Correspondence to Peter F Kemper, Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Van de Boechorststraat 7, Amsterdam 1081 BT, ...

The continued use of low-value cancer screening practices not only represents healthcare waste but also a potential cascade of invasive diagnostic procedures and patient anxiety and distress. While ...

‘We need bold, fundamental change that gets at the roots of the burnout crisis.’- US Surgeon General Vivek H. Murthy, MD, MBA. The key is understanding what is suboptimal. Their main findings from 124 ...

Objective: To examine whether staff feedback on quality, safety and workforce issues is reflected in patient-reported experience. Setting: 166 NHS acute trusts in England. Participants: Respondents to ...

Patient safety has become an international priority with major research programmes being carried out in the USA, UK, and elsewhere. The challenge is how to organize research efforts that will produce ...

Objective—To review the literature on the benefits and disadvantages of clinical and medical audit, and to assess the main facilitators and barriers to conducting the audit process. Design—A ...

Improvement (defined broadly as purposive efforts to secure positive change) has become an increasingly important activity and field of inquiry within healthcare. This article offers an overview of ...

Evaluation of improvement initiatives in healthcare is essential to establishing whether interventions are effective and to understanding how and why they work in order to enable replication. Although ...

1 Dr Foster Unit at Imperial College, Department of Primary Care and Social Medicine, Imperial College London, London, UK 2 Department of Medicine, Imperial College London, Chelsea and Westminster ...

In a companion paper, we proposed that cognitive debiasing is a skill essential in developing sound clinical reasoning to mitigate the incidence of diagnostic failure. We reviewed the origins of ...

Institute of Health Innovation, Centre for Clinical Governance Research, Faculty of Medicine, University of New South Wales, Kensington, New South Wales, Australia David Greenfield, Institute of ...