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Testing and cancer diagnosis in general practice
Testing and cancer diagnosis in general practice
Healthcare systems worldwide have for decades sought to prioritise prompt diagnosis of cancer as a means to improve outcom...
Just how many diagnostic errors and harms are out there, really? It depends on how you count
Just how many diagnostic errors and harms are out there, really? It depends on how you count
The significant adverse consequences of diagnostic errors are well established.1 2 Across clinical settings and study meth...
Learning from an allied health perspective on quality and safety
Learning from an allied health perspective on quality and safety
In this issue of the journal, the article ‘Developing the Allied Health Professionals workforce within mental health, lear...
Variation in the use of primary care-led investigations prior to a cancer diagnosis: analysis of the National Cancer Diagnosis Audit
Variation in the use of primary care-led investigations prior to a cancer diagnosis: analysis of the National Cancer Diagnosis Audit
Description of sample53 252 patients from 1868 general practices who were subsequently diagnosed with cancer had complete ...
Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study
Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study
WHAT IS ALREADY KNOWN ON THIS TOPICWHAT THIS STUDY ADDSBased on a weighted random sample and a structured electronic healt...
Systems analysis of clinical incidents: development of a new edition of the London Protocol
Systems analysis of clinical incidents: development of a new edition of the London Protocol
IntroductionThe investigation of incidents and accidents, together with subsequent reflection and action, is an essential ...
Quality improvement collaborative to increase access to caesarean sections: lessons from Bihar, India
Quality improvement collaborative to increase access to caesarean sections: lessons from Bihar, India
WHAT IS ALREADY KNOWN ON THIS TOPICAcross the globe, the proportion of women delivering by caesarean section (C-section) h...
Contextualising opioid-related risk factors before an initial opioid prescription
Contextualising opioid-related risk factors before an initial opioid prescription
When asked about the similarities between the region of Valencia, Spain and the State of Oregon in the USA, an artificial-...
Work addiction and quality of care in healthcare: Working long hours should not be confused with addiction to work
Work addiction and quality of care in healthcare: Working long hours should not be confused with addiction to work
Behavioural addictions are addictions that do not involve the ingestion of psychoactive substances and yet feature all the...
Medical safety huddles to engage frontline physicians in patient safety: calling physicians back to the table
Medical safety huddles to engage frontline physicians in patient safety: calling physicians back to the table
It is broadly recognised that everyone has a role in making healthcare safe,1 yet hospitals continue to struggle with inco...
Education and educational interventions: moving beyond information provision
Education and educational interventions: moving beyond information provision
Many of us will be familiar with educational outreach visits (EVs), which according to the Effective Practice and Organisa...
Initial opioid prescription characteristics and risk of opioid misuse, poisoning and dependence: retrospective cohort study
Initial opioid prescription characteristics and risk of opioid misuse, poisoning and dependence: retrospective cohort study
WHAT IS ALREADY KNOWN ON THIS TOPICStudies in the USA have shown that some patient factors, such as young age or low socio...
Effect of implementing a heart failure admission care bundle on hospital readmission and mortality rates: interrupted time series study
Effect of implementing a heart failure admission care bundle on hospital readmission and mortality rates: interrupted time series study
IntroductionHeart failure (HF) affects approximately 64 million people around the world as of 2017, with health expenditur...
Quality and safety in the literature: January 2024
Quality and safety in the literature: January 2024
Healthcare quality and safety span multiple topics across the spectrum of academic and clinical disciplines. Keeping abrea...
The Ethical Complexity of Restricting Visitors during the COVID-19 Pandemic
The Ethical Complexity of Restricting Visitors during the COVID-19 Pandemic
Across the globe, there were significant variations in government responses to the COVID-19 pandemic, with some countries ...
Meeting external demands to improve quality and safety of care: learning systematically from the literature
Meeting external demands to improve quality and safety of care: learning systematically from the literature
Practices that are known to be effective in improving patient safety are routinely either left unimplemented or not sustai...
Targets: unintended and unanticipated effects
Targets: unintended and unanticipated effects
Targets have assumed a central role in the management of healthcare and public services more generally in the UK over the ...
Its time for the field of geriatrics to invest in implementation science
Its time for the field of geriatrics to invest in implementation science
Hospitalisation is one of the most vulnerable times in an older adult’s life, associated with increased risks of functiona...
Patient safety and hospital visiting at the end of life during COVID-19 restrictions in Aotearoa New Zealand: a qualitative study
Patient safety and hospital visiting at the end of life during COVID-19 restrictions in Aotearoa New Zealand: a qualitative study
WHAT IS ALREADY KNOWN ON THIS TOPICUnderstanding competing safety risks of ‘visitors’ to hospitals is critical to providin...
Unintended consequences of the 18-week referral to treatment standard in NHS England: a threshold analysis
Unintended consequences of the 18-week referral to treatment standard in NHS England: a threshold analysis
Introduction18-week referral to treatment standardThe constitution of the England National Health Service (NHS) affords pa...
Handling missing values in the analysis of between-hospital differences in ordinal and dichotomous outcomes: a simulation study
Handling missing values in the analysis of between-hospital differences in ordinal and dichotomous outcomes: a simulation study
AbstractMissing data are frequently encountered in registries that are used to compare performance across hospitals. The m...
Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care
Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care
The included data sets consisted of 55 individual interviews and transcripts of 14 focus groups (with 171 participants in ...
The opioid prescribing problem: an opportunity to embed rigorous evaluation within initiatives to improve population healthcare
The opioid prescribing problem: an opportunity to embed rigorous evaluation within initiatives to improve population healthcare
The Chinese use two brush strokes to write the word ‘crisis’. One brush stroke stands for danger; the other for opportunit...