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2 days ago — BMJ Quality & Safety - Our Full Story 12 March 2024. Listen to Editors-in-Chief of BMJ Quality & Safety, Bryony Dean Franklin and Eric Thomas, talk about the journal's aims and scope, the advice they have for authors thinking about submitting to the journal, what the journal has to offer to readers, highlights from the journal and what the journal has planned for 2024.
Antibiotic overuse: managing uncertainty and mitigating against ...
Antibiotic overuse contributes to the growing threat of antimicrobial resistance (AMR). Despite local, national and global initiatives to target the problem, reducing overuse is challenging. Levels of antibiotic prescribing in hospitals in the UK are still rising year on year.1 Pandolfo et al ’s2 study in this issue of BMJ Quality & Safety provides new insights into this problem by studying ...
Measuring gist-based perceptions of medication benefit-to-harm …
In this issue of the journal, Wegwarth et al report on a study that sought to identify general practitioner (GP) characteristics that predicted prescribing of potentially hazardous medications or, as the authors put it, ‘too much medicine’.1 An online survey of 304 English GPs measured their risk literacy, conflicts of interest, and perceived benefit-to-harm ratio in low-value prescribing ...
What can Safety Cases offer for patient safety ... - BMJ Quality
The development of a Safety Case for a defined clinical pathway was a centrepiece of the programme. We base our analysis on 143 interviews covering all aspects of the programme and on analysis of 13 Safety Cases produced by clinical teams. Results The principles behind a proactive, systematic approach to identifying and controlling risk that ...
General practitioners’ risk literacy and real-world prescribing of ...
Background Overuse of medical care is a pervasive problem. Studies using hypothetical scenarios suggest that physicians’ risk literacy influences medical decisions; real-world correlations, however, are lacking. We sought to determine the association between physicians’ risk literacy and their real-world prescriptions of potentially hazardous drugs, accounting for conflicts of interest and ...
Adverse diagnostic events in hospitalised patients: a single-centre ...
Sep 18, 2024 — Background Adverse event surveillance approaches underestimate the prevalence of harmful diagnostic errors (DEs) related to hospital care. Methods We conducted a single-centre, retrospective cohort study of a stratified sample of patients hospitalised on general medicine using four criteria: transfer to intensive care unit (ICU), death within 90 days, complex clinical events, and none of the ...
althcare today are inter-ested in defining ‘‘quality improvement’’. We propose defin-ing it as the combined and unceasing efforts of everyone—healthcare profes-sionals, patients and their families, researchers, payers, planners and educa-tors—to make the changes that will lead to better patient outcomes (health), bet-ter syst.
Grand rounds in methodology: key considerations for …
Machine learning (ML) solutions are increasingly entering healthcare. They are complex, sociotechnical systems that include data inputs, ML models, technical infrastructure and human interactions. They have promise for improving care across a wide range of clinical applications but if poorly implemented, they may disrupt clinical workflows, exacerbate inequities in care and harm patients. Many ...
Looking back on the history of patient safety: an opportunity to ...
One might argue that the field simply needs more time to bear more fruit. Research into basic and translational research, as well as clinical research testing the fruits of these endeavours, receive orders of magnitude more funding—from public and private sources—than do efforts to improve safety or any other domain of quality.
Talking about falls: a qualitative exploration of spoken …
Background Inpatient falls are the most common safety incident reported by hospitals worldwide. Traditionally, responses have been guided by categorising patients’ levels of fall risk, but multifactorial approaches are now recommended. These target individual, modifiable fall risk factors, requiring clear communication between multidisciplinary team members. Spoken communication is an ...