Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Competing interests KGS is the Editor-in-Chief of BMJ Quality & Safety.
Provenance and peer review Commissioned; internally peer reviewed.
↵i A medical directive is an order given in advance by physicians (or others authorised to write orders) to enable a qualified health professional (typically a nurse) to decide to apply the order under specific conditions without a direct assessment by the physician at the time.8For instance, a medical directive might authorise for triage nurses in the ED to obtain an ECG on a patient with chest pain without waiting for a physician to enter a direct order.