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 ...
1 Centre for Clinical Nursing, Royal Brisbane and Women's Hospital, Brisbane, Australia 2 Wound Integrity, Royal Brisbane and Women's Hospital, Brisbane, Australia 3 Internal Medicine and Aged Care, ...
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 ...
Background Tools that proactively identify factors that contribute to accidents have been developed within high-risk industries. Although patients provide feedback on their experience of care in ...
1 Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, UK 2 Department of Pediatrics, Division of Pediatric Intensive Care, ...
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