This paper defines risk and its component elements and describes where clinical practice may be starting from in terms of what is reported in the literature about understanding risks and the ...

The growing recognition of harm as an unwelcome and frequently unrecognized byproduct of health care has initiated focused efforts to create highly reliable organizations for safe healthcare delivery.

Objectives—To develop, validate, and test the reliability of an audit instrument that measures the extent to which patient records describe important aspects of nursing care. Material—Twenty records ...

Objectives: To assess patients’ adherence to new medication for a chronic condition (and whether non-adherence was intentional), patients’ problems with their medication, and their further information ...

Correspondence to: E M Schimmel, Department of Internal Medicine, Yale University School of Medicine, and the Grace-New Haven Community Hospital, New Haven, Connecticut, USA The occurrence of hospital ...

Social Science Applied to Healthcare Improvement Research Group, Department of Health Sciences, School of Medicine, University of Leicester, Leicester, UK Correspondence to Professor Mary Dixon-Woods, ...

Background There is growing recognition in the literature of the ‘Herculean’ efforts required to bring about change in healthcare processes and systems. Leadership is recognised as a critical lever ...

Determining how to collect and use patient-reported outcome measures (PROMs) continues to be an area of discussion, and in some cases frustration.1–5 Gaining a greater depth of knowledge concerning a ...

Correspondence to Professor R Brian Haynes, Health Information Research Unit, McMaster University, 1280 Main Street West, CRL 133, Hamilton, Ontario L8S 4K1, Canada; bhaynes{at}mcmaster.ca Background ...

Department of Intensive Care and Neonatology, University Children’s Hospital, Zurich, Switzerland Correspondence to Dr Bernhard Frey, Department of Intensive Care and Neonatology, University ...

Background The use of national quality campaigns to foster evidence-based hospital practices is increasing. Because campaigns typically do not limit access to their resources, they may influence ...

5 Department of Health Policy and Management, Harvard School of Public Health, and Brigham and Women's Hospital, Boston, Massachusetts, USA 6 Department of Health Policy and Management, Johns Hopkins ...