Effectiveness of double checking to reduce medication …
WEBMethods Five databases (PubMed, Embase, CINAHL, Ovid@Journals, OpenGrey) were searched for studies evaluating the use and effectiveness of double checking on reducing medication administration errors in a hospital setting. Included studies were required to report any of three outcome measures: an effect estimate such as a risk ratio or risk difference representing the association between ...
Multidisciplinary teamwork: the good, bad, and everything in …
WEBJun 1, 2001 — The difficulties of multidisciplinary teamwork are also apparent in differing attitudes towards the way to bring about a good outcome, and even what actually constitutes a good outcome. For example, in teams caring for patients with stroke there are a number of “ideal outcomes” from the various stakeholders and staff involved—complete ...
A primer on PDSA: executing plan–do–study–act cycles in practice, …
WEBPlan-do–study–act (PDSA) cycles are the building blocks of iterative healthcare improvement.1 Although frequently regarded as separate from research,2 this quality improvement method remains rooted in the scientific method. The P in PDSA usually stands for ‘plan’ but could just as easily refer to ‘predict’. Each cycle combines prediction with a test of change (in effect, hypothesis ...
Authors | BMJ Quality & Safety
WEBBMJ Quality & Safety (formerly Quality & Safety in Health Care) is a leading international peer review journal in this growing area of quality and safety improvement.It provides essential information for those wanting to reduce harm and improve patient safety and the quality of care. The journal reports and reflects research, improvement initiatives and viewpoints and other discursive papers ...
Antibiotic overuse: managing uncertainty and mitigating against ...
WEBAntibiotic overuse contributes to the growing threat of antimicrobial resistance (AMR). Despite local, national and global initiatives to target the problem, reducing overuse is challenging. Levels of antibiotic prescribing in hospitals in the UK are still rising year on year.1 Pandolfo et al ’s2 study in this issue of BMJ Quality & Safety provides new insights into this problem by studying ...
Systematic review of the application of the plan–do–study–act …
WEBBackground Plan–do–study–act (PDSA) cycles provide a structure for iterative testing of changes to improve quality of systems. The method is widely accepted in healthcare improvement; however there is little overarching evaluation of how the method is applied. This paper proposes a theoretical framework for assessing the quality of application of PDSA cycles and explores the consistency ...
The problem with Plan-Do-Study-Act cycles - BMJ Quality & Safety
WEBQuality improvement (QI) methods have been introduced to healthcare to support the delivery of care that is safe, timely, effective, efficient, equitable and cost effective. Of the many QI tools and methods, the Plan-Do-Study-Act (PDSA) cycle is one of the few that focuses on the crux of change, the translation of ideas and intentions into action. As such, the PDSA cycle and the concept of ...
Healthcare-associated infections: where we came from and where …
WEBHealthcare-associated infections (HCAIs) are those infections acquired by an individual who is seeking medical care in any healthcare facility, including acute care hospitals, long-term care facilities (including nursing homes), outpatient surgical centres, dialysis centres or ambulatory care clinics.1 They are further defined as occurring at least 48 hours after hospitalisation or within 30 ...
The “To Err is Human” report and the patient safety literature
WEBThe Institute of Medicine (IOM) released a report in 1999 entitled “To Err is Human: Building a Safer Health System”. 1 The report stated that errors cause between 44 000 and 98 000 deaths every year in American hospitals, and over one million injuries. 1 Health care appeared to be far behind other high risk industries in ensuring basic safety. The IOM report called for a 50% reduction in ...
Effectiveness of quality improvement: learning from evaluations
WEBquality improvement; evaluation techniques; There is a fast growing literature on the implementation, effectiveness, and impact of a host of quality improvement technologies from total quality management 1, 2 to clinical audit, 3 business process re-engineering, 4 and clinical governance. 5 Given the diversity which exists in the philosophies, approaches, and methods of quality improvement ...
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