ArticleBMJ (Clinical research ed.)2019
How to improve healthcare improvement-an essay by Mary Dixon-Woods.
Article in BMJ (Clinical research ed.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
94 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Quality indicators for structure and process in peri-operative care: a systematic review.Anaesthesia · 2026Pooled it
- Enhancing capability for continuous organisational improvement and learning in healthcare organisations: a systematic review of the literature 2013-2022.BMJ open quality · 2024Pooled it
- Daily handover in surgery: systematic review and a novel taxonomy of interventions and outcomes.BJS open · 2024Pooled it
- Built to last? The sustainability of healthcare system improvements, programmes and interventions: a systematic integrative review.BMJ open · 2020Pooled it
- Powering Up: a qualitative evaluation of the art and science of meaningful co-production for health equity.BMJ paediatrics open · 2026Article
- A qualitative study of the reimplementation of a standardised paediatric early warning system pilot in England.Implementation science communications · 2026Article
- Re-establishing control limits in statistical process control analyses: the stable shift algorithm.BMJ quality & safety · 2026Article
- Complexity of healthcare improvement - a comparative analysis of frameworks for improvement science.Frontiers in health services · 2026Article
- Learning from 30 years of systems thinking in healthcare.Frontiers in health services · 2026Article
- Compliance with Clinical Guidelines and AI-Based Clinical Decision Support Systems: Implications for Ethics and Trust.Science and engineering ethics · 2025Article
- Quality improvement and workplace wellbeing capacity and capability in Aotearoa New Zealand emergency departments. A nationwide mixed methods survey.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- Risk Management of Medication Errors: Improving the Quality of Pharmacotherapeutic Practice.Pharmacology research & perspectives · 2025Article
- Development of a Comprehensive Tool to Assess Rigor When Evaluating Quality Improvement Projects.Journal of evaluation in clinical practice · 2025Article
- Risk stratification during antenatal care failed to identify most mothers who experienced adverse pregnancy outcomes: A prospective study from Kakamega County, Kenya.Tropical medicine & international health : TM & IH · 2025Observational
- Enhancing the quality of surgical care through improved patient handover processes.Patient safety in surgery · 2025Article
- Enhancing Quality of Congenital Heart Care Within Resource-Limited Settings.Pediatric cardiology · 2025Review
- Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the English NHS, 2010-2023.BMJ quality & safety · 2024Review
- Learning together for better health using an evidence-based Learning Health System framework: a case study in stroke.BMC medicine · 2024Article
- Translational simulation revisited: an evolving conceptual model for the contribution of simulation to healthcare quality and safety.Advances in simulation (London, England) · 2024Article
- Patient, caregiver and other knowledge user engagement in consensus-building healthcare initiatives: a scoping review protocol.BMJ open · 2024Article
34 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
PubMed holds no abstract for this paper.
Identifiers
What OpenQuestion holds
Registered trials
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.