Method The objective of this study was to assess the impact of an augmented version of The Productive Ward: Releasing Time to Care on staff and patient outcomes. The design was a naturalistic ...

Background The authors aimed to determine US and UK doctors' professional values and reported behaviours, and the extent to which these vary with the context of care. Method 1891 US and 1078 UK ...

Diagnosis is likely the most complex cognitive tasks that humans face. There are, roughly, only 200 symptoms but over 10,000 diseases, and each disease may present in different ways, depending on the ...

Objective: To develop, and examine the component structure and internal consistency, of a questionnaire designed to assess safety climate in the community pharmacy setting. Methods: 998 pharmacists ...

Objectives —To identify community nurses' perceptions of quality care provision for patients requiring palliative care. Design —Semi-structured interviews were conducted with community nurses working ...

Background The degree to which elevated mortality associated with weekend or night-time hospital admissions reflects poorer quality of care (‘off-hours effect’) is a contentious issue. We examined if ...

Background For the first 5 years of the UK primary care pay for performance scheme, the Quality and Outcomes Framework (QOF), quality indicators were introduced without piloting. However, in 2009, ...

Background: In the past decade the issue of patient mobility has emerged on the European health policy agenda. Although the volume of patients crossing borders to obtain healthcare is low, it is ...

Footnotes Funding This work was supported by a 3 year PhD research scholarship granted to the first author by the School of Informatics, City University, London, UK. Competing interests None. Patient ...

Repeated calls have been made for the increased use of theory in designing and evaluating improvement and implementation interventions.1–4 The benefits are argued to include identifying contextual ...

Background and Objective Several studies report poorer quality healthcare for patients presenting at weekends. Our objective was to examine how timely surgery for patients with hip fracture varies ...

Background: Diabetes care in our inner-city primary care clinic was suboptimal, despite provider education and performance feedback targeting improved adherence to evidence-based clinical guidelines.