5 Director of the Centre for Research in Evidence-based Practice, Faculty of Health Sciences and Medicine, Bond University, Headington, UK Correspondence to Professor Mary Dixon-Woods, Department of ...

‘The Problem with…’ series covers controversial topics related to efforts to improve healthcare quality, including widely recommended but deceptively difficult strategies for improvement and pervasive ...

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 ...

1 Department of Clinical Pharmacy, School of Pharmacy, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam 2 Department of Pharmacy, Unit of Pharmacotherapy and Pharmaceutical Care, ...

Quality Literature Program, The Dartmouth Institute for Health Policy and Clinical Practice; Office of Research and Innovation in Medical Education, Dartmouth Medical School, Hanover, New Hampshire, ...

1 Department of Pediatrics, Perinatal Institute, James M. Anderson Centre for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA 2 Associates in Process ...

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 ...

Complex, well defended, high technology systems are subject to rare but usually catastrophic organisational accidents in which a variety of contributing factors combine to breach the many barriers and ...

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 ...

Evaluation of improvement initiatives in healthcare is essential to establishing whether interventions are effective and to understanding how and why they work in order to enable replication. Although ...

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 ...