Systematic review of the application of the plan–do–study–act …
Background Plan–do–study–act (PDSA) cycles provide a structure for iterative testing of changes to improve quality of systems. The method is widely accepted in healthcare improvement; however there is little overarching evaluation of how the method is applied. This paper proposes a theoretical framework for assessing the quality of application …
Multidisciplinary teamwork: the good, bad, and everything in …
Jun 1, 2001 · The difficulties of multidisciplinary teamwork are also apparent in differing attitudes towards the way to bring about a good outcome, and even what actually constitutes a good outcome. For example, in teams caring for patients with stroke there are a number of “ideal outcomes” from the various stakeholders and staff involved—complete ...
Disclosing medical errors: prioritising the needs of patients and ...
A slow but significant change has occurred in how healthcare professionals and organisations are expected to respond when something has gone wrong in a patient’s care.1 In 2001, the US accreditation organisation The Joint Commission began to require that healthcare facilities disclose all outcomes of care, including ‘unanticipated outcomes’, to patients.2 Over time and across the world ...
Learning from complaints in healthcare: a realist review of …
Introduction A global rise in patient complaints has been accompanied by growing research to effectively analyse complaints for safer, more patient-centric care. Most patients and families complain to improve the quality of healthcare, yet progress has been complicated by a system primarily designed for case-by-case complaint handling. Aim To understand how to effectively integrate patient ...
Homepage | BMJ Quality & Safety
3 days ago · BMJ Quality & Safety. is an international peer-reviewed journal covering the science of improvement across healthcare service and provision. Impact Factor: 5.9 Citescore: 9.8 All metrics >>. The Journal encourages research and debate about improving the quality and safety of healthcare. It is led by patient-focused editors who seek to help a ...
Balancing stakeholder needs in the evaluation of healthcare quality ...
Consulting more stakeholders would have helped: an example. Consider the case of a collaborative improvement initiative in 29 primary care centres in the USA.5 The project aimed to increase patient and family support for self-management of chronic conditions. The evaluation of this initiative revealed many positive changes in the delivery of …
Sustaining quality improvement efforts: emerging principles and ...
Do we care if a quality improvement (QI) innovation is effective, if it is not sustained? This uncomfortable question is increasingly important as healthcare is judged (and reimbursed) on ‘quality’ and ‘value’. Often, a sentinel safety event or dip in performance on a quality measure tied to reimbursement spurs a ‘quick fix’ mentality. However, considering how to ‘fix the problem ...
A primer on PDSA: executing plan–do–study–act cycles in practice, …
Plan-do–study–act (PDSA) cycles are the building blocks of iterative healthcare improvement.1 Although frequently regarded as separate from research,2 this quality improvement method remains rooted in the scientific method. The P in PDSA usually stands for ‘plan’ but could just as easily refer to ‘predict’. Each cycle combines prediction with a …
Healthcare-associated infections: where we came from and where …
Healthcare-associated infections (HCAIs) are those infections acquired by an individual who is seeking medical care in any healthcare facility, including acute care hospitals, long-term care facilities (including nursing homes), outpatient surgical centres, dialysis centres or ambulatory care clinics.1 They are further defined as occurring at …
Effectiveness of double checking to reduce medication …
Methods Five databases (PubMed, Embase, CINAHL, Ovid@Journals, OpenGrey) were searched for studies evaluating the use and effectiveness of double checking on reducing medication administration errors in a hospital setting. Included studies were required to report any of three outcome measures: an effect estimate such as a risk ratio or risk difference representing the association between ...