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 ...

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

Background Clinical encounters with patients who display challenging behaviours (eg, rude, demanding) are increasingly common ...

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Healthcare organisations invest substantial effort in redesigning systems, implementing new technologies and improving quality and safety processes. Comparatively less attention is paid to how ...

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 ...

In 1995, Star Trek Voyager debuted with its vision of a fully autonomous, artificial intelligence (AI)-powered physician (The EMH—Emergency Medical Hologram), which was thrust into the role due to ...

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It has been roughly 50 years since Jay Katz advocated for the involvement of patients in decision-making,1 yet making treatment decisions based on what matters to patients remains aspirational.

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, ...

Background Dementia increases the risk of adverse outcomes during hospitalisation, underscoring the need for system-level strategies. In 2016, Japan introduced Dementia Care Add-on 1 (DCA1), a ...