5 Director of the Centre for Research in Evidence-based Practice, Faculty of Health Sciences and Medicine, Bond University, Headington, UK Correspondence to Professor Mary Dixon-Woods, Department of ...

‘The Problem with…’ series covers controversial topics related to efforts to improve healthcare quality, including widely recommended but deceptively difficult strategies for improvement and pervasive ...

Investigations of accidents in a number of hazardous domains suggest that a cluster of organisational pathologies—the “vulnerable system syndrome” (VSS)—render some systems more liable to adverse ...

Quality Literature Program, The Dartmouth Institute for Health Policy and Clinical Practice; Office of Research and Innovation in Medical Education, Dartmouth Medical School, Hanover, New Hampshire, ...

Patients, clinicians and managers all want to be reassured that their healthcare organisation is safe. But there is no consensus about what we mean when we ask whether a healthcare organisation is ...

1 Department of Clinical Pharmacy, School of Pharmacy, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam 2 Department of Pharmacy, Unit of Pharmacotherapy and Pharmaceutical Care, ...

A wide variety of research studies suggest that breakdowns in the diagnostic process result in a staggering toll of harm and patient deaths. These include autopsy studies, case reviews, surveys of ...

Complex, well defended, high technology systems are subject to rare but usually catastrophic organisational accidents in which a variety of contributing factors combine to breach the many barriers and ...

Correspondence to Dr Jaap F Hamming, Department of Surgery, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands; J.F.Hamming{at}lumc.nl ‘The problem with…’ series covers ...