Objective To understand how lean thinking has been put into practice in healthcare and how it has worked. Design A realist literature review. Data sources The authors systematically searched for ...

Background Although well-established principles exist for improving the timeliness and efficiency of care, many organisations struggle to achieve more than small-scale, localised gains. Where care ...

Correspondence to Stephanie P Schwartz, Department of Pediatrics, University of North Carolina at Chapel Hill Children's Hospital, Chapel Hill, NC 27514, USA; stephanie_schwartz{at}unc.edu Background ...

Department of Anaesthesiology and Critical Care Medicine, The Johns Hopkins University, Baltimore, MD, USA Correspondence to: Associate Professor P J Pronovost Department of Anaesthesiology and ...

The role and value of theory in improvement work in healthcare has been seriously underrecognised. We join others in proposing that more informed use of theory can strengthen improvement programmes ...

Department of Health Services Research & Policy, London School of Hygiene & Tropical Medicine, London, UK Correspondence to Dr Nick Black, Department of Health Services Research & Policy, London ...

Background Debriefings help teams learn quickly and treat patients safely. However, many clinicians and educators report to struggle with leading debriefings. Little empirical knowledge on optimal ...

Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA Correspondence to Dr Dara Brodsky, Department of Neonatology, Beth Israel Deaconess Medical Center, Rose 3, ...

1 Division of Physical Therapy Education, School of Allied Health Professions, University of Nebraska Medical Center, Omaha, Nebraska, USA 2 Department of Biostatistics, College of Public Health, ...

Correspondence to Eric J Thomas, University of Texas at Houston, Memorial Hermann Center for Healthcare Quality and Safety, 6410 Fannin, UPB 1100.45, Houston, TX 77030, USA; eric.thomas{at}uth.tmc.edu ...

1 Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA 2 Center for Surgery and Public Health, Brigham and Women’s Hospital, Boston, Massachusetts, ...

1 Department of Family Medicine and MEDEX Northwest, University of Washington, Seattle, Washington, USA 2 Department of Biobehavioral Nursing, University of Washington, Seattle, Washington, USA 3 ...