BMJ quality & safety
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BMJ quality & safety · Apr 2021
Multicenter Study Observational StudyMortality and pulmonary complications in patients undergoing upper extremity surgery at the peak of the SARS-CoV-2 pandemic in the UK: a national cohort study.
This study reports the 30-day mortality, SARS-CoV-2 complication rate and SARS-CoV-2-related hospital processes at the peak of the first wave of the pandemic in the UK. ⋯ The SARS-CoV-2-related complication rate for upper limb surgery even at the peak of the UK pandemic was low at 0.18% and the mortality was zero for patients admitted on the day of surgery. Urgent surgery should not be delayed pending the results of SARS-CoV-2 testing. Routine SARS-CoV-2 testing for day case upper limb surgery not requiring general anaesthesia may be excessive and have unintended negative impacts.
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BMJ quality & safety · Apr 2020
Multicenter Study Observational StudyStudy of a multisite prospective adverse event surveillance system.
We have designed a prospective adverse event (AE) surveillance method. We performed this study to evaluate this method's performance in several hospitals simultaneously. ⋯ This study demonstrated that it is possible to implement prospective surveillance in different settings. Such surveillance appears to be better suited to evaluating hospital safety concerns within rather than between hospitals as we could not definitively rule out whether the observed variation in AE risk was due to population or surveillance factors.
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BMJ quality & safety · Sep 2019
Randomized Controlled Trial Multicenter StudyExposure to incivility hinders clinical performance in a simulated operative crisis.
Incivil behaviour by surgeons in a simulated operating room crisis undermines anaesthesia trainee performance across all domains.
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BMJ quality & safety · Sep 2019
Multicenter StudyVariation in use and outcomes related to midline catheters: results from a multicentre pilot study.
While midline vascular catheters are gaining popularity in clinical practice, patterns of use and outcomes related to these devices are not well known. ⋯ Midline use and outcomes vary widely across hospitals. Although rates of major complications are low, device removal as a result of adverse events is common.
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BMJ quality & safety · Dec 2018
Multicenter StudyEffects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study.
Unintentional discrepancies across care settings are a common form of medication error and can contribute to patient harm. Medication reconciliation can reduce discrepancies; however, effective implementation in real-world settings is challenging. ⋯ Mentored implementation of a multifaceted medication reconciliation QI initiative was associated with a reduction in total, but not potentially harmful, medication discrepancies. The effect of EHR implementation on medication discrepancies warrants further study.