Rise and demise of the hospital: Managing hospital inpatient care

doi:10.1136/bmj.332.7532.52-d

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Graham Neale, visiting professor (g.neale@imperial.ac.uk),
Sisse Olsen, research fellow, Clinical Safety Research Unit

Department of Biosurgery and Surgical Technology, Imperial College, St Mary's Hospital, London W2 1NY
Department of Biosurgery and Surgical Technology, Imperial College, St Mary's Hospital, London W2 1NY

Editor—Black calls for nurses to transform our hospitals.1 This will not happen without a major change in the clinical culture that pervades hospital practice.

Observational studies show inadequate communication between doctors and other clinical staff.2 Attempts to foster collaboration are undermined by differential power and status, lack of interprofessional socialisation, and inadequate attention …