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BMJ Quality & Safety - Our Full Story 12 March 2024. Listen to Editors-in-Chief of BMJ Quality & Safety, Bryony Dean Franklin and Eric Thomas, talk about the journal's aims and scope, the advice they have for authors thinking about submitting to the journal, what the journal has to offer to readers, highlights from the journal and what the journal has planned for 2024.
Diagnostic error in mental health: a review - BMJ Quality & Safety
Diagnostic errors are associated with patient harm and suboptimal outcomes. Despite national scientific efforts to advance definition, measurement and interventions for diagnostic error, diagnosis in mental health is not well represented in this ongoing work. We aimed to summarise the current state of research on diagnostic errors in …
Adverse diagnostic events in hospitalised patients: a single-centre ...
Sep 18, 2024 · Background Adverse event surveillance approaches underestimate the prevalence of harmful diagnostic errors (DEs) related to hospital care. Methods We conducted a single-centre, retrospective cohort study of a stratified sample of patients hospitalised on general medicine using four criteria: transfer to intensive care unit (ICU), death within 90 days, complex clinical events, and none of the ...
Measuring gist-based perceptions of medication benefit-to-harm …
In this issue of the journal, Wegwarth et al report on a study that sought to identify general practitioner (GP) characteristics that predicted prescribing of potentially hazardous medications or, as the authors put it, ‘too much medicine’.1 An online survey of 304 English GPs measured their risk literacy, conflicts of interest, and perceived benefit-to-harm ratio in low-value prescribing ...
Raising the barcode: improving medication safety behaviours …
Barcode medication administration (BCMA) technology can improve patient safety by using scanning technology to ensure the right drug and dose are given to the right patient. Implementation can be challenging, requiring adoption of different workflows by nursing staff. In one London National Health Service trust scanning rates were lower than desired at around 0–20% of doses per ward. Our ...
Talking about falls: a qualitative exploration of spoken …
Background Inpatient falls are the most common safety incident reported by hospitals worldwide. Traditionally, responses have been guided by categorising patients’ levels of fall risk, but multifactorial approaches are now recommended. These target individual, modifiable fall risk factors, requiring clear communication between multidisciplinary team members. Spoken communication is an ...
Variation in quality of care between hospitals: how to identify ...
In healthcare, as in life, the adage ‘variety is the spice of life’ often holds true. Variation can represent individual patient preferences, but when it comes to the quality of healthcare, variation can also be unwanted and harmful. Analysis of variation in a quality-of-care indicator assumes that finding only limited variation is a good thing, suggesting consistently high compliance with ...
What and when to debrief: a scoping review examining …
Introduction Clinical debriefing (CD) improves teamwork and patient care. It is implemented across a range of clinical contexts, but delivery and structure are variable. Furthermore, terminology to describe CD is also inconsistent and often ambiguous. This variability and the lack of clear terminology obstructs understanding and normalisation in …
Moving the needle: using quality improvement to address gaps in …
In 2008, the Sickle Cell Society of the UK published clinical standards for the care of adults with sickle cell disease (SCD).1 Over the subsequent decade, nations including France, Nigeria and the USA also published national guidelines for the management of SCD across the lifespan. However, studies have repeatedly demonstrated that patients are not consistently receiving this evidence-based ...
althcare today are inter-ested in defining ‘‘quality improvement’’. We propose defin-ing it as the combined and unceasing efforts of everyone—healthcare profes-sionals, patients and their families, researchers, payers, planners and educa-tors—to make the changes that will lead to better patient outcomes (health), bet-ter syst.