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 ...

“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 ...

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 ...

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: 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 ...

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

3 Institute for Healthcare Studies and Department of Pediatrics, Feinberg School of Medicine, Northwestern University and Children’s Memorial HospitalChicago, IL, USA 4 Feinberg School of ...

1 Department of Pediatrics, Perinatal Institute, James M. Anderson Centre for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA 2 Associates in Process ...

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Correspondence to: Professor W B Runciman, Department of Anaesthesia and Intensive Care, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia 5000; wrunciman{at}bigpond.com In considering ...