BMJ quality & safety
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BMJ quality & safety · Nov 2017
Multicenter StudySpeaking up about traditional and professionalism-related patient safety threats: a national survey of interns and residents.
Open communication between healthcare professionals about care concerns, also known as 'speaking up', is essential to patient safety. ⋯ Interns and residents commonly observed unprofessional behaviour yet were less likely to speak up about it compared with traditional safety threats even when they perceived high potential patient harm. Measuring SUC-Safe, and particularly SUC-Prof, may fill an existing gap in safety culture assessment.
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BMJ quality & safety · Nov 2017
Randomized Controlled TrialRandomised controlled trial to assess the effect of a Just-in-Time training on procedural performance: a proof-of-concept study to address procedural skill decay.
A subset of high-risk procedures present significant safety threats due to their (1) infrequent occurrence, (2) execution under time constraints and (3) immediate necessity for patient survival. A Just-in-Time (JIT) intervention could provide real-time bedside guidance to improve high-risk procedural performance and address procedural deficits associated with skill decay. ⋯ A JIT intervention improved procedure perfromance, suggesting a role for JIT interventions in rarely performed procedures.
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BMJ quality & safety · Nov 2017
Reliable adherence to a COPD care bundle mitigates system-level failures and reduces COPD readmissions: a system redesign using improvement science.
Readmissions of chronic obstructive pulmonary disease (COPD) have devastating effects on patient quality-of-life, disease progression and healthcare cost. Effective interventions to reduce COPD readmissions are needed. ⋯ System-level failures and unmet patient needs are modifiable risks for readmissions. Development and reliable implementation of a COPD care bundle that mitigates these failures reduced COPD readmissions.