Comparing safety, performance and user perceptions of a patient-specific indication-based prescribing tool with current practice: a mixed methods randomised user testing study ...

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 ...

Objectives To determine whether in patients with chronic disease a patient-held medical record (PHR), compared to usual care, improves clinical care, patient outcomes or satisfaction. Design ...

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 ...

2 Department of Sociology and Department of Human Geography, Utrecht University, Utrecht, The Netherlands 3 EMGO Institute, Department of Public and Occupational Health, VU University Medical Center, ...

Department of Social Psychology, London School of Economics, London, UK Correspondence to Dr Tom Reader, Department of Social Psychology, London School of Economics, Houghton Street, London WC2A 2AE, ...

1 School of Pharmacy and Pharmaceutical Sciences, University of Manchester, UK 2 School of Psychological Sciences, University of Manchester, UK Correspondence to: Dr D M Ashcroft Senior Clinical ...

Background Burnout threatens intensive care unit (ICU) professionals’ capacity to provide high-quality care. Moral distress is previously considered a root cause of burnout, but there are other risk ...

There is wide belief that organisational culture shapes many aspects of performance, including safety. Yet proof of this relationship in a medical context is hard to find. In contrast to human factors ...

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 ...

Although major defects in the performance of healthcare systems are well documented, progress toward remedy remains slow. Accelerating improvement will require large shifts in attitudes toward and ...