BMJ Quality & Safety

Beyond ‘diagnostic error’: an ethnography of resilient behaviours and system adaptations in paediatric outpatient diagnosis

Background Improving paediatric diagnosis by addressing errors (Safety-I) is insufficient for diagnostic excellence.
qualitysafety.bmj

Testing the system without breaking it: the risks of in situ simulation

Simulation-based education (SBE) is often justified by its promise to support patient safety. ‘Practise without risk’ is claimed—rehearsing procedures, communication, teamwork and rare ...
BMJ Quality & Safety

Real-time clinical decision support system for early identification of infection and sepsis in the intensive care unit: a retrospective development and prospective deplo…

Background Sepsis and infection are distinct yet overlapping conditions in the intensive care unit (ICU), posing diagnostic ...
qualitysafety.bmj

Why a 'human-in-the-loop is not an adequate safety strategy: the case for vendor accountability in clinical AI safety

Healthcare systems face a rapidly expanding wave of artificial intelligence (AI) applications with the potential to improve outcomes, save time, reduce burnout and increase revenue. As applications ...
qualitysafety.bmj

Association between mass casualty in-situ simulation format with ongoing operational and patient care metrics in an adult emergency department: a retrospective cohort study

Background In situ simulation (ISS) has seen broad use in academic emergency medicine (EM). Studies with limited clinical data suggest a dual paradigm model to assess the efficacy of these educational ...
qualitysafety.bmj

Current Issue

Widening global gap in safe surgery: revisiting the surgical safety checklist at the 20th anniversary of the WHO Surgical Safety Checklist (21 April, 2026) Free ...