1. Ethnography as a methodological descriptor: the editors' reply.

    BMJ Quality & Safety 25(7):555 (2016) PMID 26733725

  2. Patient Safety at the Crossroads.

    JAMA 315(17):1829 (2016) PMID 27139052

  3. Point-of-care decision support for reducing inappropriate test use: easier said than done.

    BMJ Quality & Safety 25(1):6 (2016) PMID 26424763

  4. Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort.

    BMJ Quality & Safety 24(12):764 (2015) PMID 26056320

    Adverse events (AEs) affect 3-12% of hospitalised patients. These are estimates from a labour-intensive chart review process,which is not feasible outside research. Clinical deterioration on the wards triggers a rapid response teams (RRTs) consult and can be used to identify an AE prospectively....
  5. Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric?

    BMJ Quality & Safety 24(9):541 (2015) PMID 26150549

  6. Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward.

    BMJ Quality & Safety 24(4):272 (2015) PMID 25749028 PMCID PMC4387453

    Retrospective record review using trigger tools remains the most widely used method for measuring adverse events (AEs) to identify targets for improvement and measure temporal trends. However, medical records often contain limited information about factors contributing to AEs. We implemented an ...
  7. 'The problem with…': a new series on problematic improvements and problematic problems in healthcare quality and patient safety.

    BMJ Quality & Safety 24(4):246 (2015) PMID 25788293

  8. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: The Focus on System-Related Factors.

    Joint Commission journal on quality and patient... 40(10):461 (2014) PMID 26111306

    Delayed and missed diagnoses lead to significant patient harm. Because physician actions are fundamental to the outpatient diagnostic process, a study was conducted to explore physician perspectives on diagnosis. As part of a quality improvement initiative, an integrated health system conducted ...
  9. 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds.

    BMJ Quality & Safety 23(10):823 (2014) PMID 24407100

    This article is an exploration of views and experiences of Patient Safety Walkrounds, a widely recommended strategy for identifying patient safety problems and improving safety culture. Qualitative analysis of semistructured, in-depth interviews with 11 senior leaders and 33 front-line staff at ...
  10. Simpson's paradox: how performance measurement can fail even with perfect risk adjustment.

    BMJ Quality & Safety 23(9):701 (2014) PMID 25118292

  11. Reducing antimicrobial therapy for asymptomatic bacteriuria among noncatheterized inpatients: a proof-of-concept study.

    Clinical Infectious Diseases 58(7):980 (2014) PMID 24577290

    This proof-of-concept study demonstrates that no longer routinely reporting urine culture results from noncatheterized medical and surgical inpatients can greatly reduce unnecessary antimicrobial therapy for asymptomatic bacteriuria without significant additional laboratory workload. Larger stud...
  12. Building knowledge, asking questions.

    BMJ Quality & Safety 23(4):265 (2014) PMID 24365606

  13. Impact of stated barriers on proposed warfarin prescription for atrial fibrillation: a survey of Canadian physicians.

    Thrombosis Journal 12:13 (2014) PMID 25161388 PMCID PMC4144316

    Atrial fibrillation (AF) is a common cardiac arrhythmia, and leading cause of ischemic stroke. Despite proven effectiveness, warfarin remains an under-used treatment in atrial fibrillation patients. We sought to study, across three physician specialties, a range of factors that have been argued ...
  14. Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study.

    PLoS ONE 9(9):e108585 (2014) PMID 25260030 PMCID PMC4178177

    The surgical safety checklist (SSC) is meant to enhance patient safety but studies of its impact conflict. This study explored factors that influenced SSC adherence to suggest how its impact could be optimized. Participants were recruited purposively by profession, region, hospital type and time...
  15. Conventional evaluations of improvement interventions: more trials or just more tribulations?

    BMJ Quality & Safety 22(11):881 (2013) PMID 24077851

  16. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory.

    Academic Medicine 88(8):1149 (2013) PMID 23807102

    Despite an official mandate to incorporate formal quality improvement (QI) and patient safety (PS) training into graduate medical education, many QI/PS curricular efforts face implementation challenges and are not sustained. Educators are increasingly turning to sociocultural theories to address...
  17. 'Bad apples': time to redefine as a type of systems problem?

    BMJ Quality & Safety 22(7):528 (2013) PMID 23744535 PMCID PMC4067533

  18. Overuse of magnetic resonance imaging.

    JAMA Internal Medicine 173(9):823 (2013) PMID 23529302

  19. Trends in adverse events over time: why are we not improving?

    BMJ Quality & Safety 22(4):273 (2013) PMID 23509344

  20. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review.

    Annals of Internal Medicine 158(5 Pt 2):397 (2013) PMID 23460096

    Medication reconciliation identifies and resolves unintentional discrepancies between patients' medication lists across transitions in care. The purpose of this review is to summarize evidence about the effectiveness of hospital-based medication reconciliation interventions. Searches encompassed...