Weenink, Jan-Willem Wallenburg, Iris Leistikow, Ian Bal, Roland A
Published in
BMJ quality & safety
The Dutch healthcare inspectorate publishes its inspection frameworks to inform both the public and healthcare providers about regulatory procedures and in the hope that publication will motivate healthcare providers to improve quality and comply with standards. This study explores the consequences of publishing these frameworks for the regulation ...
Maharaj, Ashika D Evans, Sue M Zalcberg, John R Ioannou, Liane J Graco, Marnie Croagh, Daniel Pilgrim, Charles H C Dodson, Theresa Goldstein, David Philip, Jennifer
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Published in
BMJ quality & safety
Evidence-based clinical practice guidelines recommend discussion by a multidisciplinary team (MDT) to review and plan the management of patients for a variety of cancers. However, not all patients diagnosed with cancer are presented at an MDT. (1) To identify the factors (barriers and enablers) influencing presentation of all patients to, and the p...
Rivard, Lysanne Lehoux, Pascale Alami, Hassane
Published in
BMJ quality & safety
Open do-it-yourself (DIY) health innovations raise new dilemmas for patient-oriented and service-oriented scholars and healthcare providers. Our study aimed to generate practical insights into quality and safety issues to patient care raised by two volunteer-run, open DIY solutions: Nightscout Project (patient-driven, open-source software for type ...
Manojlovich, Milisa Harrod, Molly Hofer, Timothy Lafferty, Megan McBratnie, Michaella Krein, Sarah L
Published in
BMJ quality & safety
How quickly physicians respond to communications from bedside nurses is important for the delivery of safe inpatient care. Delays in physician responsiveness can impede care or contribute to patient harm. Understanding contributory factors to physician responsiveness can provide insights to promote timely physician response, possibly improving comm...
Schults, Jessica Kleidon, Tricia Chopra, Vineet Cooke, Marie Paterson, Rebecca Ullman, Amanda J Marsh, Nicole Ray-Barruel, Gillian Hill, Jocelyn Devrim, İlker
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Published in
BMJ quality & safety
Data regarding vascular access device use and outcomes are limited. In part, this gap reflects the absence of guidance on what variables should be collected to assess patient outcomes. We sought to derive international consensus on a vascular access minimum dataset. A modified Delphi study with three rounds (two electronic surveys and a face-to-fac...
Sasangohar, Farzan Dhala, Atiya Zheng, Feibi Ahmadi, Nima Kash, Bita Masud, Faisal
Published in
BMJ quality & safety
When the COVID-19 pandemic restricted visitation between intensive care unit patients and their families, the virtual intensive care unit (vICU) in our large tertiary hospital was adapted to facilitate virtual family visitation. The objective of this paper is to document findings from interviews conducted with family members on three categories: (1...
Lasater, Karen B Aiken, Linda H Sloane, Douglas M French, Rachel Martin, Brendan Reneau, Kyrani Alexander, Maryann McHugh, Matthew D
Published in
BMJ quality & safety
Efforts to enact nurse staffing legislation often lack timely, local evidence about how specific policies could directly impact the public's health. Despite numerous studies indicating better staffing is associated with more favourable patient outcomes, only one US state (California) sets patient-to-nurse staffing standards. To inform staffing legi...
Bion, Julian Aldridge, Cassie Girling, Alan J Rudge, Gavin Sun, Jianxia Tarrant, Carolyn Sutton, Elizabeth Willars, Janet Beet, Chris Boyal, Amunpreet
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Published in
BMJ quality & safety
In 2013, the English National Health Service launched the policy of 7-day services to improve care quality and outcomes for weekend emergency admissions. To determine whether the quality of care of emergency medical admissions is worse at weekends, and whether this has changed during implementation of 7-day services. Using data from 20 acute hospit...
Mills, Peter D Soncrant, Christina Gunnar, William
Published in
BMJ quality & safety
Suicide is the 10th leading cause of death in the USA. Inpatient suicide is the fourth most common sentinel event reported to the Joint Commission. This study reviewed root cause analysis (RCA) reports of suicide events by hospital unit to provide suicide prevention recommendations for each area. This is a retrospective analysis of reported suicide...
Shah, Anjali Matharu, Gulraj S Inman, Dominic Fagan, Elizabeth Johansen, Antony Judge, Andrew
Published in
BMJ quality & safety
Several studies report poorer quality healthcare for patients presenting at weekends. Our objective was to examine how timely surgery for patients with hip fracture varies with day and time of their presentation. This population-based cohort study used 2017 data from the National Hip Fracture Database, which recorded all patients aged 60 years and ...
