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 ...

1 University of Technology Sydney, Centre for Health Communication, Sydney, New South Wales, Australia 2 HSPIB, NSW Ministry of Health, North Sydney, New South Wales, Australia 3 Emergency Department, ...

Qualitative research can make a valuable contribution to the study of quality and safety in health care. Sound ways of appraising qualitative research are needed, but currently there are many ...

Objective: To explore scepticism and resistance towards changes in working practice designed to achieve service improvement. Two principal questions were studied: (1) why some people are sceptical or ...

3 University Düsseldorf, Medical Faculty, Institute for Occupational Medicine and Social Medicine, Düsseldorf, Germany Correspondence to Dr Matthias Weigl, Institute and Outpatient Clinic for ...

1 NHMRC Centre of Research Excellence in Patient Safety, Monash University, Melbourne, Australia 2 The Alfred Hospital, National Trauma Research Institute, Monash University, Melbourne, Australia ...

Objectives Uncertainties exist about when and how best to adjust performance measures for case mix. Our aims are to quantify the impact of case-mix adjustment on practice-level scores in a national ...

Correspondence to: Dr J Øvretveit, Professor of Health Policy and Management, The Nordic School of Public Health, Goteborg, Box 12133, S-40242 Sweden; jovret{at}aol.com. Quality improvement ...

Background Evidence-based clinical practice guidelines recommend discussion by a multidisciplinary team (MDT) to review and plan the management of patients for a variety of cancers. However, not all ...

Background Patient advocates and safety experts encourage adoption of transparent health records, but sceptics worry that shared notes may offend patients, erode trust or promote defensive medicine.

15 Centre for Health Services & Nursing Research, Catholic University Leuven, Leuven, Belgium 16 Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, ...

This commentary explores the nature of creating safety in the here-and-now. Creating safety encompasses two dimensions: revisiting specific behaviours by focusing on substandard performance ...