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

Picture yourself in a casino sitting at the roulette table. Will you put your money on either black or red, or will you go for a riskier choice and place it on just a single number? But before you can ...

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

Objective: Great importance has been attached to a culture of safe practice in healthcare organisations, but it has proved difficult to engage frontline staff with this complex concept. The present ...

Background Thirteen residential care homes and 10 nursing homes specialising in older people in Rushcliffe, England, participated in an improvement programme. The enhanced support provided included ...

Background Non-adherence to medications continues to be a burden worldwide, with significant negative consequences. Community pharmacist interventions seem to be effective at improving medication ...

Objective Our aim was to see if the reporting of better experiences by elective surgical patients was associated with better outcomes (effectiveness and safety). The objectives were to: describe the ...

Background There is increasing interest in how patient complaint material can be used to highlight areas requiring quality improvement (QI) in healthcare. However, knowledge of using complaint ...

Introduction QI education is essential for resident physicians with established requirements from the Accreditation Council ...

Objectives With the growing adoption of virtual consultations in primary care, the need for tailored metrics to evaluate ...

To design potentially successful quality improvement (QI) interventions, it is crucial to make use of detailed breakdowns of the implementation processes of successful and unsuccessful interventions.