Errors must be accepted as evidence of systems flaws, not character flaws.”—Lucian Leape1 In losing Lucian Leape to heart ...

Background Artificial intelligence large language models (LLMs) are increasingly used to inform clinical decisions but sometimes exhibit human-like cognitive biases when facing nuanced medical choices ...

‘The Problem with…’ series covers controversial topics related to efforts to improve healthcare quality, including widely recommended but deceptively difficult strategies for improvement and pervasive ...

1 Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA 2 Center for Surgery and Public Health, Brigham and Women’s Hospital, Boston, Massachusetts, ...

Correspondence to: Dr Johan Thor Medical Management Centre, Berzelius väg 3, 5th floor, Karolinska Institutet, S-171 77 Stockholm, Sweden; johan.thor{at}ki.se Objective: To systematically review the ...

Correspondence to Ms Eileen Relihan, Medication Safety Office, Chief Executive Offices, St James's Hospital, James's Street, Dublin 8, Ireland; erelihan{at}stjames.ie Design and participants Pre- and ...

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3 Nursing Research Institute, St. Vincent's & Mater Health Sydney and Australian Catholic University, Darlinghurst, New South Wales, Australia 4 Faculty of Pharmacy, Sydney, New South Wales, Australia ...

Background Surgical complications represent a significant cause of morbidity and mortality with the rate of major complications after inpatient surgery estimated at 3–17% in industrialised countries.

Evaluating the effects of increasing nursing numbers on quality of newborn care in understaffed neonatal units in Kenya: a prospective intervention study ...

2 National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) North West London (NWL), Imperial College London, London, UK Objectives ...

Violations are deliberate deviations from standard procedure. The usual reaction is to attempt to eliminate them and reprimand those concerned. However, the situation is not that simple. Firstly, ...