Background Low-value practices, defined as tests or treatments that are used in practice despite not being supported by evidence, account for 20%–30% of healthcare expenditure; moreover, some ...

Background In situ simulation (ISS) has seen broad use in academic emergency medicine (EM). Studies with limited clinical ...

Healthcare organisations invest substantial effort in redesigning systems, implementing new technologies and improving ...

Importance Patient safety and systems integration (PSSI) simulations help uncover hazards that jeopardise patient safety. Using direct observation, video analysis and systems-focused debriefing, they ...

Importance Quality improvement efforts on general medical wards are often driven by organisational or clinician priorities, ...

Introduction Patients are increasingly being thought of as central to patient safety. A small but growing body of work suggests that patients may have a role in reporting patient safety problems ...

Introduction: The frequency of adverse events in the operating theatre has been linked to the quality of teamwork and communication. Developing suitable measures of teamwork may play a role in ...

Correspondence to Pernilla Dillner, Department of Women's and Children's Health, Karolinska Institutet, Stockholm 171 77, Sweden; pernilla.dillner{at}ki.se Background Adverse events (AEs) cause ...

Background Clinical encounters with patients who display challenging behaviours (eg, rude, demanding) are increasingly common in emergency departments and can heighten negative emotions, compromise ...

The WHO Surgical Safety Checklist (SSC) has been a cornerstone of surgical safety for nearly 20 years—endorsed as a required or recommended standard and adopted by hospitals worldwide.1 However, ...

The concept of knowledge co-production is used in health services research to describe partnerships (which can involve researchers, practitioners, managers, commissioners or service users) with the ...