The role and value of theory in improvement work in healthcare has been seriously underrecognised. We join others in proposing that more informed use of theory can strengthen improvement programmes ...

Background Speaking up is important for patient safety, but healthcare professionals often hesitate to voice their concerns. Direct supervisors have an important role in influencing speaking up.

The ubiquitous nature of hindsight bias is a cause for concern for those engaged in investigations and retrospective analysis of medical error. Hindsight does not ...

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 ...

Correspondence to Dr Eduardo Salas, Department of Psychology, Rice University, Houston, TX 77005, USA; eduardo.salas{at}rice.edu Front-line medical teams are experiencing unprecedented stressors as a ...

1 Pharmaceutical Health Services Research Department, University of Maryland School of Pharmacy, Baltimore, Maryland, USA 2 Division of Cardiology, Department of Medicine, University of Maryland ...

1 Professor of Health Policy and Management, The Nordic School of Public Health and The Karolinska Institute, Sweden, and The Faculty of Medicine, Bergen University, Norway 2 Robert Ratner Professor ...

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 ...

US Department of Health and Human Services, Agency for Healthcare Research and Quality, Rockville, Maryland, USA Correspondence to Dr Kerm Henriksen, US Department of Health and Human Services, Agency ...

Box 1 Longitudinal factorial design of experiments for individual patients The six individual components of this approach are not new, but in combination they are new8 9 One patient with a chronic ...

“The right quality and uniformity are foundations of commerce, prosperity and peace.” W E Deming (1900–1993) Variation causes waste. How could any one take these apparently simple ideas and turn them ...

Background Quality improvement collaboratives (QIC) have proliferated internationally, but there is little empirical evidence for their effectiveness. Method We searched Medline, Embase, CINAHL, ...