Driving positive change: what can we learn from compliment letters?

Patient perceptions of care have been recognized as a key component of healthcare quality for over 30 years.1 Patient satisfaction began being reported at the hospital level in the US in 2007.2 However, despite recent institutional and governmental emphasis on satisfaction measures, studies have not shown consistent ways in which using these results can drive […]

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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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Advanced analytics in healthcare: ready for primetime?

After Michael Lewis’s 2003 book Moneyball revealed that statistical analysis seemed to offer an edge to baseball’s Oakland Athletics, reformers in many other fields tried to emulate the team’s success. There was ‘moneyball for government,’ ‘moneyball for education,’ ‘moneyball for policing’ – initiatives founded on the idea that the introduction of data analysis might upend […]

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Top 10 articles of 2019, Part 2

Here, we’re featuring the second installment of summaries and comments on the BMJQS Editorial Board’s choice of the top 10 articles from 2019 using data such as citation rates and social media engagement in addition to their own judgement. For the full list of our 20 finalists, click here. Part 1, highighting articles #6-#10 for […]

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Top 10 articles of 2019, Part 1

In this post, we’re offering summaries and comments on some articles from the BMJQS’s Top 10 of 2019. To check out a 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 these […]

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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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System-level initiatives to reduce persistently elevated blood pressures in hypertensive patients: how do we overcome clinical inertia?

In the United States, research consistently shows around half of adults with hypertension do not achieve recommended control of their blood pressure (BP).1 Poor BP control at the population level then leads to higher rates of preventable negative cardiovascular outcomes, like strokes and heart attacks. As recently reported, Elizabeth Pfoh and colleagues studied a quality […]

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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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Top 2018 articles on quality improvement

Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study – in print, March 2018 issue. https://qualitysafety.bmj.com/content/27/3/207 In this ambitious work, Curry et al. describe the effects on both culture and clinical outcomes of a 2-year organizational culture-improvement intervention at ten hospitals with at least 200 […]

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