- Patient Safety and Medication Errors
- Medical Malpractice and Liability Issues
- Emergency and Acute Care Studies
- Healthcare Quality and Management
- Healthcare Policy and Management
- Global Public Health Policies and Epidemiology
- Primary Care and Health Outcomes
- Infection Control in Healthcare
- Child and Adolescent Health
- Health Systems, Economic Evaluations, Quality of Life
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare cost, quality, practices
- Ethics and Legal Issues in Pediatric Healthcare
- Ethics in medical practice
- Clinical practice guidelines implementation
- Hip and Femur Fractures
- Clinical Reasoning and Diagnostic Skills
- Palliative Care and End-of-Life Issues
- Healthcare Decision-Making and Restraints
- Patient Satisfaction in Healthcare
- Healthcare Systems and Technology
- Health and Conflict Studies
- Influenza Virus Research Studies
- Infection Control and Ventilation
- Disaster Response and Management
University of California, Berkeley
2025
Toronto Metropolitan University
2016-2025
London School of Hygiene & Tropical Medicine
2017-2024
Cardiff University
2017-2021
University of London
2019-2021
The University of Melbourne
2018-2020
World Health Organization
2006-2019
Macquarie University
2018
University of South Wales
2018
Imperial College London
2012-2017
Patient safety has been an under-recognised and under-researched concept until recently. It is now high on the healthcare quality agenda in many countries of world including UK. The recognition that human error inevitable a highly complex technical field like medicine first step promoting greater awareness importance systems failure causation accidents. Plane crashes are not usually caused by pilot <i>per se</i> but amalgam technical, environmental, organisational, social communication...
BackgroundHealth-care-associated infections are a major threat to patient safety worldwide. Transmission is mainly via the hands of health-care workers, but compliance with recommendations usually low and effective improvement strategies needed. We assessed effect WHO's strategy for hand hygiene in five countries.MethodsWe did quasi-experimental study between December, 2006, 2008, at six pilot sites (55 departments 43 hospitals) Costa Rica, Italy, Mali, Pakistan, Saudi Arabia. A step-wise...
Background: There are large amounts of unstructured, free-text information about quality health care available on the Internet in blogs, social networks, and physician rating websites that not captured a systematic way. New analytical techniques, such as sentiment analysis, may allow us to understand use this more effectively improve care.
Making Health Care Safer: A Critical Review of Evidence Supporting Strategies to Improve Patient Safety5 March 2013The Top Safety That Can Be Encouraged for Adoption NowFREEPaul G. Shekelle, MD, PhD, Peter J. Pronovost, Robert M. Wachter, Kathryn McDonald, MM, Karen Schoelles, SM, Sydney Dy, MSc, Kaveh Shojania, James T. Reston, MPH, Alyce S. Adams, B. Angood, David W. Bates, Leonard Bickman, Pascale Carayon, Liam Donaldson, MBChB, Naihua Duan, Donna O. Farley, Trisha Greenhalgh, BM BCH,...
Recent years have seen increasing interest in patient-centred care and calls to focus on improving the patient experience. At same time, a growing number of patients are using internet describe their experiences healthcare. We believe availability patients’ accounts blogs, social networks, Twitter hospital review sites presents an intriguing opportunity advance agenda provide novel quality data. this concept as ‘cloud experience’. In commentary, we outline ways which collection aggregation...
<h3>AIM</h3> To investigate the performance of routine neonatal and 6 week examinations for detecting congenital heart disease. <h3>METHODS</h3> A retrospective review findings on clinical examination was conducted a cohort live born infants with disease in one health region 1987–94 <h3>RESULTS</h3> Of 1590 babies disease, 523 (33%) presented before because symptoms or non-cardiac abnormalities. 1061 underwent which abnormal 476 (45%), but only 170 were referred directly diagnosis. 876...
STUDY OBJECTIVE--The aim was to describe the population based age and sex specific incidence of fractures at different sites in a large English health district. DESIGN--Recording accomplished by specially constructed outpatient index record linkage hospital inpatient information, for three years surrounding 1981 census. SETTING--The fracture held Department Community Health Leicester using data from clinic central district general hospital, supplemented Trent Region two adjoining regions....
At any time, more than 1·4 million people worldwide are afflicted by infections acquired in hospitals.1Tikhomirov E WHO Programme for the control of hospital infections.Chemiotherapia. 1987; 3: 148-151Google Scholar Between 5% and 10% patients admitted to modern hospitals developed countries acquire one or infections; 15–40% those critical care affected.2Vincent JL Nosocomial adult intensive-care units.Lancet. 2003; 361: 2068-2077Summary Full Text PDF PubMed Scopus (499) Google The risk is...
Fractures are a considerable public health burden in the United Kingdom but information on their epidemiology is limited.This study aims to estimate true annual incidence and lifetime prevalence of fractures England, within both general population specific groups, using self-report methodology.A survey nationally representative sample 45,293 individuals plus special boost 10,111 drawn from ethnic minority population.The calculated fracture 3.6 per 100 people year. Lifetime exceeds 50%...
Despite a decade's worth of effort, patient safety has improved slowly, in part because the limited evidence base for development and widespread dissemination successful practices. The Agency Healthcare Research Quality sponsored an international group experts evaluation methods to develop criteria improve design, evaluation, reporting practice research safety. This article reports findings recommendations this group, which include greater use theory logic models, more detailed descriptions...
OBJECTIVE To investigate changes over time in the prevalence at live birth of cardiovascular malformations and to compare "anatomical" "physiological" diagnostic hierarchies within a population. DESIGN Retrospective prospective ascertainment all congenital diagnosed infancy. SETTING The resident population one health region. PATIENTS All infants born from 1985 1997 with confirmed by echocardiography, cardiac catheterisation, surgery or autopsy. MAIN OUTCOME MEASURES Year year variation...
Sukhmeet Panesar and colleagues classified reports of patient-safety-related hospital deaths in England to identify patterns cases where improvements might be possible. Please see later the article for Editors' Summary
To quantify mortality associated with sepsis in the whole population of England.Descriptive statistics multiple cause death data.England between 2001 and 2010.All people whose was registered England 2010 certificate contained a sepsis-associated International Classification Diseases, 10th Revision (ICD-10) code.Multiple data extracted from Office for National Statistics database.Age-specific sex-specific rates direct age-standardised rates.In 2010, 5.1% deaths were definitely sepsis. Adding...