The healthcare delivered in high-income countries is riddled with defects in value. One in 10 patients experiences harm when ...

In a time of financial uncertainty and structural reform, the National Health Service (NHS) in England needs clinical leadership to help improve the quality of patient care. Increasingly, leadership ...

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In this issue of BMJ Quality & Safety, Hampton and colleagues report a process evaluation of an intervention trial intended to encourage older patients’ involvement in their hospital care.1 The logic ...

3 Health Services Research Unit, University of Aberdeen, Aberdeen, UK Correspondence to: Professor M Eccles, Professor of Clinical Effectiveness, Centre for Health Services Research, 21 Claremont ...

The good, the bad and the ugly: What do we really do when we identify the best and the worst organisations?

Objective To understand how lean thinking has been put into practice in healthcare and how it has worked. Design A realist literature review. Data sources The authors systematically searched for ...

1 Centre for Public Policy & Management, Department of Management, University of St Andrews, Fife, UK 2 Department of Epidemiology and Public Health, School of Health Sciences, Medical School, ...

3 Medical Decision Making, J10-S, Leiden University Medical Centre, Leiden, The Netherlands Correspondence to Dr Leti van Bodegom-Vos, Department of Medical Decision Making, Leiden University Medical ...

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