Bristol, Shipman, and clinical governance: Shewhart's forgotten lessons

Mohammed, Mohammed A.; Cheng, Kar Keung; Rouse, Andrew; Marshall, Tom

doi:10.1016/s0140-6736(00)04019-8

Cited by 192 publications

(119 citation statements)

References 13 publications

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“…The control charts provided a valuable tool for monthly review of mortality and identification of non-random variation. [8][9][10][11] They are easy to use and simple to understand for non-statisticians. More importantly they are statistically robust and promote an objective assessment of variation rather than selective interpretation of single data points.…”

Section: Discussionmentioning

confidence: 99%

Learning from death: a hospital mortality reduction programme

Wright

Dugdale

Hammond

et al. 2006

Journal of the Royal Society of Medicine

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Section: Discussionmentioning

confidence: 99%

Learning from death: a hospital mortality reduction programme

Wright

Dugdale

Hammond

et al. 2006

Journal of the Royal Society of Medicine

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“…24,[97][98][99][100][101] Recent high-profile public enquiries into adverse outcomes of medical practice (e.g. Mohammed and colleagues 102 ) and some of the activities of the Healthcare Commission (www.healthcare-commission.org.uk) might also be added to this group. In a preliminary screen, we found many published studies of single and multiple incidents in hospital specialities, in primary care and in mental health and rather less work on the development of method either conceptually or practically.…”

Section: Rationale For the Sequence Of Activitiesmentioning

confidence: 99%

The investigation and analysis of critical incidents and adverse events in healthcare

Woloshynowych

Rogers²,

Taylor‐Adams³

et al. 2005

Health Technol Assess

118

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“…[51][52][53] The success of each of these in turn rests upon high quality, locally derived and used, detailed clinical data sets. 47 Identifying the potential pitfalls, as we have done, highlights where most attention must be paid by quality researchers to ensure that the comparisons produced are robust and reliable indicators of real variations in quality practice.…”

Section: Discussionmentioning

confidence: 99%