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BMJ Quality & Safety

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https://www.readbyqxmd.com/read/28314857/participatory-approaches-to-evaluating-integrated-care-the-vital-role-for-client-inclusion-and-participation
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
LETTER
John T James
No abstract text is available yet for this article.
January 30, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28082454/modifying-head-nurse-messages-during-daily-conversations-as-leverage-for-safety-climate-improvement-a-randomised-field-experiment
#13
Dov Zohar, Yaron T Werber, Ronen Marom, Bruria Curlau, Orna Blondheim
BACKGROUND: Recent literature reviews lament the paucity of high-quality intervention studies designed to test safety culture improvement in hospitals. The current study adapts an empirically supported strategy developed for manufacturing companies by focusing on patient care and safety messages head nurses communicate during daily conversations with nurses. METHODS: The study was designed as randomised control trial coupled with before-after measurement of outcome variables...
January 12, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28062603/combining-qualitative-and-quantitative-operational-research-methods-to-inform-quality-improvement-in-pathways-that-span-multiple-settings
#14
Sonya Crowe, Katherine Brown, Jenifer Tregay, Jo Wray, Rachel Knowles, Deborah A Ridout, Catherine Bull, Martin Utley
BACKGROUND: Improving integration and continuity of care across sectors within resource constraints is a priority in many health systems. Qualitative operational research methods of problem structuring have been used to address quality improvement in services involving multiple sectors but not in combination with quantitative operational research methods that enable targeting of interventions according to patient risk. We aimed to combine these methods to augment and inform an improvement initiative concerning infants with congenital heart disease (CHD) whose complex care pathway spans multiple sectors...
January 6, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28039393/nursing-skill-mix-and-patient-outcomes
#15
EDITORIAL
Jack Needleman
No abstract text is available yet for this article.
December 30, 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27965416/a-patient-feedback-reporting-tool-for-opennotes-implications-for-patient-clinician-safety-and-quality-partnerships
#16
Sigall K Bell, Macda Gerard, Alan Fossa, Tom Delbanco, Patricia H Folcarelli, Kenneth E Sands, Barbara Sarnoff Lee, Jan Walker
BACKGROUND: OpenNotes, a national movement inviting patients to read their clinicians' notes online, may enhance safety through patient-reported documentation errors. OBJECTIVE: To test an OpenNotes patient reporting tool focused on safety concerns. METHODS: We invited 6225 patients through a patient portal to provide note feedback in a quality improvement pilot between August 2014 and 2015. A link at the end of the note led to a 9-question survey...
April 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27486259/triggering-safer-general-practice-care
#17
EDITORIAL
Susan M Dovey, Sharon Leitch
No abstract text is available yet for this article.
April 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27471042/socioeconomic-status-influences-the-toll-paediatric-hospitalisations-take-on-families-a-qualitative-study
#18
Andrew Finkel Beck, Lauren G Solan, Stephanie A Brunswick, Hadley Sauers-Ford, Jeffrey M Simmons, Samir Shah, Jennifer Gold, Susan N Sherman
BACKGROUND: Stress caused by hospitalisations and transition periods can place patients at a heightened risk for adverse health outcomes. Additionally, hospitalisations and transitions to home may be experienced in different ways by families with different resources and support systems. Such differences may perpetuate postdischarge disparities. OBJECTIVE: We sought to determine, qualitatively, how the hospitalisation and transition experiences differed among families of varying socioeconomic status (SES)...
April 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27343275/opening-up-to-open-notes-and-adding-the-patient-to-the-team
#19
EDITORIAL
Caroline Lubick Goldzweig
No abstract text is available yet for this article.
April 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27288054/theory-based-and-evidence-based-design-of-audit-and-feedback-programmes-examples-from-two-clinical-intervention-studies
#20
Sylvia J Hysong, Harrison J Kell, Laura A Petersen, Bryan A Campbell, Barbara W Trautner
BACKGROUND: Audit and feedback (A&F) is a common intervention used to change healthcare provider behaviour and, thus, improve healthcare quality. Although A&F can be effective its effectiveness varies, often due to the details of how A&F interventions are implemented. Some have suggested that a suitable conceptual framework is needed to organise the elements of A&F and also explain any observed differences in effectiveness. Through two examples from applied research studies, this article demonstrates how a suitable explanatory theory (in this case Kluger & DeNisi's Feedback Intervention Theory (FIT)) can be systematically applied to design better feedback interventions in healthcare settings...
April 2017: BMJ Quality & Safety
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