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BMJ Quality & Safety

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https://www.readbyqxmd.com/read/28428245/thematic-analysis-of-us-stakeholder-views-on-the-influence-of-labour-nurses-care-on-birth-outcomes
#1
Audrey Lyndon, Kathleen Rice Simpson, Joanne Spetz
BACKGROUND: Childbirth is a leading reason for hospital admission in the USA, and most labour care is provided by registered nurses under physician or midwife supervision in a nurse-managed care model. Yet, there are no validated nurse-sensitive quality measures for maternity care. We aimed to engage primary stakeholders of maternity care in identifying the aspects of nursing care during labour and birth they believe influence birth outcomes, and how these aspects of care might be measured...
April 20, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28428244/the-role-of-social-media-around-patient-experience-and-engagement
#2
Ronen Rozenblum, Felix Greaves, David W Bates
No abstract text is available yet for this article.
April 20, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28424302/assessing-the-safety-culture-of-care-homes-a-multimethod-evaluation-of-the-adaptation-face-validity-and-feasibility-of-the-manchester-patient-safety-framework
#3
Martin Marshall, Lesley Cruickshank, Jenny Shand, Sarah Perry, James Anderson, Li Wei, Dianne Parker, Debra de Silva
BACKGROUND: Understanding the cultural characteristics of healthcare organisations is widely recognised to be an important component of patient safety. A growing number of vulnerable older people are living in care homes but little attention has been paid to safety culture in this sector. In this study, we aimed to adapt the Manchester Patient Safety Framework (MaPSaF), a commonly used tool in the health sector, for use in care homes and then to test its face validity and preliminary feasibility as a tool for developing a better understanding of safety culture in the sector...
April 19, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28416652/simplification-of-the-hospital-score-for-predicting-30-day-readmissions
#4
Carole E Aubert, Jeffrey L Schnipper, Mark V Williams, Edmondo J Robinson, Eyal Zimlichman, Eduard E Vasilevskis, Sunil Kripalani, Joshua P Metlay, Tamara Wallington, Grant S Fletcher, Andrew D Auerbach, Drahomir Aujesky, Jacques D Donzé
OBJECTIVE: The HOSPITAL score has been widely validated and accurately identifies high-risk patients who may mostly benefit from transition care interventions. Although this score is easy to use, it has the potential to be simplified without impacting its performance. We aimed to validate a simplified version of the HOSPITAL score for predicting patients likely to be readmitted. DESIGN AND SETTING: Retrospective study in 9 large hospitals across 4 countries, from January through December 2011...
April 17, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28404793/high-reliability-and-cargo-cult-qi-response-to-sutcliffe-et-al-bmj-qual-saf-2017-26-248-51
#5
LETTER
Andrew Smaggus, Mark Goldszmidt
No abstract text is available yet for this article.
April 12, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28400404/a-growth-mindset-approach-to-preparing-trainees-for-medical-error
#6
Jill Klein, Clare Delany, Michael D Fischer, David Smallwood, Stephen Trumble
No abstract text is available yet for this article.
April 11, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28364058/from-polyformacy-to-formacology
#7
EDITORIAL
Davina Allen
No abstract text is available yet for this article.
March 31, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28356333/patients-reports-of-adverse-events-a-data-linkage-study-of-australian-adults-aged-45-years-and-over
#8
Merrilyn Margaret Walton, Reema Harrison, Patrick Kelly, Jennifer Smith-Merry, Elizabeth Manias, Christine Jorm, Rick Iedema
BACKGROUND: Understanding a patient's hospital experience is fundamental to improving health services and policy, yet, little is known about their experiences of adverse events (AEs). This study redresses this deficit by investigating the experiences of patients in New South Wales hospitals who suffered an AE. METHODS: Data linkage was used to identify a random sample of 20 000 participants in the 45 and Up Cohort Study, out of 267 153 adults aged 45 years and over, who had been hospitalised in the prior 6 months...
March 29, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28314857/participatory-approaches-to-evaluating-integrated-care-the-vital-role-for-client-inclusion-and-participation
#9
LETTER
Nadiya Sunderji, Allyson Ion, Elizabeth Lin, Abbas Ghavam-Rassoul, Gwen Jansz
No abstract text is available yet for this article.
March 17, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28289243/use-of-standard-risk-screening-and-assessment-forms-to-prevent-harm-to-older-people-in-australian-hospitals-a-mixed-methods-study
#10
Bernice Redley, Michelle Raggatt
BACKGROUND: Standard risk screening and assessment forms are frequently used in strategies to prevent harm to older people in hospitals. Little is known about good practices for their use. OBJECTIVE: Scope the preventable harms addressed by standard forms used to screen and assess older people and how standard forms are operationalised in hospitals across Victoria, Australia. METHODS: Mixed methods study: (1) cross-sectional audit of the standard risk screening and assessment forms used to assess older people at 11 health services in 2015; (2) nine focus groups with a purposive sample of 69 participants at 9 health services...
March 13, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28280075/improving-reconciliation-following-medical-injury-a-qualitative-study-of-responses-to-patient-safety-incidents-in-new-zealand
#11
Jennifer Moore, Michelle M Mello
BACKGROUND: Despite the investment in exploring patient-centred alternatives to medical malpractice in New Zealand (NZ), the UK and the USA, patients' experiences with these processes are not well understood. We sought to explore factors that facilitate and impede reconciliation following patient safety incidents and identify recommendations for strengthening institution-led alternatives to malpractice litigation. METHODS: We conducted semistructured interviews with 62 patients injured by healthcare in NZ, administrators of 12 public hospitals, 5 lawyers specialising in Accident Compensation Corporation (ACC) claims and 3 ACC staff...
March 9, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28280074/large-scale-implementation-of-the-i-pass-handover-system-at-an-academic-medical-centre
#12
REVIEW
David M Shahian, Kayla McEachern, Laura Rossi, Roger Gino Chisari, Elizabeth Mort
BACKGROUND: Healthcare has become increasingly complex and care delivery models have changed dramatically (eg, team-based care, duty-hour restrictions). However, approaches to critical communications among providers have not evolved to meet these new challenges. Evidence from safety culture surveys, academic studies and malpractice claims suggests that healthcare handover quality is problematic, leading to preventable errors and adverse outcomes. To address this concern, from 2013 to 2016 Massachusetts General Hospital completed phase I of a multifaceted programme to implement standardised, structured handovers across all departments, units and direct care providers...
March 9, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28232390/effectiveness-of-a-do-not-interrupt-bundled-intervention-to-reduce-interruptions-during-medication-administration-a-cluster-randomised-controlled-feasibility-study
#13
Johanna I Westbrook, Ling Li, Tamara D Hooper, Magda Z Raban, Sandy Middleton, Elin C Lehnbom
AIM: To evaluate the effectiveness of a 'Do not interrupt' bundled intervention to reduce non-medication-related interruptions to nurses during medication administration. METHODS: A parallel eight cluster randomised controlled study was conducted in a major teaching hospital in Adelaide, Australia. Four wards were randomised to the intervention which comprised wearing a vest when administering medications; strategies for diverting interruptions; clinician and patient education; and reminders...
February 23, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28228469/root-cause-analysis-swatting-at-mosquitoes-versus-draining-the-swamp
#14
EDITORIAL
Patricia Trbovich, Kaveh G Shojania
No abstract text is available yet for this article.
February 21, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28183828/a-qualitative-study-of-emergency-physicians-perspectives-on-proms-in-the-emergency-department
#15
Katie N Dainty, Bianca Seaton, Andreas Laupacis, Michael Schull, Samuel Vaillancourt
INTRODUCTION: There is a growing emphasis on including patients' perspectives on outcomes as a measure of quality care. To date, this has been challenging in the emergency department (ED) setting. To better understand the root of this challenge, we looked to ED physicians' perspectives on their role, relationships and responsibilities to inform future development and implementation of patient-reported outcome measures (PROMs). METHODS: ED physicians from hospitals across Canada were invited to participate in interviews using a snowballing sampling technique...
February 9, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28174319/exploring-the-roots-of-unintended-safety-threats-associated-with-the-introduction-of-hospital-eprescribing-systems-and-candidate-avoidance-and-or-mitigation-strategies-a-qualitative-study
#16
Hajar Mozaffar, Kathrin M Cresswell, Robin Williams, David W Bates, Aziz Sheikh
OBJECTIVE: Hospital electronic prescribing (ePrescribing) systems offer a wide range of patient safety benefits. Like other hospital health information technology interventions, however, they may also introduce new areas of risk. Despite recent advances in identifying these risks, the development and use of ePrescribing systems is still leading to numerous unintended consequences, which may undermine improvement and threaten patient safety. These negative consequences need to be analysed in the design, implementation and use of these systems...
February 7, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28159854/can-patient-involvement-improve-patient-safety-a-cluster-randomised-control-trial-of-the-patient-reporting-and-action-for-a-safe-environment-prase-intervention
#17
Rebecca Lawton, Jane Kathryn O'Hara, Laura Sheard, Gerry Armitage, Kim Cocks, Hannah Buckley, Belen Corbacho, Caroline Reynolds, Claire Marsh, Sally Moore, Ian Watt, John Wright
OBJECTIVE: To evaluate the efficacy of the Patient Reporting and Action for a Safe Environment intervention. DESIGN: A multicentre cluster randomised controlled trial. SETTING: Clusters were 33 hospital wards within five hospitals in the UK. PARTICIPANTS: All patients able to give informed consent were eligible to take part. Wards were allocated to the intervention or control condition. INTERVENTION: The ward-level intervention comprised two tools: (1) a questionnaire that asked patients about factors contributing to safety (patient measure of safety (PMOS)) and (2) a proforma for patients to report both safety concerns and positive experiences (patient incident reporting tool)...
February 3, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28137996/estimating-preventable-hospital-deaths-the-authors-reply
#18
LETTER
Kaveh G Shojania, Mary Dixon-Woods
No abstract text is available yet for this article.
January 30, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28137995/getting-to-grips-with-the-beast-the-potential-of-multi-method-operational-research-approaches
#19
EDITORIAL
Jenni Burt
No abstract text is available yet for this article.
January 30, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28137994/deaths-from-preventable-adverse-events-originating-in-hospitals
#20
LETTER
John T James
No abstract text is available yet for this article.
January 30, 2017: BMJ Quality & Safety
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