Adverse drug events (ADEs) are one of the leading categories of iatrogenic patient injury, accounting for 19% of all adverse events in the Harvard Medical Practice Study. 1 More recent studies of the ...

Scientific studies of artificial intelligence (AI) solutions in healthcare have been the subject of intense criticism—both in research publications and in the media.1–3 Early validations of predictive ...

Background Quality improvement (QI) efforts have become widespread in healthcare, however there is significant variability in their success. Differences in context are thought to be responsible for ...

Objectives To document the burden of in-hospital falls and fractures, and to identify factors that may increase the risk of these events. Design A retrospective cohort analysis Setting The study was ...

High risk industries such as commercial aviation and the oil and gas industry have achieved exemplary safety performance. This paper reviews how they have managed to do that. The primary reasons are ...

Sepsis is a leading cause of death and suffering, afflicting 1.7 million adults annually in the USA and contributing to over 250 000 deaths.1 The high burden of sepsis has catalysed numerous ...

Background With the introduction of Computerised Physician Order Entry (CPOE) in routine hospital care, a great deal of effort has been put into refining Clinical Decision Support Systems (CDSS) to ...

Background Loss to follow-up is an under-recognised problem in primary care. Continuity with a primary care provider improves morbidity and mortality in the Veterans Health Administration. We sought ...

Background: The potential severity of wrong patient/procedure/site of surgery and the view that these events are avoidable, make the prevention of such errors a priority. An intervention was set up to ...

Objective To evaluate the feasibility of a locally implemented incident-reporting procedure (IRP) in primary healthcare centres after 1 year. Setting and participants Five primary healthcare centres ...

Background Safe and effective healthcare is frustrated by failures in communication. Repeating back important information (read-back) is thought to enhance the effectiveness of communication across ...

The time is ripe for a formal structured review of guidance on quality improvement reports Samuel Beckett wrote “ Ever tried. Ever failed. No matter. Try again. Fail again. Fail better .” Fiona Moss ...