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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Top 10 articles of 2020, Part 2

In this post, we’re offering the second half of our 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 […]

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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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The next frontier for patient safety? Bringing work back in

The study of patient safety has come a long way in the past twenty years,1 and yet commentators argue that it still has a long way to go.2,3 The prevailing model assumes that patient safety is a linear process, promoting concepts from manufacturing industries that identify errors after they have occurred and proposing solutions in […]

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Informed consent for Orthopaedic surgeons in the time of COVID-19: Addressing ‘the elephant in the room’

In common with other countries, elective procedures have been largely suspended in the National Health Service (NHS) in the UK in response to the challenges of the COVID-19 pandemic. In the area of orthopaedics, nationally prioritised urgent and emergency surgical procedures have continued,1 but reduced theatre capacity, staff re-allocation and, most importantly, the increased risk […]

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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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