The evolution of the concepts and processes underpinning the Australian Patient Safety Foundation's systems over the last 15 years are traced. An ideal system should have the following attributes: an ...

Social Science Applied to Healthcare Improvement Research Group, Department of Health Sciences, School of Medicine, University of Leicester, Leicester, UK Correspondence to Professor Mary Dixon-Woods, ...

Quality Literature Program, The Dartmouth Institute for Health Policy and Clinical Practice; Office of Research and Innovation in Medical Education, Dartmouth Medical School, Hanover, New Hampshire, ...

The clinical microsystem puts medical error and harm reduction into the broader context of safety and quality of care by providing a framework to assess and evaluate ...

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 ...

3 Institute of Medical Education Research, Rotterdam, Erasmus University Medical Center, Rotterdam Correspondence to Professor Pat Croskerry, Division of Medical Education, Dalhousie University, ...

Correspondence to Dr Tim J Shaw, Workforce Education and Development Group, K01, The University of Sydney, NSW 2006, Australia; tim.shaw{at}sydney.edu.au Purpose To compare the effectiveness of two ...

Complex, well defended, high technology systems are subject to rare but usually catastrophic organisational accidents in which a variety of contributing factors combine to breach the many barriers and ...

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 ...

Department of Social Psychology, London School of Economics, London, UK Correspondence to Dr Tom Reader, Department of Social Psychology, London School of Economics, Houghton Street, London WC2A 2AE, ...

2 Imperial Vascular Unit, Imperial College Healthcare NHS Trust, London, UK 3 Clinical Safety Research Unit, Imperial College, London, UK Background Surgical technology has led to significant ...

Background In an obstetrical team, obstetricians, midwives and nurses work together in a dynamic and complex care setting. Different professional cultures can be a barrier for effective ...