Background There is growing recognition in the literature of the ‘Herculean’ efforts required to bring about change in healthcare processes and systems. Leadership is recognised as a critical lever ...

5 Department of Health Policy and Management, Harvard School of Public Health, and Brigham and Women's Hospital, Boston, Massachusetts, USA 6 Department of Health Policy and Management, Johns Hopkins ...

Background The use of national quality campaigns to foster evidence-based hospital practices is increasing. Because campaigns typically do not limit access to their resources, they may influence ...

Correspondence to: E M Schimmel, Department of Internal Medicine, Yale University School of Medicine, and the Grace-New Haven Community Hospital, New Haven, Connecticut, USA The occurrence of hospital ...

Objectives: To assess patients’ adherence to new medication for a chronic condition (and whether non-adherence was intentional), patients’ problems with their medication, and their further information ...

Determining how to collect and use patient-reported outcome measures (PROMs) continues to be an area of discussion, and in some cases frustration.1–5 Gaining a greater depth of knowledge concerning a ...

Correspondence to Professor R Brian Haynes, Health Information Research Unit, McMaster University, 1280 Main Street West, CRL 133, Hamilton, Ontario L8S 4K1, Canada; bhaynes{at}mcmaster.ca Background ...

Background: Hip fractures, common in the elderly population, result in significant morbidity and mortality. A study was undertaken to determine how an evidence based clinical pathway (CP) for ...

Correspondence to Dr Grace C Huang, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA; ghuang{at}bidmc.harvard.edu Background Diagnostic errors result in preventable ...

Purpose of study Initiatives to standardise hospital paper-based prescription charts are underway in various countries in an effort to reduce prescribing errors. The ...