing : a qualitative case study of influences on collaborative quality improvement in the ICU
Treatment quality indicators predict short-term outcomes in patients with diabetes : a prospective cohort study using the GIANTT database
Home-care nurses’ perceptions of unmet information needs and communication difficulties of older patients in the immediate post-hospital discharge period
Women's safety alerts in maternity care : is speaking up enough?
Estimated nursing workload for the implementation of ventilator bundles
Statistical process control charts for attribute data involving very large sample sizes : a review of problems and solutions
Process evaluation of a tailored multifaceted feedback program to improve the quality of intensive care by using quality indicators
Identifying attributes required by Foundation Year 1 doctors in multidisciplinary teams : a tool for performance evaluation
Matching identifiers in electronic health records : implications for duplicate records and patient safety
Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam
Patient-centred healthcare, social media and the internet : the perfect storm?