BMJ Open Quality最新文献

{"title":"Collecting Accurate and Robust Equity (CARE) data: an analysis of a pilot quality improvement initiative in ambulatory settings.","authors":"Fatima Sheikh, Marlena Dang Nguyen, Kamal Babrah, Nili Begum, Nagham Azzam Iqbal, Lawrence Mbuagbaw, Jennifer Walker, Rochelle Reid, Alison Fox-Robichaud, Lisa Schwartz","doi":"10.1136/bmjoq-2025-003805","DOIUrl":"10.1136/bmjoq-2025-003805","url":null,"abstract":"<p><strong>Background: </strong>Social determinants of health (SDoH) influence disease incidence, access to care, experiences, and outcomes. Recognising their importance, researchers and governments have emphasised the need to collect SDoH data in healthcare settings. However, gaps remain in understanding how to collect this information respectfully and equitably. To address these gaps, we aimed to understand local community perspectives on patient-centred SDoH data collection.</p><p><strong>Method: </strong>We held a community engagement session to gather input from equity-denied communities on SDoH questions, response options, preferred methods of answering and appropriate data use. Qualitative data were analysed using content analysis, guided by the Capability, Opportunity and Motivation-Behaviour (COM-B) model. We also collected patient feedback from the first six months of implementing patient-centred SDoH data collection in ambulatory services at a large academic health science centre. This feedback was collected through an anonymous Microsoft Forms survey on comfort, safety and ease of responding to the SDoH questions and was summarised using medians and frequencies.</p><p><strong>Results: </strong>The community engagement session included 22 participants, including eight patient advisors from diverse community organisations. Participants identified COM-B-related barriers to completing the questionnaire, such as unclear terminology, privacy concerns and mistrust of data use. Facilitators included inclusive language, multiple response methods, and transparency, particularly around data use. After integrating this feedback, the early implementation demonstrated high levels of comfort and safety. Additional feedback from the implementation highlighted opportunities to expand response methods, enhance staff engagement and education and establish ongoing partnerships with patients and communities to support the equitable use of SDoH data.</p><p><strong>Conclusions: </strong>Collecting SDoH data in healthcare settings is essential for facilitating equity-informed quality improvement, research, and decision-making. Our project highlights opportunities to overcome barriers by expanding response methods, enhancing staff engagement and education and fostering ongoing partnerships with patients and communities to support equitable SDoH data use and reporting.</p>","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13141222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mixed-methods evaluation of the implementation of IOTA-ADNEX ultrasound triage in NHS secondary care ovarian diagnostic one-stop clinics.","authors":"Vivian Do, Helen Crisp, Carole Cummins, Sarada Kannangara, Grisham Smotra, Becky Tarbuck, Omiete Duke, Aamena Salar, Nina Jhita, Vincent Sai, Naresh Rati, Sudha Sundar","doi":"10.1136/bmjoq-2025-003909","DOIUrl":"10.1136/bmjoq-2025-003909","url":null,"abstract":"<p><strong>Objectives: </strong>Robust evidence supports International Ovarian Tumour Analysis (IOTA)-Assessment of Different Neoplasias in the Adnexa (ADNEX) ultrasound triage at 10% threshold for ovarian cancer (OC) diagnosis to identify women for referral to tertiary gynaecological cancer centres for further management. The IOTA-ADNEX risk prediction model has superior sensitivity compared with the current standard of care triage, Risk of Malignancy Index (RMI-1), yet NHS adoption is limited. In our survey of British Gynaecological Cancer Society clinicians, only 30% (24/79) currently follow an IOTA model, despite 80% (63/79) supporting implementation. We evaluated IOTA-ADNEX implementation within two NHS one-stop clinics (OSC) for suspected OC, examining clinical outcomes alongside implementation barriers and facilitators.</p><p><strong>Methods: </strong>Mixed-methods study conducted across two UK NHS hospitals between June 2023 and June 2025. Implementation outcomes were surgical intervention rates comparing IOTA-ADNEX-guided and retrospectively calculated RMI-based management using National Institute for Health and Care Excellence/Royal College of Obstetricians and Gynaecologists thresholds and patient process metrics. 11 qualitative semi-structured interviews were conducted with NHS staff involved in OSC implementation and thematic analysis performed.</p><p><strong>Results: </strong>Of 334 patients, 42% (139) underwent same-day discharge. Using IOTA-ADNEX at a 10% threshold, 10% (32/334) of patients underwent surgery under the general gynaecology and cancer unit team. In comparison, 30% (94/334) would have undergone surgery under the same teams if RMI-based triage had been used. Five themes identified from qualitative analysis: organisational infrastructure, clinical decision-making, communication and pathway definition, professional collaboration and training support, and patient experience. Key facilitators included dedicated clinical leadership, timely decision-making capabilities and quality assurance sessions. Barriers included lack of standardised post-clinic pathways and insufficient staff communication about pathway changes.</p><p><strong>Conclusions: </strong>IOTA-ADNEX implementation in OSC offers high same-day discharge rates and reduction in surgical rates compared with RMI triage. To ensure success, implementation should be supported by adequate infrastructure, training and clear pathways. It requires leadership, comprehensive staff training and robust communication strategies. These findings provide practical guidance for healthcare systems for wider implementation of IOTA-ADNEX.</p>","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimising multidisciplinary team care in paediatric inflammatory bowel disease: a healthcare improvement initiative from a dedicated referral centre.","authors":"Valeria Dipasquale, Nick DelNero, Grace Liddiard, Charlotte Hinchliffe, Rhona Hubbard, Zuzana Londt, Priya Narula, Akshay Kapoor","doi":"10.1136/bmjoq-2025-003967","DOIUrl":"10.1136/bmjoq-2025-003967","url":null,"abstract":"<p><p>Paediatric inflammatory bowel disease (IBD) requires complex, multidisciplinary care. However, variation in service delivery and limited insight into patient and family experience may impact care quality. This study evaluated patient-reported experience in a specialist paediatric IBD multidisciplinary team (MDT) clinic, benchmarked findings against an internal target and informed local quality improvement.All patients and accompanying family members attending the MDT clinic at Sheffield Children's Hospital between November 2023 and May 2024 (n=242 attendances) were invited to complete a 15-item feedback questionnaire covering access, consultation quality, communication, self-management confidence, psychosocial support and environmental factors. Responses were coded numerically (-2 to +2), summed and normalised to a percentage scale. Quality improvement methodology was applied to analyse results against a Trust-defined benchmark of 82.5% and identify SMART (Specific, Measurable, Achievable, Relevant, Time-bound) improvement targets.49 questionnaires were returned (20.2% response rate). High satisfaction was reported for consultation time and clinician responsiveness (100%), staff professionalism (94%) and clarity of management instructions (90%). Domains falling below benchmark included appointment scheduling (77.6%), waiting times (81.6%), communication with primary care (78.6%), self-management confidence (80.6%) and transition planning (66%). Based on the baseline results, we subsequently implemented SMART-based interventions, including nurse-led triage, pharmacist-led medication reviews and structured transition pathways. Early feedback suggested improved coordination and reduced waiting times.Families value MDT outpatient care in paediatric IBD, particularly in-clinic interactions and clarity of care. Persistent gaps in access, primary care coordination and transition planning highlight opportunities for targeted improvement. Integrating patient-reported experience with structured quality-improvement frameworks provides a pragmatic approach to enhancing service delivery and benchmarking outcomes.</p>","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimising the emergency-readiness of public access defibrillators across Wales using quality improvement methodology.","authors":"Susan Goodfellow, Wendy Hardyman, Jamie Sullivan, Julie Starling","doi":"10.1136/bmjoq-2025-003585","DOIUrl":"10.1136/bmjoq-2025-003585","url":null,"abstract":"<p><p>Early bystander cardiopulmonary resuscitation and use of automated external defibrillators (AEDs) have been shown to significantly improve survival from out-of-hospital cardiac arrest (OHCA). Public access to AEDs, also known as public access defibrillators (PADs), is hence a critical component for successful emergency bystander intervention.Wales currently has over 8000 PADs registered on a UK-wide defibrillator network-'The Circuit' supported by the British Heart Foundation. This enables emergency services to direct people to the nearest emergency-ready PAD when an OHCA occurs. However, not all PADs are on The Circuit as registration is not mandated, and maintaining PAD fleets in emergency-ready status represents a substantial challenge. Limited research exists regarding the veracity of operational status of PADs in real-world settings, or initiatives which increase numbers of available emergency-ready PADs.This national quality improvement (QI) project assessed the introduction, spread and scale across Wales of an innovative role, Community Coordinators, funded by Welsh Government through the Save a Life Cymru programme. The project aimed to increase the emergency-ready status of the Welsh PAD fleet by 5% from a baseline of 89% by June 2024. Data from The Circuit supported establishment of baseline measures and ongoing data analytics during the study period (August 2022-July 2024).The introduction of Community Coordinators increased the proportion of Wales' emergency-ready PADs from 0.89 to 0.94. Process measures indicated firstly, an increase in registered PADs in Wales from 6415 to 8638. Secondly, the proportion of PADs registered with a PAD Guardian on The Circuit increased from 0.73 to 0.89.This QI project demonstrated that the problem of PAD non-readiness is complex, multifactorial and dynamic. Networked Community Coordinators to support volunteer PAD Guardians increased the emergency-ready status of the all-Wales defibrillator fleet. This innovative Welsh model could benefit wider UK and international communities.</p>","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147653746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and early outcomes of a multi-site TeleHospitalist admissions programme: staff and patient perspectives from a large health system.","authors":"Ngoc-Anh Nguyen, Sarah Sossong, Farhan Ishaq, Henry Ellison, Grace Lee, Lindsay Randle, Melissa Gomez, Jannika Machnik, Sarah Pletcher","doi":"10.1136/bmjoq-2025-003963","DOIUrl":"10.1136/bmjoq-2025-003963","url":null,"abstract":"<p><strong>Background: </strong>Staffing shortages contribute to admission delays, fragmented care and hospitalist burnout. Although telemedicine has been widely adopted in critical care and subspecialties, its use in general inpatient admissions remains understudied. This study evaluated the feasibility, operational performance and early perceptions of a TeleHospitalist admissions programme designed to address nocturnal staffing shortages in a large academic health system.</p><p><strong>Methods: </strong>In October 2024, Houston Methodist launched a nocturnal TeleHospitalist programme. The programme provided centralised coverage via audio-video technology, operating from 18:00 to 02:00 initially and expanding to 18:00-06:00. Adult patients admitted from the emergency department (ED) between October 2024 and August 2025 and clinical staff involved in admission workflows, were surveyed. Operational data on admission timeliness were extracted from the Epic electronic medical record, and patient and staff experiences were evaluated through structured surveys and qualitative feedback.</p><p><strong>Results: </strong>Over 10 months, 1575 TeleHospitalist encounters were completed (median age 65 years (IQR 49 to 75); 56% were ≥65 years). Median hospital length of stay was 38.5 hours (IQR 17.3 to 66.3), and median ED arrival-to-admission time was 7.3 hours (IQR 4.7 to 12.8). Among 311 patient respondents (19.7%; median age 66.5 years (IQR 52.3 to 75.6); 5% were ≥65 years), satisfaction scores were high (median 4 (IQR 3 to 5). Staff responses (n=29) demonstrated strong endorsement: 86% favoured continuation, 79% reported comfort with the technology and 75% rated admission processes as better than traditional workflows.</p><p><strong>Conclusions: </strong>A system-wide TeleHospitalist admissions programme was feasible and well accepted by patients and staff. Older adults reported positive experiences, suggesting age is not a barrier to virtual inpatient care. Early findings indicate improved timeliness, communication and workflow efficiency while mitigating overnight staffing gaps. Future studies will evaluate long-term outcomes, cost-effectiveness and strategies to enhance privacy and patient engagement.</p>","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13055326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overview of Perinatal Quality Collaboratives and their activities to advance perinatal healthcare in the USA, 2022-2023.","authors":"Meera Menon, Merissa A Yellman, Rinka Murakami, Stacey Cunningham Penny, Isabel Zuckoff, Callie Rowland, Jacqueline Wallace, Tiffany Riehle-Colarusso, Scott D Berns","doi":"10.1136/bmjoq-2025-003765","DOIUrl":"10.1136/bmjoq-2025-003765","url":null,"abstract":"<p><strong>Introduction: </strong>Perinatal Quality Collaboratives (PQCs) are state multidisciplinary teams working to improve maternal and infant healthcare by implementing quality improvement (QI) initiatives and other activities (initiatives/activities). This study aimed to improve understanding of the scope of PQCs and their work across the USA from 2022 to 2023.</p><p><strong>Methods: </strong>The National Network of PQCs conducted an online assessment of PQCs representing all 50 US states and the District of Columbia during May-July 2023. While the assessment included some historical questions, most questions asked PQCs to report on work conducted from 1 April 2022 to 31 March 2023. Descriptive statistics of assessment data-including PQC characteristics, participation, community partner engagement, QI initiatives, and activities-were calculated.</p><p><strong>Results: </strong>The 45 responding PQCs were primarily housed in departments of health (35.6%), academic institutions (33.3%), or non-profit organisations (22.2%). Sixty-two percent of PQCs were established within the past 10 years (2014-2023). On average, 72.6% of birthing hospitals in each state participated in their PQC. Among the 26 PQCs with neonatal intensive care unit (NICU) participation, an average of 77.1% of NICUs in the state participated in their PQC. Thirty-two PQCs (71.1%) engaged with ≥1 patient/family member, and 30 PQCs (66.7%) engaged with ≥1 community-based organisation. PQCs reported on 195 initiatives/activities that they worked on during the reporting period. Twenty-six PQCs (57.8%) were working on 3-5 initiatives/activities. Most initiatives/activities were maternal-focused (n=105, 54.4%), followed by mother-infant-dyad-focused (n=53, 27.5%), and neonatal-focused (n=30, 15.5%). The most frequent initiative/activity topics were hypertensive disorders of pregnancy; substance use disorders among pregnant women; respectful care and non-medical factors that impact health; neonatal abstinence syndrome; and mental health among pregnant/postpartum women.</p><p><strong>Conclusion: </strong>These findings illustrate the breadth of PQC work and how PQCs could contribute to national efforts to improve perinatal care.</p>","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13052634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147615474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantitative resource utilisation of patients with limited English proficiency (LEP) at a community hospital emergency department (ED) observational controlled study (LEP-ED2 study).","authors":"Matthew Mo Kin Kwok, Rupinder Thandi, Arshpreet Singh Manku, Rebecca Zhu, Janice Castillo","doi":"10.1136/bmjoq-2025-003720","DOIUrl":"10.1136/bmjoq-2025-003720","url":null,"abstract":"<p><p>Patients with limited English proficiency (LEP) face communication barriers that can impact clinical assessment, prolong triage and affect diagnostic decision-making. Our Canadian community teaching hospital serves a linguistically diverse population and sought to understand the operational impact of LEP on emergency department (ED) workflow and resource use.We conducted a prospective observational controlled study (LEPED2) involving adult patients presenting to the ED with chest pain. 31 patients with LEP, identified as needing professional interpreter services, were compared with 43 patients with non-LEP. All patients with LEP received interpretation via a virtual video device. The primary outcome was triage time. Secondary outcomes included the utilisation of CT scans and hospital admission rates. Statistical analyses included one-tailed t-tests and χ² tests.Patients with LEP required significantly more time for triage (mean 7.76 min) than patients with non-LEP (5.41 min), representing a 43% increase (p=0.0003). Although differences in CT utilisation and admission rates were not statistically significant, a trend towards increased diagnostic testing among patients with LEP was observed.</p>","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13052675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147608076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increase days between maternal death at Dessie Comprehensive Specialized Hospital, Amhara region, Ethiopia.","authors":"Abebe Abrha Alene, Desalegn Tegabu Zegeye, Abera Biadgo Kefale, Ayele Samuel Bogale, Endris Mohamed, Abdulmelik Mekonen Asfaw, Haymanot Ayele Eshete, Alebachew Abebe Amare, Hailegebriel Alemu, Alemwork Desta Meshesha, Temesgen Getahun Mengstie, Ayalew Getachew Abebe, Ahemed Ali, Hailemichael Fentaw, Abiyou Kiflie","doi":"10.1136/bmjoq-2025-003693","DOIUrl":"10.1136/bmjoq-2025-003693","url":null,"abstract":"<p><strong>Background: </strong>Maternal mortality is an area of particular concern in public health, especially in Africa, maternal deaths are the highest in the world. Globally, 287 000 women died during and following pregnancy and childbirth, almost 95% of all maternal deaths occurred in low and lower middle-income countries. Ethiopia is one of the countries struggling to reduce high maternal mortality from 412 deaths per 100 000 live births to 70 deaths per 100 000 live births. Ethiopia has implemented various initiatives to handle delays related to maternal death and availing free transport and maternity service. Despite all this effort, however, the number of maternal deaths remains unacceptably high. However, none of the quality improvement (QI) projects tested and implemented to reduce maternal mortality at facility level. In response to this gap, this QI project is aimed at increasing days between maternal death at Dessie Comprehensive Specialized Hospital, Amhara region, Ethiopia.</p><p><strong>Methods: </strong>Model for Improvement method was applied. As a baseline, we collected 1 year maternal mortality data, 6 months of chart review to assess the quality of care and 1 year's data collected during implementation.</p><p><strong>Result: </strong>The T-chart shows the average days between maternal deaths at Dessie Comprehensive Specialized Hospital increased from 14 days to 39 days. When we compared the absolute numbers, there were 21 maternal deaths within 1 year after implementing the interventions, which was only nine maternal deaths compared with the same period in the previous year. When we calculated the maternal mortality ratio, we reduced it from 327 per 100 000 live births to 162 per 100 000 live births.</p><p><strong>Conclusion: </strong>The project involved three successful interventions: conducting consultations within 20 min, using the E-MOTIVE bundle checklist and implementing the pre-eclampsia/eclampsia bundle checklist. Additionally, through our Plan-Do-Study-Act cycles, we learnt that a short consultation process, having one intensive care unit bed ready for mothers, ensuring the availability of essential medicines like tranexamic acid, using bundles, maintaining strong communication, engaging senior management in QI activities and holding frequent meetings of the QI committee were all helpful in improving our QI project.</p>","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13052550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147608073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving ward round documentation using the <i>Heidi Health</i> application.","authors":"Amna Qamar, Mairead Kelly, Robert Maweni, Ayeshah Abdul-Hamid","doi":"10.1136/bmjoq-2025-003910","DOIUrl":"10.1136/bmjoq-2025-003910","url":null,"abstract":"<p><strong>Introduction: </strong>Accurate and timely documentation during surgical ward rounds is critical for ensuring patient safety, effective multidisciplinary communication and continuity of care. In high-demand surgical settings, resident doctors often experience delays in completing documentation due to competing clinical priorities. This quality improvement project aimed to assess whether an artificial intelligence (AI) transcription tool, <i>Heidi</i>, could reduce documentation time in a busy ear, nose and throat (ENT) department within a tertiary centre.</p><p><strong>Methods: </strong>Baseline data on time taken to complete conventional ward round documentation were collected over a 4-day period. The <i>Heidi</i> AI tool was then implemented to transcribe real-time discussions during ward rounds and automatically format the information using a structured template adapted from the SHINE Surgical Ward Round Toolkit. Documentation times using the AI system were recorded over a subsequent 4-day period.</p><p><strong>Results: </strong>The implementation of <i>Heidi</i> led to a statistically significant reduction in documentation time compared with conventional methods.</p><p><strong>Conclusions: </strong>Using AI tools can not only improve timeliness of clinical records but also free resident doctors from scribing duties, allowing greater participation in patient care and enhancing educational opportunities. This intervention demonstrated the potential of AI-assisted documentation to improve workflow efficiency and patient flow while supporting resident doctor training and reducing administrative burden in a surgical setting.</p>","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13052744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Engaging patient and family advisory councils (PFACs) in patient safety in healthcare organisations: a rapid scoping review.","authors":"Qëndresa Rramani Dervishi, Yannick Blum, Larissa Brust, Matthias Weigl","doi":"10.1136/bmjoq-2025-004040","DOIUrl":"10.1136/bmjoq-2025-004040","url":null,"abstract":"<p><strong>Objective: </strong>Enhancing patient safety is a global priority and active involvement of patient and family advisory councils (PFACs) has been proposed as a key strategy in this endeavour. Preparing and supporting PFAC's activities in the field of patient safety is a crucial step in sustainably implementing patient engagement in healthcare organisations. However, to what extent and through which means remains unclear. Considering these shortcomings, we aimed to synthesise the current literature base, identify and map existing resources designed to educate and support PFACs in patient safety within healthcare organisations.</p><p><strong>Methods: </strong>We conducted a rapid scoping review. Drawing on predefined eligibility criteria, we reviewed peer-reviewed and grey literature on educational resources on patient-safety-related topics aimed at PFACs in healthcare organisations. We searched three databases (PubMed, Web of Science and Scopus) as well as websites of relevant stakeholders and institutions.</p><p><strong>Results: </strong>Overall, we obtained 13 eligible sources. They featured resources ranging from reading materials to more intensive workshop sessions-combining active and passive learning approaches. Definition of key concepts and stakeholder roles were common topics in most sources. Yet, contents specific to patient safety showed considerable variability, likely due to context-specific approaches, local practices and lack of overall guidelines. Standardised resources tailored to PFACs' unique needs in patient safety were largely absent.</p><p><strong>Conclusion: </strong>This review highlights the limited availability of comprehensive, well-documented resources for PFACs. It further corroborates the need for systematic approaches to support patient engagement activities and meaningful involvement in patient safety.</p><p><strong>Practice implications: </strong>Our findings provide a first synthesis of the literature, inform future research as well as the development of respective patient engagement initiatives in patient safety. Moreover, they underscore the importance of developing standardised, yet adaptable resources to equip PFACs for their role in fostering safer healthcare systems.</p><p><strong>Trial registration number: </strong>DRKS00034733.</p>","PeriodicalId":9052,"journal":{"name":"BMJ Open Quality","volume":"15 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13052535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}