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 in emergency departments and can heighten negative emotions, compromise ...
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Background Emergency policies designed to protect populations can inadvertently cause diagnostic harm when essential services are suspended. How such policies reshape gender gaps in cancer detection, ...
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 ...
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, ...
Importance Quality improvement efforts on general medical wards are often driven by organisational or clinician priorities, ...
Background Early mobilisation of intensive care unit (ICU) patients has been recommended in clinical practice guidelines. Therefore, the Japanese universal health insurance system introduced an ...
Background The optimal performance of doctors is critical to delivering high-quality, safe healthcare. However, 6–12% of doctors may experience challenges that impact their work performance. In many ...
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 ...
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