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    Too often, seemingly simple interventions are implemented without fully considering how the intervention might achieve the desired results, whether it can cause harm, or whether a different intervention should be considered.1–3 The tendency to favour rapid cycle implementation over analysis and measurement represents a common pitfall in quality and safety studies.4 Quality improvement and patient…

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    • 1. Have a theory to explain how change will lead to a different outcome 2. Define 1st change expected if uptake 3. Look for objective signs of implementation 4. Outline realistic lag times 5. If not successful, ask why. Make failures informative. https://t.co/8VrnuDvHJQ

  • Mashup Score: 11

    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 processes are complex and include segments under different groups’ control, the elegant solutions promised by improvement methodologies remain elusive. This study sought to identify common design flaws…

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    • 2/n ... Six ways not to improve patient flow: a qualitative study https://t.co/nnfl6hI9oB via #SaraKreindler @sib313 @AaronGoodman33

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    Turnover is costly. When primary care physicians (PCPs) leave their practice for another location, leave medicine altogether for another career, partially leave by reducing clinical working time or retire early then relationships are broken, and patients and payors pay a price. Costs are higher and quality is lower. In the USA we found that patients who had lost their PCP incurred additional…

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    • "....at its core, healthcare is a relational enterprise" High cost of broken relationships https://t.co/SOF2q6LZrI

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    A growing body of research on patients’ and families’ understanding and conceptualisation of patient safety1 2 begs the question of how and why we, in healthcare and the field of patient safety and quality, conceptualise patient safety as a domain separate from patient-centredness and patient experience.3 In this issue, Archer et al contribute to this body of work.4 The authors explored patients’…

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    • Understanding "emic" vs "etic". Emotional safety is patient safety https://t.co/bIrAebrKi2

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    The risk of adverse patient outcomes, including death, is lower in hospitals that provide more registered nurses to care for patients on inpatient wards. The association has been demonstrated in a body of evidence comprising several hundred studies, involving hundreds of hospitals and millions of patients from around the world. The association has been shown at hospital level in large…

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    • “Adding an additional RN to the average ward team on a shift ⬇️ odds of a patient death on that day by 9.6%. Adding more senior nurses…had a ⬆️ effect, whereas ⬆️ in assistant staff…and agency employed RNs were not associated with reduced mortality.” https://t.co/dUaL5COxZb

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    A growing body of research on patients’ and families’ understanding and conceptualisation of patient safety1 2 begs the question of how and why we, in healthcare and the field of patient safety and quality, conceptualise patient safety as a domain separate from patient-centredness and patient experience.3 In this issue, Archer et al contribute to this body of work.4 The authors explored patients’…

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    • “Violations of autonomy, dismissal of concerns, medical abuse, racism, sexism and classism in healthcare should be considered ‘never events’…to better understand and bridge the gap between ‘feeling safe’ and ‘being safe’.” https://t.co/BSuFi4t4Sk

  • Mashup Score: 0

    A growing body of research on patients’ and families’ understanding and conceptualisation of patient safety1 2 begs the question of how and why we, in healthcare and the field of patient safety and quality, conceptualise patient safety as a domain separate from patient-centredness and patient experience.3 In this issue, Archer et al contribute to this body of work.4 The authors explored patients’…

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    • "being safe" vs "feeling safe". Etic vs emic approach to system and institutional safety. Emotional safety is patient safety https://t.co/XMCFbZxd5x