This paper defines risk and its component elements and describes where clinical practice may be starting from in terms of what is reported in the literature about understanding risks and the ...

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

Department of Social Psychology, London School of Economics, London, UK Correspondence to Dr Tom Reader, Department of Social Psychology, London School of Economics, Houghton Street, London WC2A 2AE, ...

The role and value of theory in improvement work in healthcare has been seriously underrecognised. We join others in proposing that more informed use of theory can strengthen improvement programmes ...

Background Patients can have an important role in reducing harm in primary-care settings. Learning from patient experience and feedback could improve patient safety. Evidence that captures patients’ ...

A modified critical-incident analysis technique was used in a retrospective examination of the characteristics of human error and equipment failure in anesthetic ...

Correspondence to Dr Sumant R Ranji, Division of Hospital Medicine, Department of Medicine, UCSF, 533 Parnassus Avenue, Box 0131, San Francisco, CA 94143-0131, USA; sumantr{at}medicine.ucsf.edu ...

Patients, clinicians and managers all want to be reassured that their healthcare organisation is safe. But there is no consensus about what we mean when we ask whether a healthcare organisation is ...

Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, UNSW Medicine, University of New South Wales, Sydney, New South Wales, Australia Correspondence to Professor ...

5 Director of the Centre for Research in Evidence-based Practice, Faculty of Health Sciences and Medicine, Bond University, Headington, UK Correspondence to Professor Mary Dixon-Woods, Department of ...

Background Those working in healthcare today are challenged more than ever before to quickly and efficiently learn from data to improve their services and delivery of care. There is broad agreement ...