To date, improvement in health care has relied mainly on a “top down” programme by programme approach to service change and development. This has spawned a multitude of different and often impressive ...

Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, UNSW Medicine, University of New South Wales, Sydney, New South Wales, Australia Correspondence to Professor ...

Clinical Safety Research Unit, St Mary’s Hospital, London, UK R Davis, Clinical Safety Research Unit, Department of Bio-Surgery and Surgical Technology, 10th Floor, Queen Elizabeth The Queen Mother ...

Quality Literature Program, The Dartmouth Institute for Health Policy and Clinical Practice; Office of Research and Innovation in Medical Education, Dartmouth Medical School, Hanover, New Hampshire, ...

Background Respiratory rate (RR) is an independent predictor of adverse outcomes and an integral component of many risk prediction scores for hospitalised adults. Yet, it is unclear if RR is recorded ...

A wide variety of research studies suggest that breakdowns in the diagnostic process result in a staggering toll of harm and patient deaths. These include autopsy studies, case reviews, surveys of ...

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Patients, clinicians and managers all want to be reassured that their healthcare organisation is safe. But there is no consensus about what we mean when we ask whether a healthcare organisation is ...

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 Acute care teams (ACTs) represent action teams, that is, teams in which members with specialised roles must coordinate their actions during intense situations, often under high time ...