Most quality improvement or change management interventions are currently designed intuitively and their results are often disappointing. While improving the effectiveness of interventions requires ...

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 ...

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 ...

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Background Healthcare organisations often fail to harvest and make use of the ‘soft intelligence’ about safety and quality concerns held by their own personnel. We aimed to examine the role of formal ...

Department of Social Psychology, London School of Economics, London, UK Correspondence to Dr Tom Reader, Department of Social Psychology, London School of Economics, Houghton Street, London WC2A 2AE, ...

Correspondence to Professor Bryony Dean Franklin, Centre for Medication Safety and Service Quality, Imperial College Healthcare NHS Trust/UCL School of Pharmacy ...

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 ...

1 Department of Pediatrics and Children’s Research Institute, Medical College of Wisconsin in Milwaukee, WI, USA 2 Department of Family and Community Medicine, Medical College of Wisconsin in ...

Quality indicators have been developed throughout Europe primarily for use in hospitals, but also increasingly for primary care. Both development and application are important but there has been less ...

The clinical microsystem puts medical error and harm reduction into the broader context of safety and quality of care by providing a framework to assess and evaluate ...

Correspondence to Dr Veena S Raleigh, The King’s Fund, Cavendish Square, London W1G 0AN, UK; V.Raleigh{at}kingsfund.org.uk If you wish to reuse any or all of this ...