Background Given the emphasis on promoting inclusive policies, we investigated the relationship between US hospitals’ ...

1 Department of Pediatrics, Perinatal Institute, James M. Anderson Centre for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA 2 Associates in Process ...

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Patients, clinicians and managers all want to be reassured that their healthcare organisation is safe. But there is no consensus about what we mean when we ask whether a healthcare organisation is ...

1 Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA 2 Johns Hopkins University School of Medicine, Baltimore, Maryland, USA 3 Department of Surgery, Johns ...

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Background Speaking up is important for patient safety, but healthcare professionals often hesitate to voice their concerns. Direct supervisors have an important role in influencing speaking up.

Background Although well-established principles exist for improving the timeliness and efficiency of care, many organisations struggle to achieve more than small-scale, localised gains. Where care ...

A wide variety of research studies suggest that breakdowns in the diagnostic process result in a staggering toll of harm and patient deaths. These include autopsy studies, case reviews, surveys of ...

Introduction Patients are increasingly being thought of as central to patient safety. A small but growing body of work suggests that patients may have a role in reporting patient safety problems ...