Investigations of accidents in a number of hazardous domains suggest that a cluster of organisational pathologies—the “vulnerable system syndrome” (VSS)—render some systems more liable to adverse ...

Background Efforts to improve the implementation of effective practice and to speed up improvements in quality and patient safety continue to pose challenges for researchers and policy makers.

CPPM, School of Management, The Gateway Building, North Haugh, University of St Andrews, St Andrews, Fife, Scotland Correspondence to: R Rushmer CPPM, School of Management, The Gateway Building, North ...

1 The Centre for Medical and Health Sciences Education, University of Auckland, Auckland, New Zealand 2 University of Auckland School of Medicine, Auckland, New Zealand 3 Simulation Centre for Patient ...

2 Center for Innovation in Interprofessional Education, University of California, San Francisco, California, USA 3 Department of Anesthesia and Perioperative Care, University of California San ...

Correspondence to Dr Stephanie Tierney, University of Warwick Warwick Medical School, Warwick Medical School, Coventry, CV4 7AL, UK; stephanie.tierney{at}warwick.ac.uk Nursing, in particular, has been ...

Background Experience-based codesign (EBCD) is an approach to health service design that engages patients and healthcare staff in partnership to develop and improve health services or pathways of care ...

2 Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden 3 Department of Social Work, Karolinska University Hospital, Stockholm, Sweden Background Advocates ...

Background Hospitalist medicine was predicated on the belief that providers dedicated to inpatient care would deliver higher quality and more cost-effective care to acutely hospitalised patients. The ...

Background Diagnostic error incurs enormous human and economic costs. The dual-process model reasoning provides a framework for understanding the diagnostic process ...

Objectives: To assess awareness and use of the current incident reporting system and to identify factors inhibiting reporting of incidents in hospitals. Design, setting and participants: Anonymous ...

Diagnostic delay, a type of diagnostic error, is the failure to establish an accurate and timely diagnosis; diagnostic delay remains a significant source of error in ...