Intended for healthcare professionals

Letters Improving quality of healthcare

Careful evaluation of change is mandatory

BMJ 2019; 365 doi: (Published 28 June 2019) Cite this as: BMJ 2019;365:l4407
  1. S Michael Crawford, clinical lead for research
  1. Airedale NHS Foundation Trust, Keighley BD20 6TD, UK
  1. s.m.crawford{at}

Fulop and Ramsay describe how organisations can drive changes in practice that can improve care.1 Their underlying assumption is that all such change is beneficial.

All humans are capable of self interest, which can lead to errors. Fulop and Ramsay’s concept of challenge applies to dealing with …

View Full Text

Log in

Log in through your institution


* For online subscription