Background Speaking up is important for patient safety, but healthcare professionals often hesitate to voice their concerns. Direct supervisors have an important role in influencing speaking up.

Centre for Safety Research, Department of Psychology, Leiden University, Leiden, Netherlands Correspondence to: P Hudson Centre for Safety Research, Department of Psychology, Leiden University, Leiden ...

Expression of concern: Reducing opioid use for chronic non-cancer pain in primary care using an evidence-based, theory-informed, multistrategic, multistakeholder approach: a single-arm time series ...

Objective Overconfidence is an important source of medical error. This review analyses experimental studies of confidence in ...

Background Literature depicts differences in ethical decision-making (EDM) between countries and intensive care units (ICU). Objectives To better conceptualise EDM climate in the ICU and to validate a ...

Statistical process control (SPC) charts provide a natural approach to analysing time series data for healthcare quality ...

2 Professor of General Practice, Department of General Practice, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium 3 Professor of Quality in Health Care, Clinical Governance Research ...

Background Valproate exposure during pregnancy causes major congenital malformations in 11% and neurodevelopmental disorders in 30–40% of exposed children. Despite regulatory interventions, including ...

Background Artificial intelligence large language models (LLMs) are increasingly used to inform clinical decisions but ...

Background Problems of quality and safety persist in health systems worldwide. We conducted a large research programme to examine culture and behaviour in the English National Health Service (NHS).

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