In this thought paper, Blair Sadler and Kevin Stewart draw on experiences from their roles as chief executive of a children’s hospital in San Diego, California and as chief medical officer of a general hospital trust in the south of England.
This research paper looks at the effect of a twelve-month individually tailored multifactorial, interdisciplinary intervention targeting frailty, compared with usual care. The intervention reduced phenotypically defined frailty (weakness, slowness, and low energy expenditure) and improved mobility.
Toward a high-performance management system in health care, part 4: Using high-performance work practices to prevent central line-associated blood stream infections-a comparative case study
An observational study from the USA which examined the impact of high-performance work practices on interventions to reduce central line associated bloodstream infections.
This paper describes the use of the “trigger tool”, a relatively low cost and “low tech” technique for capturing medication related harm. The adapted technique appears to increase the rate of adverse drug event detection approximately 50-fold over traditional reporting methodologies.
Management of Hyperglycemia in Type 2 Diabetes, 2015: A Patient-Centered Approach: Update to a Position Statement of the American Diabetes Association and the European Association for the Study of Diabetes
The ADA and EASD have updated their position statement incorporating new data from recent clinical trials. Rather than a completely new statement, the group focused on those areas where revisions were suggested by a changing evidence base. This briefer article should therefore be read as an addendum to the original statement.
Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review
This paper systematically reviews studies which have addressed the effectiveness of patient involvement in patient safety practice.
Improving Quality of Care for Maternal and Newborn Health: Prospective Pilot Study of the WHO Safe Childbirth Checklist Program
The WHO developed the Pilot Edition of the Safe Childbirth Checklist to support the delivery of essential maternal and perinatal care practices. The Checklist contains 29 items addressing the major causes of maternal death in low-income countries. It was developed following a rigorous methodology and tested for usability in ten countries across Africa and Asia.
Is midwife workload associated with quality of process of care (continuous electronic fetal monitoring [CEFM]) and neonatal outcome indicators? A prospective study in consultant-led labour wards in Scotland
Evidence for staffing recommendations in labour wards is scant. This study aimed to test association between midwife workload with adjusted process of continuous electronic fetal monitoring (CEFM) and neonatal outcome indicators. This was a prospective workload study in 23 consultant-led labour wards in Scotland.