Background Literature depicts differences in ethical decision-making (EDM) between countries and intensive care units (ICU). Objectives To better conceptualise EDM climate in the ICU and to validate a ...

1 NHMRC Centre of Research Excellence in Patient Safety, Monash University, Melbourne, Australia 2 The Alfred Hospital, National Trauma Research Institute, Monash University, Melbourne, Australia ...

3 National Primary Care Research and Development Centre, University of Manchester, Manchester, UK 4 Centre for Primary Care and Population Research, University of Dundee, The Mackenzie Building, ...

Background Ethnic minorities and some other patient groups consistently report lower scores on patient surveys, but the reasons for this are unclear. This study examined whether low scores of ethnic ...

Correspondence to: Dr J Øvretveit, Professor of Health Policy and Management, The Nordic School of Public Health, Goteborg, Box 12133, S-40242 Sweden; jovret{at}aol.com. Quality improvement ...

Objectives To determine the association of hospital nursing skill mix with patient mortality, patient ratings of their care and indicators of quality of care. Design Cross-sectional patient discharge ...

Objectives Uncertainties exist about when and how best to adjust performance measures for case mix. Our aims are to quantify the impact of case-mix adjustment on practice-level scores in a national ...

Background Debriefings help teams learn quickly and treat patients safely. However, many clinicians and educators report to struggle with leading debriefings. Little empirical knowledge on optimal ...

Overuse of medical devices such as urinary and vascular catheters remains a pervasive problem contributing to preventable hospital-associated infections and other complications. There is not much ...

Objective To assess patient comfort speaking up about problems during hospitalisation and to identify patients at increased risk of having a problem and not feeling comfortable speaking up. Design ...

Correspondence to Dr Jeffrey L Schnipper, Division of General Medicine, Brigham and Women’s Hospital Department of Medicine, Boston, MA 02115-6110, USA; jschnipper{at}partners.org Background ...

Centre for Quality of Care Research, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands M Ouwens, Centre for Quality of Care Research (KWAZO 117), Radboud University Nijmegen ...