The healthcare delivered in high-income countries is riddled with defects in value. One in 10 patients experiences harm when ...

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In this issue of BMJ Quality & Safety, Hampton and colleagues report a process evaluation of an intervention trial intended to encourage older patients’ involvement in their hospital care.1 The logic ...

3 Health Services Research Unit, University of Aberdeen, Aberdeen, UK Correspondence to: Professor M Eccles, Professor of Clinical Effectiveness, Centre for Health Services Research, 21 Claremont ...

2 Professor of General Practice, Department of General Practice, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium 3 Professor of Quality in Health Care, Clinical Governance Research ...

Objective To understand how lean thinking has been put into practice in healthcare and how it has worked. Design A realist literature review. Data sources The authors systematically searched for ...

Background Quality improvement collaboratives (QIC) have proliferated internationally, but there is little empirical evidence for their effectiveness. Method We searched Medline, Embase, CINAHL, ...

Background Bedside rounds (BR) have been proposed as an ideal method to promote patient-centred hospital care, but there is substantial variation in their implementation and effects. Our objectives ...

In a time of financial uncertainty and structural reform, the National Health Service (NHS) in England needs clinical leadership to help improve the quality of patient care. Increasingly, leadership ...

Variation in the use of primary care-led investigations prior to a cancer diagnosis: analysis of the National Cancer Diagnosis Audit ...

1 Scientific Center for Care and Welfare (Tranzo), Tilburg University, Tilburg, The Netherlands 2 Center for Prevention and Health Services Research, National Institute for Public Health and the ...