Background There is growing recognition in the literature of the ‘Herculean’ efforts required to bring about change in healthcare processes and systems. Leadership is recognised as a critical lever ...

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Objective Diagnostic delay is a pervasive patient safety problem that disproportionately affects historically underserved populations. We aim to systematically examine and synthesise published ...

Objectives—To develop, validate, and test the reliability of an audit instrument that measures the extent to which patient records describe important aspects of nursing care. Material—Twenty records ...

5 Department of Health Policy and Management, Harvard School of Public Health, and Brigham and Women's Hospital, Boston, Massachusetts, USA 6 Department of Health Policy and Management, Johns Hopkins ...

Correspondence to: E M Schimmel, Department of Internal Medicine, Yale University School of Medicine, and the Grace-New Haven Community Hospital, New Haven, Connecticut, USA The occurrence of hospital ...

Background The use of national quality campaigns to foster evidence-based hospital practices is increasing. Because campaigns typically do not limit access to their resources, they may influence ...

Objectives: To assess patients’ adherence to new medication for a chronic condition (and whether non-adherence was intentional), patients’ problems with their medication, and their further information ...

Department of Intensive Care and Neonatology, University Children’s Hospital, Zurich, Switzerland Correspondence to Dr Bernhard Frey, Department of Intensive Care and Neonatology, University ...

Background Developing and updating high-quality guidelines requires substantial time and resources. To reduce duplication of effort and enhance efficiency, we developed a process for guideline ...

Determining how to collect and use patient-reported outcome measures (PROMs) continues to be an area of discussion, and in some cases frustration.1–5 Gaining a greater depth of knowledge concerning a ...