eLetters

24 e-Letters

published between 2011 and 2014

  • ANOM Chart: A Chart Worth Getting to Know
    Karen Homa

    I appreciated seeing an introduction of analysis of means (ANOM) by Mohammed and Holder. As stated in their article, the technique is not well known, but nonetheless I would like to encourage people to learn this useful graphical display to compare groups. I have been using this method in healthcare improvement work (1,2) and would like to share a couple of lessons learned over the years. The proportion ANOM chart should...

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  • Translating technical improvements into behavioural ones the sustainability challenge
    Sarah W. Fraser

    There is a paucity of papers focused on the sustainability of improvement projects. In addition, the authors and the VA are to be congratulated on sharing what are less-than-positive results so we can all learn.

    The quality improvement collaborative (QIC) process is excellent in raising awareness of issues, training staff in QI techniques and in mobilising action to improve. With all methods there are some gain...

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  • Behavioural theory is not new to Patient Safety Practices (PSPs)
    John G Wakefield

    Dear Editor,

    We welcome the recent Original Viewpoint paper by Foy et al1, titled The role of theory in research to develop and evaluate the implementation of patient safety practices. We strongly support the recommendations in this paper, and in particular, the application of behavioural change theory in the design, implementation and evaluation of Patient Safety Practices (PSPs).

    However, on rea...

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  • The Systems Approach, Disasters, Errors and Patient Safety: Some Comments on Travalgia et al., (2010)
    Patrick E. Waterson

    Travaglia et al's recent paper in BMJQS[1] alongside their earlier work[2] provides some valuable insights into research which has been carried out on large-scale disasters and accidents. This type of work has the potential to move patient safety away from a focus on individual error and towards the adoption of a wider and more inclusive perspective on the failure of whole health care systems such as hospital.[3] That sa...

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