Quality & Safety in Health Care (QSHC) is a leading international peer review journal providing information to improve patient safety and quality of care. It is an essential forum for researchers, clinical professionals and managers as well as experts in organisational development and behaviour. QSHC aims to contribute actively to the debate about the quality and safety of health care by exploring subjects and ideas, from both routine clinical and managerial practice and research, which concern and inform this debate and which focus on real benefits to patients.