Background Understaffing by nursing staff in hospitals is linked to patients coming to harm and dying unnecessarily. There is a vicious cycle whereby poor work conditions, including understaffing, can ...

For patients in the intensive care unit (ICU), prolonged mechanical ventilation is associated with poor outcomes. A quality improvement (QI) initiative with the aim of reducing median time on the ...

The quality of care anyone receives in the USA is highly dependent on where they receive care. Prior research has found that on average, risk-adjusted mortality differences between top-decile and ...

Objectives—To develop, validate, and test the reliability of an audit instrument that measures the extent to which patient records describe important aspects of nursing care. Material—Twenty records ...

Background Modern medical care requires numerous patient handovers/handoffs. Handover error is recognised as a potential hazard in patient care, and the information ...

The microsystem is an organizing design construct in which social systems cut across traditional discipline boundaries. Because of its interdisciplinary focus, the clinical microsystem provides a ...

Background We developed a Guideline Implementability for Decision Excellence-Framework Model (GuIDE-M) based on the robust evidentiary base of a realist review on guideline attributes. GuIDE-M emerged ...

Background Prevention of healthcare-associated urinary tract infection (UTI) has been the focus of a national effort, yet appropriate indications for insertion and removal of urinary catheters (UC) ...

Dr Foster Unit at Imperial, Department of Primary Care & Social Medicine, Imperial College Faculty of Medicine, London, UK Dr A Bottle, Dr Foster Unit at Imperial, Department of Primary Care & Social ...