The English patient safety research programme: A commissioner's tale

Journal of Health Services Research and Policy

Volumn 15, Issue SUPPL. 1, 2010, Pages 1-3

  Lilford, Richard ^a  

^a UNIVERSITY OF BIRMINGHAM   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

DIAGNOSTIC ERROR; EDITORIAL; HEALTH CARE QUALITY; HUMAN; MEDICAL RESEARCH; MEDICATION ERROR; MORBIDITY; MORTALITY; PATIENT SAFETY; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; MEDICAL ERROR; METHODOLOGY; ORGANIZATION AND MANAGEMENT; RANDOMIZED CONTROLLED TRIAL; SAFETY; STATISTICS; UNITED KINGDOM;

GREAT BRITAIN; HUMANS; MEDICAL ERRORS; PROGRAM EVALUATION; RANDOMIZED CONTROLLED TRIALS AS TOPIC; RESEARCH DESIGN; SAFETY MANAGEMENT;

EID: 77949524661     PISSN: 13558196     EISSN: None     Source Type: Journal    
DOI: 10.1258/jhsrp.2009.009088     Document Type: Editorial

References (26)

1. Lilford R, Stirling S, Maillard N. Citation classics in patient safety research: an invitation to contribute to an online bibliography. Qual Saf Health Care 2006;15:311-13 (Pubitemid 44784802)
2. Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med 1991;324:370-6
3. Leape LL, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med 1991;324:377-84
4. Esmail A, Walshe K, Vincent C, et al. Patient Safety: Lessons from Litigation. Using claims data to improve patient safety, 2004. See http://www.pcpoh.bham.ac.uk/publichealth/psrp/documents/PS006-Final-Report-Vol1- Walshe.pdf; http://www.pcpoh.bham.ac.uk/publichealth/psrp/documents/PS006-Final- Report-Vol2-Walshe.pdf; http://www.pcpoh.bham.ac.uk/publichealth/psrp/documents/ PS006-Final-Report-Vol3-Walshe.pdf
5. Newman-Toker DE, Pronovost PJ. Diagnostic errors - the next frontier for patient safety. JAMA 2009;301:1060-2
6. Brown C, Lilford R. Evaluating service delivery interventions to enhance patient safety. BMJ 2008;337:2764
7. Lilford R, Mohammed MA, Spiegelhalter D, Thomson R. Use and misuse of process and outcome data in managing performance of acute medical care: avoiding institutional stigma. Lancet 2004;363:1147-54 (Pubitemid 38452790)
8. Lilford R, Edwards A, Girling A, et al. Inter-rater reliability of case-note audit: a systematic review. J Health Serv Res Policy 2007;12:173-80 (Pubitemid 47122233)
9. Lilford RJ, Mohammed MA, Braunholtz D, Hofer TP. The measurement of active errors: methodological issues. Qual Saf Health Care 2003;12 (Suppl. 2):ii8-12
10. Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 3, End points and measurement. Qual Saf Health Care 2008;17:170-7
11. Hutchinson A, Coster J, Cooper K, et al. Comparison of case note review methods for evaluating quality and safety in health care, 2008. See http://www.haps.bham.ac.uk/publichealth/methodology/docs/publications/ JH08-Hutchinson-FINAL-Report-Dec2008.pdf
12. Kostopoulou O, Delaney B, Munro C, Oudhoff J, Nath R, Harries C. Diagnostic Error In Primary Care: A Learning Needs Analysis, 2008. See http://www.pcpoh.bham.ac.uk/publichealth/psrp/documents/PS027-Final-Report- Kostopoulou-2008.pdf
13. McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med 1976;295:1351-5
14. Kohn LT, Corrigan JM, Donaldson MS, eds. To Err is Human: Building a Safer Health System. Washington, DC: Institute of Medicine, Committee on Quality of Health Care in America, 2000. See http://www.books.nap.edu/openbook.php? record-id=9728&page=R1
15. Dixon-Woods M. Why is patient safety so hard to study? A selective review of ethnographic studies. J Health Serv Res Policy 2010;15 (Suppl. 1):11-16
16. Catchpole KR, Godden PJ, Giddings AEB, et al. Identifying and reducing errors in the operating theatre, 2005. See http://www.haps.bham.ac.uk/ publichealth/psrp/documents/PS012-Final-Report-DeLeval.pdf
17. Woloshynowych M, Davis R, Brown R, et al. Enhancing safety in accident and emergency care, 2007. See http://www.pcpoh.bham.ac.uk/publichealth/psrp/ documents/PS010-A-and-E-Vincent-et-al-2007.pdf
18. Strachan B, Crofts J, James M, et al. Proof of principle study of the effect of individual and team drill on the ability of labour ward staff to manage acute obstetric emergencies, 2008. See http://www.pcpoh.bham.ac.uk/ publichealth/psrp/documents/SaFE-Final-Report-Aug-2008.pdf
19. Barber N, Dean Franklin B, Cornford T, Klecun E, Savage I. Safer, Faster, Better? Evaluating Electronic Prescribing, 2006. See http://www.haps.bham.ac. uk/publichealth/psrp/documents/PS019-Final-Report-Barber.pdf
20. Lankshear A, Sheldon T. Evaluation of the implementation of the alert issued by the national patient safety agency on the storage and handling of concentrated potassium chloride solution: results of an audit conducted in 20 acute NHS trusts, 2003. See http://www.haps.bham.ac.uk/publichealth/psrp/ documents/PS011-Final-Report-Sheldon.pdf
21. Giles SJ, Rhodes P, Clements G, et al. Experience of wrong site surgery and surgical marking practices amongst clinicians in the UK. Qual Saf Health Care 2006; 15:363-8
22. Rhodes P, Giles SJ, Cook GA, et al. Evaluation of a national patient safety alert to reduce wrong site surgery. Qual Saf Health Care 2008;17;409-15
23. Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 1, Conceptualising and developing interventions. Qual Saf Health Care 2008;17:158-62
24. Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 2, Study design. Qual Saf Health Care 2008;17:163-9
25. Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 4, One size does not fit all. Qual Saf Health Care 2008;17:178-81
26. Lilford RJ, Brown CA, Nicholl J. Use of process measures to monitor the quality of clinical practice. BMJ 2007;335:648-50 (Pubitemid 47548455)