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

The methods of evaluating change and improvement strategies are not well described. The design and conduct of a range of experimental and non-experimental quantitative designs are considered. Such ...

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 ...

Introduction: Care home residents are at particular risk from medication errors, and our objective was to determine the prevalence and potential harm of prescribing, monitoring, dispensing and ...

Introduction QI education is essential for resident physicians with established requirements from the Accreditation Council for Graduate Medical Education outlining the necessary components.

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 ...

The stepped-wedge cluster randomised trial is a popular design in implementation and health services research. All clusters, such as clinics or hospitals, start in the control state, and gradually ...

While the body of evidence-based healthcare interventions grows, the ability of health systems to deliver these interventions effectively and efficiently lags behind. Quality improvement approaches, ...

Objective To evaluate the effectiveness of clinician-directed default nudges for reducing overuse of tests and treatments. Design A systematic review was conducted to synthesise evidence from ...