Realising the untapped potential of indication documentation and indication-based prescribing

At present, there are a number of agreed-upon ‘right’ components to prescribing: the right patient, the right medication, the right dose, the right route, the right formulation, to be given at the right time. A conversation has been growing that suggests that another component should be added to this list: the ‘right’ indication1-4. This additional […]

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Lessons from remote antenatal care during the COVID-19 pandemic: how can we ensure equitable, safe, and patient-centred care?

Antenatal care is essential to supporting a healthy pregnancy. Traditionally, face-to-face consultations allowed for regular assessment and monitoring of the pregnancy, and represented an opportunity to support, reassure, and address concerns about pregnancy, labour, and birth. The onset of COVID-19 brought an abrupt shift to remote care as the primary means to continue providing antenatal […]

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Top 10 Articles of 2021, Part 1

In this post, we’re offering summaries and comments on articles from BMJ Quality & Safety’s Top 10 Articles of 2021. To check out the full list of our 21 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 […]

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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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Rapid Improvements in Medication Safety with Bedside Learning Coordinators in the Nightingale Learning System

During the COVID-19 pandemic, the National Health Service (NHS) in England rapidly created the NHS Nightingale Hospital London (‘the Nightingale’) – a field hospital providing additional clinical capacity to support the NHS. This unique clinical environment presented both familiar and new, complex challenges in ensuring safe use of medicines. As part of the creation of […]

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