The Electronic Health Record feedback journey of a thousand miles begins with . . .

At some point in most clinical careers, a patient recently seen by the clinician will be diagnosed by a subsequent clinician with something either unusual or unexpected. Ideally, the first clinician would learn of this new diagnosis quickly and have time and space for reflection, self-evaluation, and identification of anything they could have done differently. […]

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Top 10 articles of 2020, Part 1

In this post, we’re offering summaries and comments on articles from BMJ Quality & Safety’s Top 10 of 2020. To check out the full list of our 20 finalists, click here. The editors and the Editorial Board used data such as citation rates and social media engagement in addition to their own judgement to create […]

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Introducing the Top Articles of 2020

While choosing the top articles published in BMJ Quality & Safety is a challenge every year, 2020 saw even greater numbers of submissions than in previous years. The editors and editorial board of the journal therefore had some difficult choices to make about the top articles of the year, taking into account downloads, citations, Altmetrics […]

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Electronic transmission of outpatient prescriptions still requires significant pharmacist oversight

The Covid-19 pandemic has led to increasing numbers of patients moving to the use of electronic prescriptions and internet pharmacies in many healthcare systems. For example, there has been a dramatic increase in use of the English electronic prescription service since March 2020, with internet pharmacies in the UK also experiencing large increases in the […]

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#Notlittleadults: emergency care for children and the role for collaboration between tertiary academic and rural centers

#Notlittleadults might be the definitive hashtag for the field of paediatric emergency medicine. The unique differences in patterns of injury between children and adults are particularly obvious in the emergency department (ED). An elderly adult might break her hip falling out of bed. But a toddler may tumble down a full flight a steps and […]

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Introducing the Top Articles of 2019

2019 saw an exceptional volume of submissions to BMJ Quality and Safety. The editors and editorial board of the journal had some difficult choices to make about the top articles of the year, taking into account downloads, citations, Altmetrics scores, and other information as well as expert judgement. We thank all authors for their contributions […]

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Unit culture, testing frequency, and simple interventions: more than meets the eye (test)

Recently, Benjamin Leis (@LeisBenjamin) and colleagues published a short report on an intervention in a cardiac intensive care unit (ICU) in Canada. In this study, the authors removed TSH testing from standard admission order sets with the aim of reducing the number of unnecessary thyroid studies obtained. Often, altering an order set like this is […]

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