Variability and persistent gaps in reporting have been consistently observed across studies evaluating adverse events in healthcare, dating back to the early days of the patient safety movement.

Introduction National Health Service hospitals and government agencies are increasingly using mortality rates to monitor the quality of inpatient care. Mortality and Morbidity (M&M) meetings, ...

Background Literature depicts differences in ethical decision-making (EDM) between countries and intensive care units (ICU). Objectives To better conceptualise EDM climate in the ICU and to validate a ...

Background The association of nursing staffing with patient outcomes has primarily been studied by comparing high to low staffed hospitals, raising concern other factors may account for observed ...

Correspondence to Professor David Reeves, NIHR School for Primary Care Research, Manchester Academic Health Science Centre, The University of Manchester Faculty of Biology, Medicine and Health, ...

Background Triage and clinical consultations increasingly occur remotely. We aimed to learn why safety incidents occur in remote encounters and how to prevent them. Setting and sample UK primary care.

1 Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Armstrong Institute for Patient Safety & Quality, Baltimore, Maryland, USA 2 Department of ...

Sustainability is not static maintenance; it is evolution. Health systems that can adapt, discard and relearn, retaining what matters and deliberately forgetting what no longer serves patients, can ...

Correspondence to: Dr A N Healey Clinical Safety Research, Imperial College London, Department of Surgical Oncology and Technology, 10th Floor QEQM, St Mary’s Hospital, Praed Street, Paddington, ...

Background Enhancing competency in patient safety at entry to practice requires introduction and integration of patient safety into health professional education. As efforts to include patient safety ...

Background Peripheral venous catheters (PVCs) are ubiquitous in hospitals, yet phlebitis remains common despite single-measure prevention. Robust long-term evidence on whether comprehensive bundles ...

Background Problems of quality and safety persist in health systems worldwide. We conducted a large research programme to examine culture and behaviour in the English National Health Service (NHS).