In clinical practice,'grand rounds' are well known as a method for continuing medical
education. In the early 1900s, grand rounds involved bedside teaching, but teaching …

Healthcare quality and safety span multiple topics across the spectrum of academic and
clinical disciplines. Keeping abreast of the rapidly growing body of work can be challenging …

The clinical syndrome of delirium is highly prevalent in hospitalised patients, affecting 3%–
29% of all hospitalised adults and 22%–89% of elderly patients with dementia. 1 Delirium is …

Significant problems with the quality and safety of care seem endemic in all healthcare
systems. In a recent systematic review of case note review studies, over 9% of patients …

The fields of healthcare quality and patient safety are not immune to the concerns being
expressed across several disciplines about the lack of transparency and reproducibility of …

Randomised controlled trials (RCTs) are considered the gold standard for the rigorous
evaluation of healthcare interventions because, when feasible, they generate the least …

The recent article by Davidoff and Batalden and the accompanying commentaries left us
with mixed emotions. 1–4 On the one hand we applaud the authors' efforts to improve the …

Scholars in the last half of the 20th century forged our modern commitment to evidence in
evaluating clinical practices. They were courageous people, iconoclasts for their time …

As a clinical trialist, I had thought that the methods I employed were far more challenging
than those I had thought were needed for quality improvement. However, some personal …

At BMJ Quality & Safety, we frequently receive manuscripts that in some way replicate prior
research. For example, authors submit research seeking to validate previously published …