BMJ Quality & Safety is an international peer-reviewed journal covering the science of improvement across healthcare service and provision.

Background Effective communication is critical for patient safety. One potential threat to communication in the operating room is incivility. Although examined in other industries, little has been ...

Grand rounds in methodology: four critical decision points in statistical process control evaluations of quality improvement initiatives ...

This May, the World Health Assembly (WHA) will vote on re-establishing a mandate for the WHO to address the health consequences of nuclear weapons and war.1 Health professionals and their associations ...

Background Inpatient falls are adverse events that often result in injury due to complex interactions between the hospital environment and patient risk factors and remain a significant problem in ...

Objective To evaluate the effectiveness of clinician-directed default nudges for reducing overuse of tests and treatments. Design A systematic review was conducted to synthesise evidence from ...

Healthcare providers are expected to communicate, coordinate and collaborate with people both within and outside their formal team on a regular basis, often with individuals from different professions ...

‘The Problem with…’ series covers controversial topics related to efforts to improve healthcare quality, including widely recommended, but deceptively difficult strategies for improvement and ...

Despite decades of progress in global child health, neonatal mortality remains high, accounting for nearly half of all under-five deaths worldwide.1 Most of these deaths occur in low- and ...

Medication-related problems remain one of the leading causes of patient harm.1 Studies show that advances in electronic health records (EHR) and computerised prescribing systems with clinical decision ...

Background Access to electronic health records (EHRs) has the potential to improve the quality of care. Clinical notes, free-text entries documenting clinicians’ observations and decisions, are ...

The medical consultation is best understood as a two-way social interaction involving interactive decision making. Game theory—a theory based on assumptions of rational choice and focusing on ...