Evidence map›Paper›PMID 15805460›Full record

ArticleQuality & safety in health care2005

Implementing a national strategy for patient safety: lessons from the National Health Service in England.

R Q Lewis, M Fletcher

Abstract read
In one paragraph

Article in Quality & safety in health care, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Hospital mortality: when failure is not a good measure of success.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2008
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

R Q LewisNational Patient Safety Agency, UK. richard.lewis@npsa.nhs.uk
M Fletcher

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Improving patient safety has become a core issue for many modern healthcare systems. However, knowledge of the best ways for government initiated efforts to improve patient safety is still evolving, although there is considerable commonality in the challenges faced by countries. Actions to improve patient safety must operate at multiple levels of the healthcare system simultaneously. Using the example of the NHS in England, this article highlights the importance of a strategic analysis of the policy process and the prevailing policy context in the design of the national patient safety strategy. The paper identifies a range of policy "levers" (forces for change) that can be used to support the implementation of the national safety initiative and, in particular, discusses the strengths and limitations of the "business case" approach that has attracted recent interest. The paper offers insights into the implementation of national patient safety goals that should provide learning for other countries.

Indexed as

Safety ManagementEnglandHealth Facility EnvironmentHospitals, PublicHumansLeadershipMedical ErrorsNational Health ProgramsOrganizational Case StudiesOrganizational CultureOrganizational InnovationOrganizational ObjectivesQuality Assurance, Health CareReimbursement, IncentiveState Medicine

Identifiers

PMID15805460
PMCPMC1743990

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.