Bailie, Jodie Laycock, Alison Frances Peiris, David Bainbridge, Roxanne Gwendalyn Matthews, Veronica Cunningham, Frances Clare Conte, Kathleen Parker Abimbola, Seye Passey, Megan Elizabeth Bailie, Ross Stewart
...
Published in
Health Research Policy and Systems
Effective efforts to strengthen health systems need diverse, multi-stakeholder networks working together on complex or ‘wicked’ problems such as prevention and control of chronic diseases, solutions to which go beyond the role and capability of one organisation. The contextual complexities inherent in ‘wicked’ problems mean that solutions warrant a...
Curtin, Annie Gabrielle Anderson, Vitas Brockhus, Fran Cohen, Donna Ruth
Published in
BMJ Open Quality
Background Despite significant attention to safety and quality in healthcare over two decades, patient harm in hospitals remains a challenge. There is now growing emphasis on continuous quality improvement, with approaches that engage front-line staff. Our objective was to determine whether a novel approach to reviewing routine clinical practice th...
Davie, Sam Kiran, Tara
Published in
BMJ Open Quality
Continuity and timely access are hallmarks of high-quality primary care and are important considerations for urgent concerns that present both during the day and after-hours. It can be especially difficult to ensure continuity of primary care after-hours in urban settings where walk-in clinics offer patients easy and convenient access. Patients of ...
Colling, Craig Mueller, Christoph Perera, Gayan Funnell, Nicola Sauer, Justin Harwood, Daniel Stewart, Robert Bishara, Delia
Published in
BMJ Open Quality
Background The use of antipsychotic drugs in dementia has been reported to be associated with increased risk of cerebrovascular events and mortality. There is an international drive to reduce the use of these agents in patients with dementia and to improve the safety of prescribing and monitoring in this area. Objectives The aim of this project was...
Hermanson, Sarah Osborn, Scott Gordanier, Christin Coates, Evan Williams, Barbara Blackmore, Craig
Published in
BMJ Open Quality
Patients admitted to the hospital and requiring a subsequent transfer to a higher level of care have increased morbidity, mortality and length of stay compared with patients who do not require a transfer during their hospital stay. We identified that a high number of patients admitted to our intermediate care (IMC) unit required a rapid response te...
Baxter, Mark A MacDonald, Graham Malik, Jahangeer Law, Alistair Dahle-Smith, Åsa Mmeka, Walter Donat, Roland Shukla, Cj Connor, John Houston, Colin
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Published in
BMJ Open Quality
Testicular cancer is the most common malignancy in young adult men. The prognosis is excellent in limited disease and cure is possible even in advanced disease. Quality performance indicators (QPI) are used in many developed countries as a measure of healthcare performance. We report and discuss the development of a national set of QPIs in Scotland...
Shaikh, Ulfat Petray, Julie Wisner, David H
Published in
BMJ Open Quality
The goal of the University of California Davis Health Blood Pressure (BP) Quality Improvement Initiative was to improve the diagnosis, management and control of high BP. Patients aged 18–85 years were included in the initiative. Lean A3 problem solving was used to implement the following evidence-based interventions based on stakeholder interviews,...
Magnussen, Alex Peter Watura, Christopher Torr, Nicola Walker, Miny Amiras, Dimitri Griffiths, Dylan
Published in
BMJ Open Quality
Background A high incidence of missed posterior shoulder dislocations is widely recognised in the literature. Concern was raised by the upper limb multidisciplinary team at a London major trauma centre that these missed injuries were causing serious consequences due to the need for surgical intervention and poor functional outcome. Objective To ide...
Shaikh, Ulfat Petray, Julie Wisner, David H
The goal of the University of California Davis Health Blood Pressure (BP) Quality Improvement Initiative was to improve the diagnosis, management and control of high BP. Patients aged 18-85 years were included in the initiative. Lean A3 problem solving was used to implement the following evidence-based interventions based on stakeholder interviews,...
Aldawood, Fatima Kazzaz, Yasser AlShehri, Ali Alali, Hamza Al-Surimi, Khaled
Published in
BMJ Open Quality
Background Open communication between leadership and frontline staff at the unit level is vital in promoting safe hospital culture. Our hospital staff culture survey identified the failure to address safety issues as one of the areas where staff felt unable to express their concerns openly. Thus, this improvement project using the daily safety hudd...
