Healthcare-associated infections: where we came from and where …
WEBHealthcare-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 hospitalisation or within 30 ...
Systematic review of the application of the plan–do–study–act …
WEBBackground 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 PDSA cycles and explores the consistency ...
Homepage | BMJ Quality & Safety
WEB2 days ago · 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
WEBDiagnostic 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 mental health and identify opportunities to align future ...
The problem with Plan-Do-Study-Act cycles - BMJ Quality & Safety
WEBOf the many QI tools and methods, the Plan-Do-Study-Act (PDSA) cycle is one of the few that focuses on the crux of change, the translation of ideas and intentions into action. As such, the PDSA cycle and the concept of iterative tests of change are central to many QI approaches, including the model for improvement, 1 lean, 2 six sigma 3 and ...
Multidisciplinary teamwork: the good, bad, and everything in …
WEBJun 1, 2001 · 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 ...
Separating fact from fiction - BMJ Quality & Safety
WEBBackground Interest in human factors has increased across healthcare communities and institutions as the value of human centred design in healthcare becomes increasingly clear. However, as human factors is becoming more prominent, there is growing evidence of confusion about human factors science, both anecdotally and in scientific literature. Some of the misconceptions about human factors may ...
Sustaining quality improvement efforts: emerging principles and ...
WEBDo we care if a quality improvement (QI) innovation is effective, if it is not sustained? This uncomfortable question is increasingly important as healthcare is judged (and reimbursed) on ‘quality’ and ‘value’. Often, a sentinel safety event or dip in performance on a quality measure tied to reimbursement spurs a ‘quick fix’ mentality. However, considering how to ‘fix the problem ...
Effectiveness of double checking to reduce medication …
WEBMethods 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 difference representing the association between ...
Time for a rebalance: psychological and emotional well-being in …
WEBThe COVID-19 pandemic shone a light on the work and needs of the healthcare workforce like never before, resulting in an increased focus of workforce well-being research, policy and within mainstream media. Despite this recent attention, the relevance of workforce well-being for healthcare delivery and efficiency is not a new phenomenon. The National Health Service (NHS) in England employs ...