Letters Is quality of care improving?

Improvement efforts need to be targeted at junior doctors

BMJ 2011; 342 doi: http://dx.doi.org/10.1136/bmj.d1323 (Published 01 March 2011) Cite this as: BMJ 2011;342:d1323
  1. Rob Bethune, surgical registrar, Severn Deanery, and clinical adviser, Health Foundation1,
  2. Alice Roueché, clinical leadership fellow2,
  3. Toby Hilman, board member3
  1. 1Severn Deanery, Deanery House, Bristol BS16 1GW, UK
  2. 2London Deanery, Stewart House, London WC1B 5DN, UK
  3. 3The Network, www.networkwithnoname.net
  1. rob.bethune{at}nhs.net

Pronovost and colleagues and the linked evaluations of the Safer Patient Initiative (SPI) comment on the successes and failures of the patient safety and quality improvement movement in the UK.1 2 3

Crucially, the initiatives were not targeted at …

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