BMJ Quality & Safety

BMJ Quality & Safety (previously Quality & Safety in Health Care) is an international peer review publication providing research, commentaries and reviews for academics, clinicians and healthcare managers focused on the quality and safety of health care and the science of improvement. It is part of the BMJ publishing group.

Dr. Shojania (Director of C-QuIPS) has been the Editor-in-Chief since January 2011.

The journal receives approximately 1000 manuscripts a year and has an acceptance rate for original research of 10%. .During Dr. Shojania’s tenure as editor, the journal’s impact factor has increased each year, from 1.6 in 2012 to its most recent value of 3.988 in 2015.

Notable articles published in 2015 include:


Looking at the group, one is immediately struck by the range of topics and methodologies—the identification of common themes in over 10,000 medication errors related to computerized entry followed by vulnerability testing of 16 commercial and home grown CPOE systems using test orders incorporating these themes, an analysis of the narratives of patients who have injured by medical care, an temporal trends in the prevalence of patient safety problems in three national studies over a roughly ten year period, the development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency, and a study in which patients presenting to an emergency department agreed to have their social media accounts linked accessed and linked to their medical records in order to analyse the comments they made about the care they received.

The journal also published notable commentaries on problems and misconceptions involving commonly used tools and approaches to improving quality and safety, such as incident reporting, plan-do-study-act cycles, and checklists, as well useful review articles on the importance of articulating a theory for improvement interventions and the power of small sample sizes in rapid-cycle improvement projects.

Notable articles from 2014 included the development and evaluation of a strategy to mitigate errors due to interruption during chemotherapy verification and administration, a synthesis of data from several epidemiologic studies to estimate the national frequency of serious diagnostic delays in the outpatient setting, an elegant study of the Hawthorne Effect in monitoring hand hygiene compliance, and an impressive time series analysis at two hospitals evaluating the impact on hospital mortality of an electronic early warning surveillance system.