Can staff and patient perspectives on hospital safety predict harm-free care?

"The findings suggest that although the views of patients and staff predict some overlapping variance in patient safety outcomes, both also offer a unique perspective on patient safety, contributing independently to the prediction of safety outcomes."

Can staff and patient perspectives on hospital safety predict harm-free care? An analysis of staff and patient survey data and routinely collected outcomes
R Lawton, JK O'Hara, L Sheard, C Reynolds, K Cocks, G Armitage, J Wright
BMJ Quality and Safety 2015;24:369-376 doi:10.1136/bmjqs-2014-003691

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Oxygen Delivery on Medical Wards

"This quality improvement project attempted to improve oxygen prescribing and subsequent dose adjusting on various medical wards."

Oxygen Delivery on Medical Wards
C Dickson
BMJ Quality Improvement Report 2015;4: doi:10.1136/bmjquality.u206934.w2785

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Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework

"We posit that the Safer Dx framework can be used by a variety of stakeholders including researchers, clinicians, health care organizations and policymakers, to stimulate both retrospective and more proactive measurement of diagnostic errors. The feedback and learning that would result will help develop subsequent interventions that lead to safer diagnosis, improved value of health care delivery and improved patient outcomes."

Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework
H Singh, DF Sittig
BMJ Quality and Safety 2015;24:103-110 doi:10.1136/bmjqs-2014-003675

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Warfarin prescription and administration: reducing the delay, improving the safety

"Through introduction of a "warfarin box" we were able to improve the number of doses given within an hour of the recommended time and the daily average of administration time."

Warfarin prescription and administration: reducing the delay, improving the safety
R Dyar, S Hall, B McIntyre
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u204509.w1983

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Perinatal staff perceptions of safety and quality in their service

"In this study we set out to assess staff perceptions of safety and quality of a maternity service and to explore potential influences on service safety."

Perinatal staff perceptions of safety and quality in their service
SV Sinni, EM Wallace, WM Cross
BMC Health Services Research 2014, 14:591  doi:10.1186/s12913-014-0591-4

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Safe staffing and escalation process

"Whilst it has not led to any cost savings, the consistent and robust focus on safe staffing has had a number of other benefits through a robust focus on safe staffing levels, e.g. a benefit to patient care through a consistent approach to staffing in clinical areas, empowering senior nurse leaders to make decisions about safe staffing."

St George's Healthcare NHS Trust Safe staffing and escalation process
St George's Healthcare NHS Trust
NICE Shared Learning
September 2014

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Report cards and outcome measurements to improve the safety of surgical care

"This review summarises the history of American College of Surgeons National Surgical Quality Improvement Project and its components, and describes the evidence that feeding outcomes back to providers, along with real-time comparisons with other hospital rates, leads to quality improvement, better patient outcomes, cost savings and overall improved patient safety."

The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program
M Maggard-Gibbons
BMJ Quality and Safety, 2014; 23: 589-599

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