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Introduction Patients are increasingly being thought of as central to patient safety. A small but growing body of work suggests that patients may have a role in reporting patient safety problems ...

Background: Pilot studies of complex interventions such as a team checklist are an essential precursor to evaluating how these interventions affect quality and safety of care. We conducted a pilot ...

‘The Problem with…’ series covers controversial topics related to efforts to improve healthcare quality, including widely recommended, but deceptively difficult strategies for improvement and ...

2 University of Leeds Institute of Medical Education, Leeds, UK What has gone relatively unnoticed in these recent discussions about the potential of video in the operating room is the possibilities ...

Objectives To perform a systematic review of the frequency of (preventable) adverse events (AE/PAE) and to analyse contributing factors, such as sample size, settings, type of events, terminology, ...

Centre for Quality of Care Research (WOK), University Medical Centre Nijmegen, 6500 HB Nijmegen, The Netherlands Dr M E J L Hulscher, Centre for Quality of Care Research (WOK), University Medical ...

Department of General Practice and Primary Care, School of Medicine, University of Auckland, Auckland, New Zealand Correspondence to: Dr S A Buetow, Department of General Practice and Primary Care, ...

9 Clinical Pharmacology Unit, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK 10 Centre of Academic Primary Care, Division of Applied Health Sciences, University of Aberdeen, ...

Background: Most studies of healthcare complications identify surgery as a major contributor to the overall burden of complicated care that leads to injury or death. Indeed, surgical adverse events ...

Correspondence to: Mr C M Lowe Head of Design and Human Factors, NHS National Patient Safety Agency, 4–8 Maple Street, London W1T 5HD, UK; colum.lowe{at}npsa.nhs.uk Poor design of elements in a ...