Choosing Wisely for quality improvement: more is not always better | BMJ Quality & Safety
The intention was not to throttle blood tests with true diagnostic yield, but to prevent those begotten by action bias and ... While the team focuses on, for example, reducing routine blood testing, there are a host of other improvement targets waiting ... routine blood tests in critical care was based on evidence and a discipline-wide practice recommendation from the Choosing ... Doing the system diagnostics to identify the system and context issues to be targeted and then applying these to the most ...
Uncharted territory: measuring costs of diagnostic errors outside the medical record | BMJ Quality & Safety
When an unnecessary test or treatment was ordered, we conservatively estimated the cost of error as the cost of the test or ... Errors associated with routine care can sometimes be detected in the medical record. For example, failure to treat hypertension ... In short, our study provides an opportunity to estimate the costs of errors that would not be appreciated by routine review of ... We included only resources related to the immediate diagnostic and therapeutic management of the four conditions (see table 2 ...
Testing process errors and their harms and consequences reported from family medicine practices: a study of the American...
... including lab tests, diagnostic imaging and other tests such as pulmonary function tests and electrocardiograms. We asked ... Compared with routine reporting, intensive reporting periods had a higher proportion of test ordering (19% vs 13%) and test ... Testing errors are common in primary care practice and may lead to patient harm and malpractice claims.1-5 The testing process ... Chi-square tests were performed to test associations between demographic and event report variables and the types of error ...
155 Clinical audit: a useful tool for severe postpartum haemorrhage? | BMJ Quality & Safety
The routine implementation of the clinical audit in two maternity units was associated with a significant reduction of severe ... The first blood test was performed more than 30 min post diagnosis in 47% of VD cases and in 38.5% of CS cases. ... été effectué plus de 30mn après le diagnostic dans 47% des cas après un AVB et dans 38.5% après une CS. ... the change in the rate of severe PPH following the routine implementation of the audit in two hospitals. ...
Applying a systems lens to understand patient safety effectiveness in low-and-middle-income countries | BMJ Quality & Safety
Facility readiness surveys across 10 LMICs have shown that only 1% of health centres have all the diagnostics tests and ... Opportunities and challenges in conducting secondary analysis of HIV programmes using data from routine health information ...