1 Centre for Clinical Nursing, Royal Brisbane and Women's Hospital, Brisbane, Australia 2 Wound Integrity, Royal Brisbane and Women's Hospital, Brisbane, Australia 3 Internal Medicine and Aged Care, ...

“The right quality and uniformity are foundations of commerce, prosperity and peace.” W E Deming (1900–1993) Variation causes waste. How could any one take these apparently simple ideas and turn them ...

The ubiquitous nature of hindsight bias is a cause for concern for those engaged in investigations and retrospective analysis of medical error. Hindsight does not ...

Correspondence to Professor Helen E Lester, NIHR School for Primary Care Research, University of Manchester, 7th Floor Williamson Building, Oxford Road, Manchester M13 9PL, UK; ...

Problem: Sliding scale insulin (SSI) is frequently used for inpatient management of hyperglycemia and is associated with a large number of medication errors and adverse events including hypoglycemia ...

Most quality improvement or change management interventions are currently designed intuitively and their results are often disappointing. While improving the effectiveness of interventions requires ...

PROBLEM: A need to improve the communication system between general practitioners (GPs) and the national health insurance institute's (NHII) committee of experts for the referral and approval of ...

Department for Quality Measurement and Patient Safety, Norwegian Knowledge Centre for the Health Services, Oslo, Norway Correspondence to Dr Oyvind A Bjertnaes, Department for Quality Measurement and ...

Safety in the clinical environment is based on structures that reduce the probability of harm, on evidence that enhances the likelihood of actions that increase favourable outcomes, and on explicit ...