37 e-Letters

published between 2012 and 2015

  • Re: Harnessing the cloud of patient experience: using social media to detect poor quality healthcare
    Courtney R. Lyles

    January 31, 2013

    To the editors:

    We were pleased to read the recent article by Greaves et al.1 outlining new methodological techniques to analyze patients' online ratings of care. We agree with the authors that social media websites represent a wealth of first-hand patient experiences with health and healthcare, but have largely remained untapped by biomedical researchers - especially to gain new insi...

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  • Engaging junior doctors in patient safety: Don't forget the basics
    Maria Ahmed

    We read the study by Durani et al (1) and the accompanying editorial (2) with great interest. Aspiring to engage junior doctors in the safety and quality movement is a noble aim but in doing so it is essential to consider the influences of both the formal (explicit) curriculum and the informal ('hidden') curriculum on doctors in training. We feel that whilst Durani et al's questionnaire may be useful to chart temporal tre...

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  • Extension of Emergency Care Summary availability in Secondary Care
    Libby Morris

    The authors of the article 'Perceived Causes of Prescribing Errors by Junior Doctors in Hospitals' published in the BMJ Quality & Safety on 30 October 2012 report that "the main task factor identified was poor availability of drug information on admission (often out of hours)" and "Systems which should aid prescribers were not always available (e.g. the Emergency Care Summary was available, but the doctor did not have...

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  • Mandating of the RRS protocol to improve patient care, could this be the next step?
    Frances K. L. Ng

    I appreciated Shearer et al's recent article in BMJQS[1], it brings to light the debilitating effects of ill-placed social and cultural influences, and the professional hierarchies evident in all hospitals. The issues identified from the research further validate the necessity for a systems approach when dealing with clinical risk management[2]. That said, mandating rapid response systems (RRS) as part of hospital protocol...

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  • Innovative Ways to improve quality of discharge summaries
    Narveshwar Sinha

    We read the article on discharge summaries by Mohta et al with interest. We passionately believe that we must keep trying innovative methods to improve the quality of this most important handover document of care. Earlier this month, our audit to evaluate the extent to which contents of all fields in the electronic discharge summary template are completed with relevant information, revealed that the trainees had failed to...

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  • 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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