Background Literature depicts differences in ethical decision-making (EDM) between countries and intensive care units (ICU). Objectives To better conceptualise EDM climate in the ICU and to validate a ...

Since the 18th century, bedside rounds have been a fundamental component of clinical care, serving as a setting where clinical information is gathered, processed and shared.1 This tradition highlights ...

Purpose Misgendering of transgender and non-binary (TGNB) individuals in healthcare settings can lead to worsened mental and physical health outcomes and decreased utilisation of care. Few studies ...

More than 20 years since a landmark study1 documented hospitalised patients were more likely to die when their nurse cared for too many patients at a time, hundreds of rigorously conducted studies in ...

Choosing Wisely (CW) identifies low-value, wasteful medical interventions whose elimination increases the quality of care and likely reduces its costs.1 Since its launch in 2012, this grassroot ...

‘We need bold, fundamental change that gets at the roots of the burnout crisis.’ - US Surgeon General Vivek H. Murthy, MD, MBA. Well-being was brought into clearer focus during the COVID-19 pandemic, ...

Background Differences in contexts (eg, policies, healthcare organisation characteristics) may explain variations in the effects of patient safety practice (PSP) implementations. However, knowledge of ...

This May, the World Health Assembly (WHA) will vote on re-establishing a mandate for the WHO to address the health consequences of nuclear weapons and war.1 Health professionals and their associations ...

The emergency department (ED) abounds with hazards that might lead to adverse events (AEs). Clinicians must make frequent, high-consequence decisions with high diagnostic uncertainty as part of ad hoc ...

Sepsis remains a leading cause of morbidity and mortality worldwide.1 The use of artificial intelligence (AI), and particularly machine-learning (ML) approaches, to predict which patients are at risk ...

Tackling overuse in healthcare is now more necessary than ever. Movements such as Choosing Wisely and Preventing Overdiagnosis have highlighted that some healthcare services offer no added value and ...

Two years ago, BMJ Quality & Safety published the first example of a longitudinal national adverse event (AE) study.1 That study included 400 admissions from each of 21 randomly selected hospitals in ...