Social Science Applied to Healthcare Improvement Research Group, Department of Health Sciences, School of Medicine, University of Leicester, Leicester, UK Correspondence to Professor Mary Dixon-Woods, ...

A wide variety of research studies suggest that breakdowns in the diagnostic process result in a staggering toll of harm and patient deaths. These include autopsy studies, case reviews, surveys of ...

2 Imperial Vascular Unit, Imperial College Healthcare NHS Trust, London, UK 3 Clinical Safety Research Unit, Imperial College, London, UK Background Surgical technology has led to significant ...

The clinical microsystem puts medical error and harm reduction into the broader context of safety and quality of care by providing a framework to assess and evaluate ...

Patients, clinicians and managers all want to be reassured that their healthcare organisation is safe. But there is no consensus about what we mean when we ask whether a healthcare organisation is ...

If a quality improvement is found effective in one setting, would the same effects be found elsewhere? Could the same change be implemented in another setting? These are just two of the ...

Objective The objective of this review was to develop a taxonomy of pressures experienced by health services and an accompanying taxonomy of strategies for adapting in response to these pressures. The ...

The role and value of theory in improvement work in healthcare has been seriously underrecognised. We join others in proposing that more informed use of theory can strengthen improvement programmes ...

3 Institute of Medical Education Research, Rotterdam, Erasmus University Medical Center, Rotterdam Correspondence to Professor Pat Croskerry, Division of Medical Education, Dalhousie University, ...

Correspondence to Miss A L Grove, WMG, The University of Warwick, Coventry, CV4 7AL, UK; amy.grove{at}warwick.ac.uk Background This paper presents the findings of a 13-month lean implementation in ...

Correspondence to Dr Jaap F Hamming, Department of Surgery, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands; J.F.Hamming{at}lumc.nl ‘The problem with…’ series covers ...

2 Department of Medicine, Johns Hopkins University School of Medicine, Johns Hopkins Hospital, Baltimore, Maryland, USA 3 Department of Health Policy and Management, Johns Hopkins Bloomberg School of ...