There is a need for the traditional risk management model, which focuses on department based risk assessment, loss management and risk financing, to evolve to enable it to become more responsive to ...

Background In 2012, the US Food and Drug Administration approved a Risk Evaluation and Mitigation Strategy (REMS) programme including mandatory prescriber training and a patient/provider ...

The cluster randomised trial (CRT) is commonly used in healthcare research. It is the gold-standard study design for evaluating healthcare policy interventions. A key characteristic of this design is ...

Effective improvement and research rely on sustained multidisciplinary collaboration, but few examples are available of centres with the broad range of disciplines and practical experience that are ...

Several public inquiries into healthcare failings in the UK have noted that employees of failing organizations attempt to raise concerns about shortcomings in care, often over a prolonged period of ...

To quote Voltaire by way of Spider-Man, with great power comes great responsibility. This phrase rings especially true for medical trainees on reaching the point in their training when they can order ...

Within healthcare services worldwide, there is a continual emphasis on innovation, including the development, evaluation and improvement of new and existing healthcare interventions and services to ...

Correspondence to Dr Daniel Z Fang, Department of Internal Medicine, Stanford University Medical Center, Stanford, CA 94305, USA; danfang{at}stanford.edu My pager goes off. It’s the nurse worried ...

Administrative data are readily available, inexpensive, computer readable, and cover large populations. Despite coding irregularities and limited clinical details, administrative data supplemented by ...

Objective To determine what components of a checklist contribute to effective detection of medication errors at the bedside. Design High-fidelity simulation study of outpatient chemotherapy ...

Background Differences in contexts (eg, policies, healthcare organisation characteristics) may explain variations in the effects of patient safety practice (PSP) implementations. However, knowledge of ...

Healthcare workers could learn much from the engineering and civil aviation industries about safety management. The medical community is becoming more open to learning safety lessons from other ...