Systematic review of the application of the plan–do–study–act …
WEBBackground Plan–do–study–act (PDSA) cycles provide a structure for iterative testing of changes to improve quality of systems. The method is widely accepted in healthcare improvement; however there is little overarching evaluation of how the method is applied. This paper proposes a theoretical framework for assessing the quality of application of PDSA cycles and explores the consistency ...
Healthcare-associated infections: where we came from and where …
WEBHealthcare-associated infections (HCAIs) are those infections acquired by an individual who is seeking medical care in any healthcare facility, including acute care hospitals, long-term care facilities (including nursing homes), outpatient surgical centres, dialysis centres or ambulatory care clinics.1 They are further defined as occurring at least 48 hours after hospitalisation or within 30 ...
Multidisciplinary teamwork: the good, bad, and everything in …
WEBJun 1, 2001 · The difficulties of multidisciplinary teamwork are also apparent in differing attitudes towards the way to bring about a good outcome, and even what actually constitutes a good outcome. For example, in teams caring for patients with stroke there are a number of “ideal outcomes” from the various stakeholders and staff involved—complete ...
Homepage | BMJ Quality & Safety
WEB3 days ago · BMJ Quality & Safety - Our Full Story 12 March 2024. Listen to Editors-in-Chief of BMJ Quality & Safety, Bryony Dean Franklin and Eric Thomas, talk about the journal's aims and scope, the advice they have for authors thinking about submitting to the journal, what the journal has to offer to readers, highlights from the journal and what the journal has planned for 2024.
The problem with Plan-Do-Study-Act cycles - BMJ Quality & Safety
WEBOf the many QI tools and methods, the Plan-Do-Study-Act (PDSA) cycle is one of the few that focuses on the crux of change, the translation of ideas and intentions into action. As such, the PDSA cycle and the concept of iterative tests of change are central to many QI approaches, including the model for improvement, 1 lean, 2 six sigma 3 and ...
Separating fact from fiction - BMJ Quality & Safety
WEBFact #3: Human factors work ranges from the individual to the organisational level. Fiction: Human factors is focused only on individuals. Individual-level human factors research in healthcare has included the redesign of electronic health records, computerised provider order entry systems, bar code medication administration systems ...
A primer on PDSA: executing plan–do–study–act cycles in practice, …
WEBPlan-do–study–act (PDSA) cycles are the building blocks of iterative healthcare improvement.1 Although frequently regarded as separate from research,2 this quality improvement method remains rooted in the scientific method. The P in PDSA usually stands for ‘plan’ but could just as easily refer to ‘predict’. Each cycle combines prediction with a test of change (in effect, hypothesis ...
Diagnostic error in mental health: a review - BMJ Quality & Safety
WEBDiagnostic errors are associated with patient harm and suboptimal outcomes. Despite national scientific efforts to advance definition, measurement and interventions for diagnostic error, diagnosis in mental health is not well represented in this ongoing work. We aimed to summarise the current state of research on diagnostic errors in mental health and identify opportunities to align future ...
Effectiveness of double checking to reduce medication …
WEBMethods Five databases (PubMed, Embase, CINAHL, Ovid@Journals, OpenGrey) were searched for studies evaluating the use and effectiveness of double checking on reducing medication administration errors in a hospital setting. Included studies were required to report any of three outcome measures: an effect estimate such as a risk ratio or risk difference representing the association between ...
The human factor: the critical importance of effective teamwork …
WEBEffective communication and teamwork is essential for the delivery of high quality, safe patient care. Communication failures are an extremely common cause of inadvertent patient harm. The complexity of medical care, coupled with the inherent limitations of human performance, make it critically important that clinicians have standardised communication tools, create an environment in which ...