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Walk the evidence base by book and chapter — the raw source passages that ground Ask, Differential, and the rest.

• "Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs.1 passage
• "It's easier to stick a tube in": a qualitative study to understand clinicians' individual decisions to place urinary catheters in acute medical care.1 passage
• "It's not just hacking for the sake of it": a qualitative study of health innovators' views on patient-driven open innovations, quality and safety.1 passage
• "Mr Smith's been our problem child today…": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs.1 passage
• 'Choosing Wisely': a growing international campaign.1 passage
• 'New Medicine Service': supporting adherence in people starting a new medication for a long-term condition: 26-week follow-up of a pragmatic randomised controlled trial.1 passage
• 'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales.1 passage
• 'This is our liver patient…': use of narratives during resident and nurse handoff conversations.1 passage
• 'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety.1 passage
• (untitled)1 passage
• A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study.1 passage
• A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement.1 passage
• A behaviourally anchored rating scale for evaluating the use of the WHO surgical safety checklist: development and initial evaluation of the WHOBARS.1 passage
• A cluster-randomised quality improvement study to improve two inpatient stroke quality indicators.1 passage
• A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series study.1 passage
• A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outpatient settings, and opportunities for improvement.1 passage
• A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge.1 passage
• A mixed-methods investigation of health professionals' perceptions of a physiological track and trigger system.1 passage
• A mixed-methods study of challenges experienced by clinical teams in measuring improvement.1 passage
• A patient feedback reporting tool for OpenNotes: implications for patient-clinician safety and quality partnerships.1 passage
• A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families.1 passage
• A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people.1 passage
• A qualitative study of emergency physicians' perspectives on PROMS in the emergency department.1 passage
• A qualitative study of patient involvement in medicines management after hospital discharge: an under-recognised source of systems resilience.1 passage
• A qualitative study of the variable effects of audit and feedback in the ICU.1 passage
• A quality improvement project to improve early sepsis care in the emergency department.1 passage
• A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death or hospital readmission.1 passage
• A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why?1 passage
• A realist synthesis of quality improvement curricula in undergraduate and postgraduate medical education: what works, for whom, and in what contexts?1 passage
• A systematic review of reliable and valid tools for the measurement of patient participation in healthcare.1 passage
• A unit-based intervention aimed at improving patient adherence to pharmacological thromboprophylaxis.1 passage
• A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety.1 passage
• Access to primary care and the route of emergency admission to hospital: retrospective analysis of national hospital administrative data.1 passage
• Addressing basic resource needs to improve primary care quality: a community collaboration programme.1 passage
• Addressing the challenges of knowledge co-production in quality improvement: learning from the implementation of the researcher-in-residence model.1 passage
• Adherence to guideline-recommended HbA1c testing frequency and better outcomes in patients with type 2 diabetes: a 5-year retrospective cohort study in Australian general practice.1 passage
• Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.1 passage
• Adverse events in patients with return emergency department visits.1 passage
• Adverse events in the paediatric emergency department: a prospective cohort study.1 passage
• Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response.1 passage
• Altering standard admission order sets to promote clinical laboratory stewardship: a cohort quality improvement study.1 passage
• Am I my brother's keeper? A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent colleagues.1 passage
• An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients.1 passage
• An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting.1 passage
• Analysing organisational context: case studies on the contribution of absorptive capacity theory to understanding inter-organisational variation in performance improvement.1 passage
• Anticipation, teamwork and cognitive load: chasing efficiency during robot-assisted surgery.1 passage
• Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward.1 passage
• Application of electronic trigger tools to identify targets for improving diagnostic safety.1 passage
• Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study.1 passage
• Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care.1 passage
• Appropriateness of peripherally inserted central catheter use among general medical inpatients: an observational study using routinely collected data.1 passage
• Are Facebook user ratings associated with hospital cost, quality and patient satisfaction? A cross-sectional analysis of hospitals in New York State.1 passage
• Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England.1 passage
• Are quality improvement collaboratives effective? A systematic review.1 passage
• Are reductions in emergency department length of stay associated with improvements in quality of care? A difference-in-differences analysis.1 passage
• Are we recording postoperative complications correctly? Comparison of NHS Hospital Episode Statistics with the American College of Surgeons National Surgical Quality Improvement Program.1 passage
• Arrival by ambulance explains variation in mortality by time of admission: retrospective study of admissions to hospital following emergency department attendance in England.1 passage
• Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups.1 passage
• Assessing the quality of health care in the management of bronchiolitis in Australian children: a population-based sample survey.1 passage
• Assessing the safety culture of care homes: a multimethod evaluation of the adaptation, face validity and feasibility of the Manchester Patient Safety Framework.1 passage
• Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support.1 passage
• Assessment of a quality improvement intervention to decrease opioid prescribing in a regional health system.1 passage
• Association between acute psychiatric bed availability in the Veterans Health Administration and veteran suicide risk: a retrospective cohort study.1 passage
• Association between cultural factors and readmissions: the mediating effect of hospital discharge practices and care-transition preparedness.1 passage
• Association between intrahospital transfer and hospital-acquired infection in the elderly: a retrospective case-control study in a UK hospital network.1 passage
• Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes.1 passage
• Association of clinical competence, specialty and physician country of origin with opioid prescribing for chronic pain: a cohort study.1 passage
• Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey.1 passage
• Association of registered nurse and nursing support staffing with inpatient hospital mortality.1 passage
• Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients.1 passage
• Associations between exemption and survival outcomes in the UK's primary care pay-for-performance programme: a retrospective cohort study.1 passage
• Associations between safety culture and employee engagement over time: a retrospective analysis.1 passage
• Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis.1 passage
• Automated detection of wrong-drug prescribing errors.1 passage
• Bad assumptions on primary care diagnostic errors. Response to: 'Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework' by Singh and Sittig.1 passage
• Balancing measures or a balanced accounting of improvement impact: a qualitative analysis of individual and focus group interviews with improvement experts in Scotland.1 passage
• Balancing stakeholder needs in the evaluation of healthcare quality improvement.1 passage
• Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations.1 passage
• Barriers and enablers to the implementation of multidisciplinary team meetings: a qualitative study using the theoretical domains framework.1 passage
• Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence.1 passage
• Bed utilisation and increased risk of1 passage
• Bending the cost curve: time series analysis of a value transformation programme at an academic medical centre.1 passage
• Better-than-average and worse-than-average hospitals may not significantly differ from average hospitals: an analysis of Medicare Hospital Compare ratings.1 passage
• Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities.1 passage
• Beyond hand hygiene: a qualitative study of the everyday work of preventing cross-contamination on hospital wards.1 passage
• COVID-19 hospital prevalence as a risk factor for mortality: an observational study of a multistate cohort of 62 hospitals.1 passage
• Can a patient-directed video improve inpatient advance care planning? A prospective pre-post cohort study.1 passage
• Can first-year medical students acquire quality improvement knowledge prior to substantial clinical exposure? A mixed-methods evaluation of a pre-clerkship curriculum that uses education as the context for learning.1 passage
• Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention.1 passage
• Can patients contribute to safer care in meetings with healthcare professionals? A cross1 passage
• Can staff and patient perspectives on hospital safety predict harm-free care? An analysis of staff and patient survey data and routinely collected outcomes.1 passage
• Can universal patient-held health booklets promote continuity of care and patient-centred care in low-resource countries? The case of Mongolia.1 passage
• Cautionary study on the effects of pay for performance on quality of care: a pilot randomised controlled trial using standardised patients.1 passage
• Challenges of opioid deprescribing and factors to be considered in the development of opioid deprescribing guidelines: a qualitative analysis.1 passage
• Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy.1 passage
• Changing hospital organisational culture for improved patient outcomes: developing and implementing the leadership saves lives intervention.1 passage
• Characterising 'near miss' events in complex laparoscopic surgery through video analysis.1 passage
• Characterising ICU-ward handoffs at three academic medical centres: process and perceptions.1 passage
• Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies.1 passage
• Choice architecture in physician-patient communication: a mixed-methods assessments of physicians' competency.1 passage
• Chronic hospital nurse understaffing meets COVID-19: an observational study.1 passage
• Clinical user experiences of observation and response charts: focus group findings of using a new format chart incorporating a track and trigger system.1 passage
• Clinically led performance management in secondary healthcare: evaluating the attitudes of medical and non-clinical managers.1 passage
• Cluster randomised controlled trial evaluating the clinical and humanistic impact of a pharmacist-led minor ailment service.1 passage
• Co-produced capability framework for successful patient and staff partnerships in healthcare quality improvement: results of a scoping review.1 passage
• Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains.1 passage
• Combining qualitative and quantitative operational research methods to inform quality improvement in pathways that span multiple settings.1 passage
• Communicating with patients about breakdowns in care: a national randomised vignette-based survey.1 passage
• Community level socioeconomic status association with surgical outcomes and resource utilisation in a regional cohort: a prospective registry analysis.1 passage
• Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched cohort study.1 passage
• Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention.1 passage
• Comparative effectiveness of risk mitigation strategies to prevent fetal exposure to mycophenolate.1 passage
• Comparing NICU teamwork and safety climate across two commonly used survey instruments.1 passage
• Comparing peripherally inserted central catheter-related practices across hospitals with different insertion models: a multisite qualitative study.1 passage
• Comparing standard office-based follow-up with text-based remote monitoring in the management of postpartum hypertension: a randomised clinical trial.1 passage
• Comparison of control charts for monitoring clinical performance using binary data.1 passage
• Competing risks in quality and safety research: a framework to guide choice of analysis and improve reporting.1 passage
• Complex interplay between moral distress and other risk factors of burnout in ICU professionals: findings from a cross-sectional survey study.1 passage
• Compromised communication: a qualitative study exploring Afghan families and health professionals' experience of interpreting support in Australian maternity care.1 passage
• Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems.1 passage
• Concordance with urgent referral guidelines in patients presenting with any of six 'alarm' features of possible cancer: a retrospective cohort study using linked primary care records.1 passage
• Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data.1 passage
• Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts.1 passage
• Consistency of pressure injury documentation across interfacility transfers.1 passage
• Contribution of primary care organisation and specialist care provider to variation in GP referrals for suspected cancer: ecological analysis of national data.1 passage
• Controlled trial to improve resident sign-out in a medical intensive care unit.1 passage
• Coproduction of healthcare service.1 passage
• Cost-effectiveness of a quality improvement project, including simulation-based training, on reducing door-to-needle times in stroke thrombolysis.1 passage
• Costs and consequences of using average demand to plan baseline nurse staffing levels: a computer simulation study.1 passage
• Crew resource management training in the intensive care unit. A multisite controlled before-after study.1 passage
• Days alive and at home after hip fracture: a cross-sectional validation of a patient-centred outcome measure using routinely collected data.1 passage
• De-implementing wisely: developing the evidence base to reduce low-value care.1 passage
• Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM).1 passage
• Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety.1 passage
• Demystifying theory and its use in improvement.1 passage
• Deprescribing psychotropic medications in children: results of a national qualitative study.1 passage
• Developing a hospital-wide quality and safety dashboard: a qualitative research study.1 passage
• Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing.1 passage
• Developing and evaluating the success of a family activated medical emergency team: a quality improvement report.1 passage
• Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report.1 passage
• Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems.1 passage
• Development and pilot testing of survey items to assess the culture of value and efficiency in hospitals and medical offices.1 passage
• Development and testing of a text-mining approach to analyse patients' comments on their experiences of colorectal cancer care.1 passage
• Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency.1 passage
• Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation.1 passage
• Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare.1 passage
• Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards.1 passage
• Development of the Quality Improvement Minimum Quality Criteria Set (QI-MQCS): a tool for critical appraisal of quality improvement intervention publications.1 passage
• Differences in transitional care processes among high-performing and low-performing hospital-SNF pairs: a rapid ethnographic approach.1 passage
• Differentiating between detrimental and beneficial interruptions: a mixed-methods study.1 passage
• Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture.1 passage
• Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering.1 passage
• Disrupting activities in quality improvement initiatives: a qualitative case study of the QuICR Door-To-Needle initiative.1 passage
• Distance travelled to hospital for emergency laparotomy and the effect of travel time on mortality: cohort study.1 passage
• Do bedside whiteboards enhance communication in hospitals? An exploratory multimethod study of patient and nurse perspectives.1 passage
• Do patient-reported outcomes offer a more sensitive method for comparing the outcomes of consultants than mortality? A multilevel analysis of routine data.1 passage
• Do patients with gastrointestinal cancer want to decide where they have tests and surgery? A questionnaire study of provider choice.1 passage
• Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment.1 passage
• Do pneumonia readmissions flagged as potentially preventable by the 3M PPR software have more process of care problems? A cross-sectional observational study.1 passage
• Does Lean healthcare improve patient satisfaction? A mixed-method investigation into primary care.1 passage
• Does early return to theatre add value to rates of revision at 3 years in assessing surgeon performance for elective hip and knee arthroplasty? National observational study.1 passage
• Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis.1 passage
• Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students.1 passage
• Drivers of potentially avoidable emergency admissions in Ireland: an ecological analysis.1 passage
• Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review.1 passage
• Economic analysis of the prevalence and clinical and economic burden of medication error in England.1 passage
• Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review.1 passage
• Effect of a health system payment and quality improvement programme for tonsillectomy in Ontario, Canada: an interrupted time series analysis.1 passage
• Effect of a population-level performance dashboard intervention on maternal-newborn outcomes: an interrupted time series study.1 passage
• Effect of copayment policies on initial medication non-adherence according to income: a population-based study.1 passage
• Effect of data validation audit on hospital mortality ranking and pay for performance.1 passage
• Effect of hands-on interprofessional simulation training for local emergencies in Scotland: the THISTLE stepped-wedge design randomised controlled trial.1 passage
• Effect of patient-centred bedside rounds on hospitalised patients' decision control, activation and satisfaction with care.1 passage
• Effect of preoperative education and ICU tour on patient and family satisfaction and anxiety in the intensive care unit after elective cardiac surgery: a randomised controlled trial.1 passage
• Effect of two behavioural 'nudging' interventions on management decisions for low back pain: a randomised vignette-based study in general practitioners.1 passage
• Effect on secondary care of providing enhanced support to residential and nursing home residents: a subgroup analysis of a retrospective matched cohort study.1 passage
• Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study.1 passage
• Effectiveness of a medication adherence management intervention in a community pharmacy setting: a cluster randomised controlled trial.1 passage
• Effectiveness of a multifaceted intervention to improve emergency department care of low back pain: a stepped-wedge, cluster-randomised trial.1 passage
• Effectiveness of a multistate quality improvement campaign in reducing risk of surgical site infections following hip and knee arthroplasty.1 passage
• Effectiveness of chest pain centre accreditation on the management of acute coronary syndrome: a retrospective study using a national database.1 passage
• Effectiveness of double checking to reduce medication administration errors: a systematic review.1 passage
• Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series.1 passage
• Effects and costs of implementing predictive risk stratification in primary care: a randomised stepped wedge trial.1 passage
• Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews.1 passage
• Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study.1 passage
• Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study.1 passage
• Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review.1 passage
• Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study.1 passage
• Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow.1 passage
• Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary care.1 passage
• Electronic health record-based clinical decision support alert for severe sepsis: a randomised evaluation.1 passage
• Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery.1 passage
• Emotionally evocative patients in the emergency department: a mixed methods investigation of providers' reported emotions and implications for patient safety.1 passage
• Enhancing feedback on performance measures: the difference in outlier detection using a binary versus continuous outcome funnel plot and implications for quality improvement.1 passage
• Enhancing problem list documentation in electronic health records using two methods: the example of prior splenectomy.1 passage
• Ensuring successful implementation of communication-and-resolution programmes.1 passage
• Environmental factors and their association with emergency department hand hygiene compliance: an observational study.1 passage
• Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study.1 passage
• Establishing the validity of English GP Patient Survey items evaluating out-of-hours care.1 passage
• Estimating misclassification error in a binary performance indicator: case study of low value care in Australian hospitals.1 passage
• Ethical decision-making climate in the ICU: theoretical framework and validation of a self-assessment tool.1 passage
• Ethical implications of excessive cluster sizes in cluster randomised trials.1 passage
• Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers.1 passage
• Evaluating the influence of data collector training for predictive risk of death models: an observational study.1 passage
• Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD).1 passage
• Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery.1 passage
• Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and catheter-associated infections: results of two national collaboratives.1 passage
• Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures and catheter-associated urinary tract infections: results of a national collaborative.1 passage
• Evaluation of the impact of an augmented model of The Productive Ward: Releasing Time to Care on staff and patient outcomes: a naturalistic stepped-wedge trial.1 passage
• Evolving quality improvement support strategies to improve Plan-Do-Study-Act cycle fidelity: a retrospective mixed-methods study.1 passage
• Examining organisational responses to performance-based financial incentive systems: a case study using NHS staff influenza vaccination rates from 2012/2013 to 2019/2020.1 passage
• Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort.1 passage
• Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service.1 passage
• Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature.1 passage
• Explanation and elaboration of the Standards for UNiversal reporting of patient Decision Aid Evaluations (SUNDAE) guidelines: examples of reporting SUNDAE items from patient decision aid evaluation literature.1 passage
• Exploring demographic and lifestyle associations with patient experience following telephone triage by a primary care doctor or nurse: secondary analyses from a cluster randomised controlled trial.1 passage
• Exploring the impact of consultants' experience on hospital mortality by day of the week: a retrospective analysis of hospital episode statistics.1 passage
• Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study.1 passage
• Exploring the sustainability of quality improvement interventions in healthcare organisations: a multiple methods study of the 10-year impact of the 'Productive Ward: Releasing Time to Care' programme in English acute hospitals.1 passage
• Exposure to incivility hinders clinical performance in a simulated operative crisis.1 passage
• Extended opening hours and patient experience of general practice in England: multilevel regression analysis of a national patient survey.1 passage
• External validation of the Hospital Frailty Risk Score and comparison with the Hospital-patient One-year Mortality Risk Score to predict outcomes in elderly hospitalised patients: a retrospective cohort study.1 passage
• Facilitators of interdepartmental quality improvement: a mixed-methods analysis of a collaborative to improve pediatric community-acquired pneumonia management.1 passage
• Factors associated with inappropriate use of emergency departments: findings from a cross-sectional national study in France.1 passage
• Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study.1 passage
• Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices.1 passage
• Failure mode and effects analysis: a comparison of two common risk prioritisation methods.1 passage
• Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot?1 passage
• Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study.1 passage
• Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care.1 passage
• Findings from a novel approach to publication guideline revision: user road testing of a draft version of SQUIRE 2.0.1 passage
• Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting.1 passage
• Formative evaluation of the video reflexive ethnography method, as applied to the physician-nurse dyad.1 passage
• Frequency of low-value care in Alberta, Canada: a retrospective cohort study.1 passage
• From kamishibai card to key card: a family-targeted quality improvement initiative to reduce paediatric central line-associated bloodstream infections.1 passage
• From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals.1 passage
• From tokenism to empowerment: progressing patient and public involvement in healthcare improvement.1 passage
• Getting back on track: a systematic review of the outcomes of remediation and rehabilitation programmes for healthcare professionals with performance concerns.1 passage
• Going the extra mile - cross-border patient handover in a European border region: qualitative study of healthcare professionals' perspectives.1 passage
• Guideline-based decision support has a small, non-sustained effect on transthoracic echocardiography ordering frequency.1 passage
• Half-life of a printed handoff document.1 passage
• Handoff improvement and adverse event reduction programme implementation in paediatric intensive care units in Argentina: a stepped-wedge trial.1 passage
• Home care nursing after elective vascular surgery: an opportunity to reduce emergency department visits and hospital readmission.1 passage
• Hospital admissions associated with medication non-adherence: a systematic review of prospective observational studies.1 passage
• Hospital nurse staffing and staff-patient interactions: an observational study.1 passage
• Hospital-level care coordination strategies associated with better patient experience.1 passage
• Hospital-level evaluation of the effect of a national quality improvement programme: time-series analysis of registry data.1 passage
• How can healthcare standards be standardised?1 passage
• How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience.1 passage
• How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England.1 passage
• How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies.1 passage
• How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation.1 passage
• How does the effectiveness of strategies to improve healthcare provider practices in low-income and middle-income countries change after implementation? Secondary analysis of a systematic review.1 passage
• How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time.1 passage
• How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study.1 passage
• How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms.1 passage
• How safe is primary care? A systematic review.1 passage
• How sensitive are avoidable emergency department attendances to primary care quality? Retrospective observational study.1 passage
• How to build up the actionable knowledge base: the role of 'best fit' framework synthesis for studies of improvement in healthcare.1 passage
• How to study improvement interventions: a brief overview of possible study types.1 passage
• Identical or similar brand names used in different countries for medications with different active ingredients: a descriptive analysis.1 passage
• Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment.1 passage
• Identifying and quantifying variation between healthcare organisations and geographical regions: using mixed-effects models.1 passage
• Identifying patient and practice characteristics associated with patient-reported experiences of safety problems and harm: a cross-sectional study using a multilevel modelling approach.1 passage
• Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports.1 passage
• Immediate and long-term effects of a team-based quality improvement training programme.1 passage
• Impact of COVID-19 on opioid use in those awaiting hip and knee arthroplasty: a retrospective cohort study.1 passage
• Impact of COVID-19 restrictions on diabetes health checks and prescribing for people with type 2 diabetes: a UK-wide cohort study involving 618 161 people in primary care.1 passage
• Impact of Statewide Prevention and Reduction of1 passage
• Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre-post study.1 passage
• Impact of a system-wide quality improvement initiative on blood pressure control: a cohort analysis.1 passage
• Impact of an education and multilevel social comparison-based intervention bundle on use of routine blood tests in hospitalised patients at an academic tertiary care hospital: a controlled pre-intervention post-intervention study.1 passage
• Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis.1 passage
• Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital.1 passage
• Impact of audit and feedback with action implementation toolbox on improving ICU pain management: cluster-randomised controlled trial.1 passage
• Impact of decision aids used during clinical encounters on clinician outcomes and consultation length: a systematic review.1 passage
• Impact of introducing an electronic physiological surveillance system on hospital mortality.1 passage
• Impact of laws aimed at healthcare-associated infection reduction: a qualitative study.1 passage
• Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy.1 passage
• Impact of order set design on urine culturing practices at an academic medical centre emergency department.1 passage
• Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital.1 passage
• Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis.1 passage
• Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre.1 passage
• Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care.1 passage
• Impact of trauma centre accreditation on mortality and complications in a Canadian trauma system: an interrupted time series analysis.1 passage
• Impact of two-step urine culture ordering in the emergency department: a time series analysis.1 passage
• Implementation and de-implementation: two sides of the same coin?1 passage
• Implementation challenges to patient safety in Guatemala: a mixed methods evaluation.1 passage
• Implementation of HIV treatment as prevention strategy in 17 Canadian sites: immediate and sustained outcomes from a 35-month Quality Improvement Collaborative.1 passage
• Implementation of a colour-coded universal protocol safety initiative in Guatemala.1 passage
• Implementation of a quality improvement initiative to reduce daily chest radiographs in the intensive care unit.1 passage
• Implementation of a structured hospital-wide morbidity and mortality rounds model.1 passage
• Implementation of clinical decision support to manage acute kidney injury in secondary care: an ethnographic study.1 passage
• Implementation of diagnostic pauses in the ambulatory setting.1 passage
• Implementation of research evidence in orthopaedics: a tale of three trials.1 passage
• Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement.1 passage
• Implementing an institution-wide quality improvement policy to ensure appropriate use of continuous cardiac monitoring: a mixed-methods retrospective data analysis and direct observation study.1 passage
• Implementing bedside rounds to improve patient-centred outcomes: a systematic review.1 passage
• Implementing infection prevention practices across European hospitals: an in-depth qualitative assessment.1 passage
• Implementing receiver-driven handoffs to the emergency department to reduce miscommunication.1 passage
• Improving PICC use and outcomes in hospitalised patients: an interrupted time series study using MAGIC criteria.1 passage
• Improving access in a VA primary care clinic using an innovative Panel Retention Tool: a quality improvement report.1 passage
• Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency department: a randomised controlled trial.1 passage
• Improving diagnostic performance through feedback: the Diagnosis Learning Cycle.1 passage
• Improving end-of-rotation transitions of care among ICU patients.1 passage
• Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project.1 passage
• Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals.1 passage
• Improving rates of ferrous sulfate prescription for suspected iron deficiency anaemia in infants.1 passage
• Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand.1 passage
• Improving surgical quality in low-income and middle-income countries: why do some health facilities perform better than others?1 passage
• Improving the care of patients with a hip fracture: a quality improvement report.1 passage
• Improving the quality of self-management support in ambulatory cancer care: a mixed-method study of organisational and clinician readiness, barriers and enablers for tailoring of implementation strategies to multisites.1 passage
• Improving timeliness of hepatitis B vaccine administration in an urban safety net level III NICU.1 passage
• Incidence and trends of central line associated pneumothorax using radiograph report text search versus administrative database codes.1 passage
• Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review.1 passage
• Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices.1 passage
• Increasing the use of patient decision aids in orthopaedic care: results of a quality improvement project.1 passage
• Infection prevention and control in nursing homes: a qualitative study of decision-making regarding isolation-based practices.1 passage
• Influence of bedspacing on outcomes of hospitalised medicine service patients: a retrospective cohort study.1 passage
• Influence of doctor-patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study.1 passage
• Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study.1 passage
• Influenza vaccination rates for hospitalised patients: a multiyear quality improvement effort.1 passage
• Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study.1 passage
• Information transfer in multidisciplinary operating room teams: a simulation-based observational study.1 passage
• Inpatient patient safety events in vulnerable populations: a retrospective cohort study.1 passage
• Integrating empowerment evaluation and quality improvement to achieve healthcare improvement outcomes.1 passage
• Intelligent Monitoring? Assessing the ability of the Care Quality Commission's statistical surveillance tool to predict quality and prioritise NHS hospital inspections.1 passage
• Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications.1 passage
• Inter-hospital transfer and patient outcomes: a retrospective cohort study.1 passage
• International comparison of emergency hospital use for infants: data linkage cohort study in Canada and England.1 passage
• International recommendations for a vascular access minimum dataset: a Delphi consensus-building study.1 passage
• International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process.1 passage
• Interprofessional Teamwork Innovation Model (ITIM) to promote communication and patient-centred, coordinated care.1 passage
• Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned?1 passage
• Interventions for improving teamwork in intrapartem care: a systematic review of randomised controlled trials.1 passage
• Interventions targeted at reducing diagnostic error: systematic review.1 passage
• Interventions to improve hospital patient satisfaction with healthcare providers and systems: a systematic review.1 passage
• Introducing consultant outpatient clinics to community settings to improve access to paediatrics: an observational impact study.1 passage
• Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis.1 passage
• Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups.1 passage
• Is everyone really breathing 20 times a minute? Assessing epidemiology and variation in recorded respiratory rate in hospitalised adults.1 passage
• Is greater patient involvement associated with higher satisfaction? Experimental evidence from a vignette survey.1 passage
• Is quality important to our patients? The relationship between surgical outcomes and patient satisfaction.1 passage
• Is safe surgery possible when resources are scarce?1 passage
• Key characteristics of successful quality improvement curricula in physician education: a realist review.1 passage
• Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curricula in the UK.1 passage
• Large-scale empirical optimisation of statistical control charts to detect clinically relevant increases in surgical site infection rates.1 passage
• Large-scale implementation of the I-PASS handover system at an academic medical centre.1 passage
• Later emergency provider shift hour is associated with increased risk of admission: a retrospective cohort study.1 passage
• Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights.1 passage
• Limiting surveillance imaging for patients with lymphoma in remission: a mixed methods study leading to a Choosing Wisely recommendation.1 passage
• Linking social media and medical record data: a study of adults presenting to an academic, urban emergency department.1 passage
• Local emergency medical response after a terrorist attack in Norway: a qualitative study.1 passage
• Logic model framework for considering the inputs, processes and outcomes of a healthcare organisation-research partnership.1 passage
• Lost information during the handover of critically injured trauma patients: a mixed-methods study.1 passage
• Low-value care in Australian public hospitals: prevalence and trends over time.1 passage
• MRI for patients with cardiac implantable electronic devices: simplifying complexity with a 'one-stop' service model.1 passage
• Major reductions in unnecessary aspartate aminotransferase and blood urea nitrogen tests with a quality improvement initiative.1 passage
• Making comparative performance information more comprehensible: an experimental evaluation of the impact of formats on consumer understanding.1 passage
• Making sense of the shadows: priorities for creating a learning healthcare system based on routinely collected data.1 passage
• Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns.1 passage
• Malpractice claims related to diagnostic errors in the hospital.1 passage
• Management of low back pain in Australian emergency departments.1 passage
• Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer.1 passage
• Measuring and improving patient safety through health information technology: The Health IT Safety Framework.1 passage
• Measuring patient-perceived quality of care in US hospitals using Twitter.1 passage
• Measuring the effect of Choosing Wisely: an integrated framework to assess campaign impact on low-value care.1 passage
• Measuring the teamwork performance of teams in crisis situations: a systematic review of assessment tools and their measurement properties.1 passage
• Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial.1 passage
• Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool.1 passage
• Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis.1 passage
• Mental well-being, job satisfaction and self-rated workability in general practitioners and hospitalisations for ambulatory care sensitive conditions among listed patients: a cohort study combining survey data on GPs and register data on patients.1 passage
• Meta-analysis of the central line bundle for preventing catheter-related infections: a case study in appraising the evidence in quality improvement.1 passage
• Michigan Appropriate Perioperative (MAP) criteria for urinary catheter use in common general and orthopaedic surgeries: results obtained using the RAND/UCLA Appropriateness Method.1 passage
• Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room.1 passage
• Missed nursing care in newborn units: a cross-sectional direct observational study.1 passage
• Missed nursing care is linked to patient satisfaction: a cross-sectional study of US hospitals.1 passage
• Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study.1 passage
• Mobilising or standing still?A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016.1 passage
• Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment.1 passage
• Mortality and pulmonary complications in patients undergoing upper extremity surgery at the peak of the SARS-CoV-2 pandemic in the UK: a national cohort study.1 passage
• Mortality of hospitalised internal medicine patients bedspaced to non-internal medicine inpatient units: retrospective cohort study.1 passage
• Mortality, readmission and length of stay have different relationships using hospital-level versus patient-level data: an example of the ecological fallacy affecting hospital performance indicators.1 passage
• Multistate programme to reduce catheter-associated infections in intensive care units with elevated infection rates.1 passage
• National hospital mortality surveillance system: a descriptive analysis.1 passage
• Nationwide study on trends in unplanned hospital attendance and deaths during the 7 weeks after the onset of the COVID-19 pandemic in Denmark.1 passage
• Next-generation audit and feedback for inpatient quality improvement using electronic health record data: a cluster randomised controlled trial.1 passage
• Night-time communication at Stanford University Hospital: perceptions, reality and solutions.1 passage
• Novel quality improvement method to reduce cost while improving the quality of patient care: retrospective observational study.1 passage
• Novel tools for a learning health system: a combined difference-in-difference/regression discontinuity approach to evaluate effectiveness of a readmission reduction initiative.1 passage
• Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study.1 passage
• Nurse-led triage of new sleep referrals is associated with lower risk of potentially contraindicated sleep testing: a retrospective cohort study.1 passage
• Nursing home Facebook reviews: who has them, and how do they relate to other measures of quality and experience?1 passage
• Nursing roles for in-hospital cardiac arrest response: higher versus lower performing hospitals.1 passage
• Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care.1 passage
• Observation for assessment of clinician performance: a narrative review.1 passage
• Observational study assessing changes in timing of readmissions around postdischarge day 30 associated with the introduction of the Hospital Readmissions Reduction Program.1 passage
• Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review.1 passage
• Obstetric care navigation: results of a quality improvement project to provide accompaniment to women for facility-based maternity care in rural Guatemala.1 passage
• On selecting quality indicators: preferences of patients with breast and colon cancers regarding hospital quality indicators.1 passage
• One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs.1 passage
• Opportunities to improve clinical summaries for patients at hospital discharge.1 passage
• Optimising impact and sustainability: a qualitative process evaluation of a complex intervention targeted at compassionate care.1 passage
• Our current approach to root cause analysis: is it contributing to our failure to improve patient safety?1 passage
• Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events.1 passage
• Outcomes for surgical procedures funded by the English health service but carried out in public versus independent hospitals: a database study.1 passage
• Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors.1 passage
• Overuse of diagnostic testing in healthcare: a systematic review.1 passage
• Paediatric hospital admission processes and outcomes: a qualitative study of parents' experiences and priorities.1 passage
• Passing the acid test? Evaluating the impact of national education initiatives to reduce proton pump inhibitor use in Australia.1 passage
• Patient activation intervention to facilitate participation in recovery after total knee replacement (MIME): a cluster randomised cross-over trial.1 passage
• Patient and caregiver priorities in the transition from hospital to home: results from province-wide group concept mapping.1 passage
• Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study.1 passage
• Patient and family engagement: a survey of US hospital practices.1 passage
• Patient experience of general practice and use of emergency hospital services in England: regression analysis of national cross-sectional time series data.1 passage
• Patient participation in inpatient ward rounds on acute inpatient medical wards: a descriptive study.1 passage
• Patient safety and the ageing physician: a qualitative study of key stakeholder attitudes and experiences.1 passage
• Patient safety climate strength: a concept that requires more attention.1 passage
• Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human'.1 passage
• Patient safety is not elective: a debate at the NPSF Patient Safety Congress.1 passage
• Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation.1 passage
• Patient safety superheroes in training: using a comic book to teach patient safety to residents.1 passage
• Patient-centred care delivered by general practitioners: a qualitative investigation of the experiences and perceptions of patients and providers.1 passage
• Patient-centred outcomes of imaging tests: recommendations for patients, clinicians and researchers.1 passage
• Patient-level and hospital-level variation and related time trends in COVID-19 case fatality rates during the first pandemic wave in England: multilevel modelling analysis of routine data.1 passage
• Patient-reported complications related to peripherally inserted central catheters: a multicentre prospective cohort study.1 passage
• Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention.1 passage
• Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise awareness of patient safety for doctors in training.1 passage
• Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries.1 passage
• Patients' perspective on how to improve the care of people with chronic conditions in France: a citizen science study within the ComPaRe e-cohort.1 passage
• Patients' perspectives on how to decrease the burden of treatment: a qualitative study of HIV care in sub-Saharan Africa.1 passage
• Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over.1 passage
• Patterns of performance and improvement in US Medicare's Hospital Star Ratings, 2016-2017.1 passage
• Pay-for-performance policy and data-driven decision making within nursing homes: a qualitative study.1 passage
• Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer.1 passage
• People's experiences of hospital care on the weekend: secondary analysis of data from two national patient surveys.1 passage
• Perceptions of rounding checklists in the intensive care unit: a qualitative study.1 passage
• Performance of statistical process control methods for regional surgical site infection surveillance: a 10-year multicentre pilot study.1 passage
• Perioperative diabetes care: development and validation of quality indicators throughout the entire hospital care pathway.1 passage
• Physician and other healthcare personnel responses to hospital stroke quality of care performance feedback: a qualitative study.1 passage
• Physician-level variation in clinical outcomes and resource use in inpatient general internal medicine: an observational study.1 passage
• Pilot randomised controlled trial to improve hand hygiene through mindful moments.1 passage
• Precommitting to choose wisely about low-value services: a stepped wedge cluster randomised trial.1 passage
• Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study.1 passage
• Prevalence of harmful diagnostic errors in hospitalised adults: a systematic review and meta-analysis.1 passage
• Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study.1 passage
• Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013.1 passage
• Primary care physician's (PCP) perceived value of patient-reported outcomes (PROs) in clinical practice: a mixed methods study.1 passage
• Primary care physicians' willingness to disclose oncology errors involving multiple providers to patients.1 passage
• Priorities to improve the care for chronic conditions and multimorbidity: a survey of patients and stakeholders nested within the ComPaRe e-cohort.1 passage
• Procedural instruction in invasive bedside procedures: a systematic review and meta-analysis of effective teaching approaches.1 passage
• Project JOINTS: what factors affect bundle adoption in a voluntary quality improvement campaign?1 passage
• Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit.1 passage
• Provider interruptions and patient perceptions of care: an observational study in the emergency department.1 passage
• Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets.1 passage
• Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.1 passage
• Pseudo-understanding: an analysis of the dilution of value in healthcare.1 passage
• Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture: a factor analysis.1 passage
• Public reporting of antipsychotic prescribing in nursing homes: population-based interrupted time series analyses.1 passage
• Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings.1 passage
• Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals.1 passage
• Qualitative complaints and their relation to overall hospital rating using an H-CAHPS-derived instrument.1 passage
• Quality gaps identified through mortality review.1 passage
• Quality improvement in cardiovascular surgery: results of a surgical quality improvement programme using a nationwide clinical database and database-driven site visits in Japan.1 passage
• Quality of acute myocardial infarction care in England and Wales during the COVID-19 pandemic: linked nationwide cohort study.1 passage
• Quality of care for acute abdominal pain in children.1 passage
• Quality of care in large Chinese hospitals: an observational study.1 passage
• Questions regarding the authors' conclusions about the lack of change in Hospital Survey on Patient Safety Culture (HSOPS) scores related to reduction of hospital-acquired infections.1 passage
• Quick and dirty? A systematic review of the use of rapid ethnographies in healthcare organisation and delivery.1 passage
• Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports.1 passage
• Randomised controlled trial of a theory-based intervention to prompt front-line staff to take up the seasonal influenza vaccine.1 passage
• Randomised controlled trial to assess the effect of a Just-in-Time training on procedural performance: a proof-of-concept study to address procedural skill decay.1 passage
• Ranking hospitals: do we gain reliability by using composite rather than individual indicators?1 passage
• Rapid cycle development of a multifactorial intervention achieved sustained reductions in central line-associated bloodstream infections in haematology oncology units at a children's hospital: a time series analysis.1 passage
• Rate of avoidable deaths in a Norwegian hospital trust as judged by retrospective chart review.1 passage
• Ratings game: an analysis of Nursing Home Compare and Yelp ratings.1 passage
• Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why.1 passage
• Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors: an observational study of voided orders.1 passage
• Recognising the importance of informal communication events in improving collaborative care.1 passage
• Reducing door-to-needle times in stroke thrombolysis to 13 min through protocol revision and simulation training: a quality improvement project in a Norwegian stroke centre.1 passage
• Reducing hospital admissions for adverse drug events through coordinated pharmacist care: learning from Hawai'i without a field trip.1 passage
• Reducing peripherally inserted central catheters and midline catheters by training nurses in ultrasound-guided peripheral intravenous catheter placement.1 passage
• Reducing the incidence of oxyhaemoglobin desaturation during rapid sequence intubation in a paediatric emergency department.1 passage
• Reducing the number and impact of outbreaks of nosocomial viral gastroenteritis: time-series analysis of a multidimensional quality improvement initiative.1 passage
• Reducing unnecessary sedative-hypnotic use among hospitalised older adults.1 passage
• Reduction of paediatric head CT utilisation at a rural general hospital emergency department.1 passage
• Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt.1 passage
• Reinvigorating stagnant science: implementation laboratories and a meta-laboratory to efficiently advance the science of audit and feedback.1 passage
• Relationship between nursing home quality indicators and potentially preventable hospitalisation.1 passage
• Relative contributions of hospital versus skilled nursing facility quality on patient outcomes.1 passage
• Reliable adherence to a COPD care bundle mitigates system-level failures and reduces COPD readmissions: a system redesign using improvement science.1 passage
• Reliable implementation of evidence: a qualitative study of antenatal corticosteroid administration in Ohio hospitals.1 passage
• Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study.1 passage
• Removing hospital-based triage from suspected colorectal cancer pathways: the impact and learning from a primary care-led electronic straight-to-test pathway.1 passage
• Reorganisation of stroke care and impact on mortality in patients admitted during weekends: a national descriptive study based on administrative data.1 passage
• Reporting and design elements of audit and feedback interventions: a secondary review.1 passage
• Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey and an analysis of registration data.1 passage
• Response to: 'Lack of standardisation between specialties for human factors content in postgraduate surgical training: an analysis of specialty curricula in the UK' by Greig et al.1 passage
• Response to: 'Supporting adherence for people starting a new medication for a long-term condition through community pharmacies: a pragmatic randomised controlled trial of the New Medicine Service' by Elliott1 passage
• Retrospective analysis of reported suicide deaths and attempts on veterans health administration campuses and inpatient units.1 passage
• Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability.1 passage
• Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study.1 passage
• Robot for health data acquisition among older adults: a pilot randomised controlled cross-over trial.1 passage
• Role of cognition in generating and mitigating clinical errors.1 passage
• Role of emotional competence in residents' simulated emergency care performance: a mixed-methods study.1 passage
• Role of patient and public involvement in implementation research: a consensus study.1 passage
• Routine failures in the process for blood testing and the communication of results to patients in primary care in the UK: a qualitative exploration of patient and provider perspectives.1 passage
• SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process.1 passage
• Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting.1 passage
• Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands.1 passage
• Safety risks associated with the lack of integration and interfacing of hospital health information technologies: a qualitative study of hospital electronic prescribing systems in England.1 passage
• Secular trends and evaluation of complex interventions: the rising tide phenomenon.1 passage
• Self-management capability in patients with long-term conditions is associated with reduced healthcare utilisation across a whole health economy: cross-sectional analysis of electronic health records.1 passage
• Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey.1 passage
• Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation.1 passage
• Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel.1 passage
• Sicker patients account for the weekend mortality effect among adult emergency admissions to a large hospital trust.1 passage
• Simplification of the HOSPITAL score for predicting 30-day readmissions.1 passage
• Smart agent system for insulin infusion protocol management: a simulation-based human factors evaluation study.1 passage
• Socioeconomic deprivation and ethnicity inequalities in disruption to NHS hospital admissions during the COVID-19 pandemic: a national observational study.1 passage
• Socioeconomic status influences the toll paediatric hospitalisations take on families: a qualitative study.1 passage
• Speak up-related climate and its association with healthcare workers' speaking up and withholding voice behaviours: a cross-sectional survey in Switzerland.1 passage
• Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers.1 passage
• Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up.1 passage
• Speaking up about traditional and professionalism-related patient safety threats: a national survey of interns and residents.1 passage
• Standardisation of perioperative urinary catheter use to reduce postsurgical urinary tract infection: an interrupted time series study.1 passage
• Standardised approach to measuring goal-based outcomes among older disabled adults: results from a multisite pilot.1 passage
• Standardising hospitalist practice in sepsis and COPD care.1 passage
• Standards for UNiversal reporting of patient Decision Aid Evaluation studies: the development of SUNDAE Checklist.1 passage
• Stepped-wedge randomised trial to evaluate population health intervention designed to increase appropriate anticoagulation in patients with atrial fibrillation.1 passage
• Strengthening the afferent limb of rapid response systems: an educational intervention using web-based learning for early recognition and responding to deteriorating patients.1 passage
• Study of a multisite prospective adverse event surveillance system.1 passage
• Successfully reducing newborn asphyxia in the labour unit in a large academic medical centre: a quality improvement project using statistical process control.1 passage
• Supporting adherence for people starting a new medication for a long-term condition through community pharmacies: a pragmatic randomised controlled trial of the New Medicine Service.1 passage
• Surgical service monitoring and quality control systems at district hospitals in Malawi, Tanzania and Zambia: a mixed-methods study.1 passage
• Sustainability of paediatric asthma care quality in community hospitals after ending a national quality improvement collaborative.1 passage
• Sustained reductions in time to antibiotic delivery in febrile immunocompromised children: results of a quality improvement collaborative.1 passage
• Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data.1 passage
• Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs.1 passage
• Systematic review and meta-analysis of the effectiveness of pharmacist-led medication reconciliation in the community after hospital discharge.1 passage
• Systems consultation for opioid prescribing in primary care: a qualitative study of adaptation.1 passage
• Systems modelling and simulation in health service design, delivery and decision making.1 passage
• Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years.1 passage
• Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and working memory capacity: a prospective, direct observation study.1 passage
• Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture.1 passage
• Ten tips for advancing a culture of improvement in primary care.1 passage
• Test result communication in primary care: a survey of current practice.1 passage
• The ConCom Safety Management Scale: developing and testing a measurement instrument for control-based and commitment-based safety management approaches in hospitals.1 passage
• The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week.1 passage
• The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service monitoring and organisational learning.1 passage
• The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system.1 passage
• The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals-a retrospective record review study.1 passage
• The Medicines Advice Service Evaluation (MASE): a randomised controlled trial of a pharmacist-led telephone based intervention designed to improve medication adherence.1 passage
• The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data.1 passage
• The SQUIRE Guidelines: an evaluation from the field, 5 years post release.1 passage
• The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting safe career transitions among older surgeons.1 passage
• The association between patient experience factors and likelihood of 30-day readmission: a prospective cohort study.1 passage
• The association of hospital prevention processes and patient risk factors with the risk of Clostridium difficile infection: a population-based cohort study.1 passage
• The associations between work-life balance behaviours, teamwork climate and safety climate: cross-sectional survey introducing the work-life climate scale, psychometric properties, benchmarking data and future directions.1 passage
• The cost of improving care: a multisite economic analysis of hospital resource use for implementing recommended postpartum contraception programmes.1 passage
• The denominator problem: national hospital quality measures for acute myocardial infarction.1 passage
• The discontinuation of contact precautions for methicillin-resistant1 passage
• The effect of the SQUIRE (Standards of QUality Improvement Reporting Excellence) guidelines on reporting standards in the quality improvement literature: a before-and-after study.1 passage
• The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour & improve safety.1 passage
• The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study.1 passage
• The global burden of diagnostic errors in primary care.1 passage
• The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department.1 passage
• The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study.1 passage
• The problem with composite indicators.1 passage
• The problem with using patient complaints for improvement.1 passage
• The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals.1 passage
• The relationship between off-hours admissions for primary percutaneous coronary intervention, door-to-balloon time and mortality for patients with ST-elevation myocardial infarction in England: a registry-based prospective national cohort study.1 passage
• The systems approach to medicine: controversy and misconceptions.1 passage
• The use of patient experience survey data by out-of-hours primary care services: a qualitative interview study.1 passage
• The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England.1 passage
• The value of Facebook in nation-wide hospital quality assessment: a national mixed-methods study in Norway.1 passage
• Thematic analysis of US stakeholder views on the influence of labour nurses' care on birth outcomes.1 passage
• Theory-based and evidence-based design of audit and feedback programmes: examples from two clinical intervention studies.1 passage
• Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital.1 passage
• Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study.1 passage
• To GP or not to GP: a natural experiment in children triaged to see a GP in a tertiary paediatric emergency department (ED).1 passage
• Towards high-reliability organising in healthcare: a strategy for building organisational capacity.1 passage
• Towards optimising local reviews of severe incidents in maternity care: messages from a comparison of local and external reviews.1 passage
• Transforming concepts in patient safety: a progress report.1 passage
• Transportation characteristics associated with non-arrivals to paediatric clinic appointments: a retrospective analysis of 51 580 scheduled visits.1 passage
• Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review.1 passage
• Underlying risk factors for prescribing errors in long-term aged care: a qualitative study.1 passage
• Understanding decisions about antibiotic prescribing in ICU: an application of the Necessity Concerns Framework.1 passage
• Understanding patient-centred readmission factors: a multi-site, mixed-methods study.1 passage
• Unnecessary antibiotic prescribing in children hospitalised for asthma exacerbation: a retrospective national cohort study.1 passage
• Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers.1 passage
• Use and reporting of experience-based codesign studies in the healthcare setting: a systematic review.1 passage
• Use of a maternal newborn audit and feedback system in Ontario: a collective case study.1 passage
• Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation.1 passage
• Use of performance reports among trauma medical directors and programme managers in the American College of Surgeons' Trauma Quality Improvement Program: a qualitative analysis.1 passage
• Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study.1 passage
• Use of telecritical care for family visitation to ICU during the COVID-19 pandemic: an interview study and sentiment analysis.1 passage
• User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study.1 passage
• Using Q-methodology to guide the implementation of new healthcare policies.1 passage
• Using a 10-step framework to support the implementation of an evidence-based clinical pathways programme.1 passage
• Using a dark logic model to explore adverse effects in audit and feedback: a qualitative study of gaming in colonoscopy.1 passage
• Using a network organisational architecture to support the development of Learning Healthcare Systems.1 passage
• Using standardised patients to assess the quality of medical records: an application and evidence from rural China.1 passage
• Validation of automated sepsis surveillance based on the Sepsis-3 clinical criteria against physician record review in a general hospital population: observational study using electronic health records data.1 passage
• Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy.1 passage
• Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire.1 passage
• Validity evidence for Quality Improvement Knowledge Application Tool Revised (QIKAT-R) scores: consequences of rater number and type using neurology cases.1 passage
• Value of hospital resources for effective pressure injury prevention: a cost-effectiveness analysis.1 passage
• Valuing hospital investments in nursing: multistate matched-cohort study of surgical patients.1 passage
• Variable effectiveness of stepwise implementation of nudge-type interventions to improve provider compliance with intraoperative low tidal volume ventilation.1 passage
• Variation and statistical reliability of publicly reported primary care diagnostic activity indicators for cancer: a cross-sectional ecological study of routine data.1 passage
• Variation in the delivery of telephone advice by emergency medical services: a qualitative study in three services.1 passage
• Variation in the design of Do Not Resuscitate orders and other code status options: a multi-institutional qualitative study.1 passage
• Variation in timely surgery for hip fracture by day and time of presentation: a nationwide prospective cohort study from the National Hip Fracture Database for England, Wales and Northern Ireland.1 passage
• Variation in tonsillectomy cost and revisit rates: analysis of administrative and billing data from US children's hospitals.1 passage
• Variation in use and outcomes related to midline catheters: results from a multicentre pilot study.1 passage
• Variations by state in physician disciplinary actions by US medical licensure boards.1 passage
• Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes.1 passage
• Virtual learning collaboratives to improve urine culturing and antibiotic prescribing in long-term care: controlled before-and-after study.1 passage
• Virtual outpatient clinic as an alternative to an actual clinic visit after surgical discharge: a randomised controlled trial.1 passage
• Visual mapping of team dynamics and communication patterns on surgical ward rounds: an ethnographic study.1 passage
• We want to know: patient comfort speaking up about breakdowns in care and patient experience.1 passage
• Weekly variation in quality of care for acute ST-segment elevation myocardial infarction by day and time of admission: a retrospective observational study.1 passage
• What US hospitals are currently doing to prevent common device-associated infections: results from a national survey.1 passage
• What can a participatory approach to evaluation contribute to the field of integrated care?1 passage
• What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study.1 passage
• What do emergency department physicians and nurses feel? A qualitative study of emotions, triggers, regulation strategies, and effects on patient care.1 passage
• What do patients say about emergency departments in online reviews? A qualitative study.1 passage
• What methods are used to apply positive deviance within healthcare organisations? A systematic review.1 passage
• What to expect when you're evaluating healthcare improvement: a concordat approach to managing collaboration and uncomfortable realities.1 passage
• When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient-doctor relationship.1 passage
• When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record.1 passage
• Why colorectal screening fails to achieve the uptake rates of breast and cervical cancer screening: a comparative qualitative study.1 passage
• Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services.1 passage
• Why patients' disruptive behaviours impair diagnostic reasoning: a randomised experiment.1 passage
• Wisdom of patients: predicting the quality of care using aggregated patient feedback.1 passage
• Work conditions, mental workload and patient care quality: a multisource study in the emergency department.1 passage
• Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis.1 passage
• Work systems analysis of sterile processing: assembly.1 passage
• Work systems analysis of sterile processing: decontamination.1 passage
• Work-life balance behaviours cluster in work settings and relate to burnout and safety culture: a cross-sectional survey analysis.1 passage
• Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals.1 passage
• mHOMR: a feasibility study of an automated system for identifying inpatients having an elevated risk of 1-year mortality.1 passage