Department of Anesthesiology and the Duke University Human Simulation and Patient Safety Center, Duke University Medical Center, Durham, North Carolina, USA Correspondence to: Melanie C Wright PhD ...

Correspondence to Dr Samuel Abuaf Kohen, Intensive Care Unit, Comox Valley Hospital, Courtenay, BC V9N 0B9, Canada; samuel.kohen{at}viha.ca Background Patients and their families often have an ...

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 ...

Background Modern medical care requires numerous patient handovers/handoffs. Handover error is recognised as a potential hazard in patient care, and the information ...

Background Understaffing by nursing staff in hospitals is linked to patients coming to harm and dying unnecessarily. There is a vicious cycle whereby poor work conditions, including understaffing, can ...

The microsystem is an organizing design construct in which social systems cut across traditional discipline boundaries. Because of its interdisciplinary focus, the clinical microsystem provides a ...

Background We developed a Guideline Implementability for Decision Excellence-Framework Model (GuIDE-M) based on the robust evidentiary base of a realist review on guideline attributes. GuIDE-M emerged ...

For patients in the intensive care unit (ICU), prolonged mechanical ventilation is associated with poor outcomes. A quality improvement (QI) initiative with the aim of reducing median time on the ...

Objectives: To assess awareness and use of the current incident reporting system and to identify factors inhibiting reporting of incidents in hospitals. Design, setting and participants: Anonymous ...

2 Community and Family Medicine and Medicine, White River Junction VA Medical Center, Dartmouth Medical School, Hanover, New Hampshire, USA 3 Oncology, Pediatrics, Epidemiology and Biostatistics, ...

The quality of care anyone receives in the USA is highly dependent on where they receive care. Prior research has found that on average, risk-adjusted mortality differences between top-decile and ...