BACKGROUND A multi-method strategy has been proposed to understand and improve the safety of primary care. The trigger tool is a relatively new method that has shown promise in American and secondary healthcare settings. It involves the focused review of a random sample of patient records using a series of "triggers" that alert reviewers to potential errors and previously undetected adverse eve...

Ethics tells us: do good and do no harm and invokes the norms of justice, equity and respect for autonomy in protecting and promoting health and well-being. The Precautionary Principle, a contemporary re-definition of Bradford Hill's case for action, gives us a common sense rule for doing good by preventing harm to public health from delay: when in doubt about the presence of a hazard, there sh...

The markedly high levels of preventable death and injury from COVID-19 in the UK have been refracted by government appeals to “British common-sense” response crisis. We critically explore this appeal as a generator harm continuous with free-market common-sense (FMCS) that stretches back start 1980s Thatcherite assault on state protections, “enemies within” expertise public realm, driving legiti...

objective: self-harm was classified to show forms like non-suicidal self injury and indirect risky behaviors and drug abuse. the aims of this study were to compare suicidal tendencies indexes and difficulty in emotion regulation skills in mixed groups of adolescents with direct and indirect forms of self-harm. methods: in a casual-comparative design from population of delinquent adolescents det...

Battles may be won, but the war against threats to patient safety continues, and time will tell if escalation of the war will reduce casualties. Brent James, MD, the well-known advocate of process improvement, several years ago described himself as a “terrorist” for health care safety. Despite Dr. James’ commitment to escalate the war in an attempt to reduce medical errors, particularly errors ...

PurposeTo prospectively examine diagnostic error of neuro-ophthalmic conditions and resultant harm at multiple sites.DesignProspective, cross-sectional study.ParticipantsA total 496 consecutive adult new patients seen 3 university-based neuro-ophthalmology clinics in the United States 2019 to 2020.MethodsCollected data regarding demographics, prior care, referral diagnosis, final testing, treat...

Introduction Repeated self-harm represents the single strongest risk factor for suicide. Worldwide, suicide is second leading cause of death in young people aged 15-29 year, and many Asian countries. Objectives This qualitative study was nested a multi-center effectiveness trial Y outh C ulturally-adapted M anual A ssisted Problem-solving intervention (Y-CMAP) prevention Pakistan aimed to explo...

Background: To prevent adverse drug events and promote patient safety, medication reconciliation is critical in all patient care settings. The purpose of this study was to identify medication discrepancies occurring in an inpatient medicine unit and to analyze the clinical and economic benefit of clinical pharmacist and physician team collaboration. Methods: A prospective cohort study in which ...

Semantic web technologies can support the rapid and transparent validation of scientific claims by interconnecting the assumptions and evidence used to support or challenge assertions. One important application domain is medication safety, where more efficient acquisition, representation, and synthesis of evidence about potential drug-drug interactions is needed. Potential drug-drug interaction...

OBJECTIVES To design and pilot a survey to be used at the population level to estimate the frequency of patient-perceived potentially harmful preventable problems occurring in UK primary care. To explore the nature of the problems, patient-suggested strategies for prevention and opinions of clinicians and the public regarding the potential for harm. DESIGN A survey was codesigned by three mem...