Introduction Patients who had a stroke often confront the trade-off between timely care at nearby hospitals and potentially ...

Evaluating the effects of increasing nursing numbers on quality of newborn care in understaffed neonatal units in Kenya: a prospective intervention study ...

Correspondence to Dr Matthew D Weaver, Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston 02115, Massachusetts, USA; mdweaver{at}bwh ...

1 Division of Rehabilitation and Ageing, University of Nottingham, Queens Medical Centre, Nottingham, UK 2 Health Care of Older People, Nottingham University Hospitals NHS Trust, Queens Medical Centre ...

Background Understaffing by nursing staff in hospitals is linked to patients coming to harm and dying unnecessarily. There is a vicious cycle whereby poor work conditions, including understaffing, can ...

Background Physicians should be engaged in quality-improvement activities to make the systems in which they work safer and more reliable. However, many physicians are still unable to contribute to ...

Correspondence to Dr Ian Leistikow, Medical Specialist Care, Dutch Healthcare Inspectorate, PO Box 2518, 6401DA Heerlen, The Netherlands; ip.leistikow{at}igz.nl The purpose of these systems is also ...

Background Handover practices at hospital discharge are relatively under-researched, particularly as regards the specific risks and additional requirements for handovers involving vulnerable patients ...

Background There is a need to reduce antimicrobial uses in humans. Previous studies have found variations in antibiotic (AB) prescribing between practices in primary care. This study assessed ...

Correspondence to Dr Linda H Aiken, Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA 19104, USA; laiken{at}nursing.upenn.edu We think a ...

Objective Valid, reliable critical appraisal tools advance quality improvement (QI) intervention impacts by helping stakeholders identify higher quality studies. QI approaches are diverse and differ ...

Correspondence to Dr Cecilia Vindrola-Padros, Department of Applied Health Research, University College London, 1-19 Torrington Place, London WC1E 7HB, UK; c.vindrola{at}ucl.ac.uk The use of embedded ...