What do clinical practice guidelines say about deprescribing? A …
Introduction Deprescribing ( medication dose reduction or cessation ) is an integral component of appropriate prescribing. The extent to which deprescribing recommendations are included in clinical practice guidelines is unclear. This scoping review aimed to identify guidelines that contain deprescribing recommendations, qualitatively explore the content and format of deprescribing ...
Burden of serious harms from diagnostic error in the USA
Box 1 NAIC scale with specific exemplars used as anchors by CRICO in coding malpractice claim severity. NAIC 6—permanent significant (eg, deafness, loss of single limb, loss of eye, loss of one kidney or lung; cancers where there is a large tumour possibly with lymph node involvement—this includes cancers that are stage III and stage IV such as …
Adverse diagnostic events in hospitalised patients: a single-centre ...
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 ...
Authors | BMJ Quality & Safety
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 viewpoints and other papers relevant to ...
Quality, safety and artificial intelligence
Healthcare quality and safety span multiple topics across the spectrum of academic and clinical disciplines. Keeping abreast of the rapidly growing body of work can be challenging. In this series, we provide succinct summaries of selected relevant studies published in the last several months. Some articles will focus on a particular theme, whereas others will …
A primer on PDSA: executing plan–do–study–act cycles in practice, …
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 …
Home | BMJ Quality & Safety
BMJ Quality & Safety (previously Quality & Safety in Health Care) is an international peer review publication providing research, opinions, debates and reviews for academics, clinicians and healthcare managers focused on the quality and safety of health care and the science of …
Application of statistical process control in healthcare …
Objective: To systematically review the literature regarding how statistical process control—with control charts as a core tool—has been applied to healthcare quality improvement, and to examine the benefits, limitations, barriers and facilitating factors related to such application. Data sources: Original articles found in relevant databases, including Web of …
Patient safety for clinical practice | BMJ Quality & Safety
Recent studies still show high numbers of patient harm in healthcare, with 1 in 10 being harmed and around 3 million deaths annually due to unsafe care. Numbers such as these stress the importance of the concept of patient safety, defined by the WHO as ‘the absence of preventable harm to a patient and reduction of risk of unnecessary harm associated with healthcare to an acceptable minimum’.
The problem with Plan-Do-Study-Act cycles - BMJ Quality & Safety
Quality improvement (QI) methods have been introduced to healthcare to support the delivery of care that is safe, timely, effective, efficient, equitable and cost effective. Of 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 …