Understanding the scale and nature of avoidable healthcare-associated harm for prisoners in England: protocol for a retrospective cross-sectional study. Andrew Carson-Stevens, Isobel Joy McFadzean, Thomas Purchase, Sioned Gwyn, Stuart Hellard, Kate Davies, Darren M. Ashcroft, Anthony Avery, Stephen Campbell, Adrian Edwards, Sandra Flynn, Thomas Hewson, Saied Ibrahim, Melanie Jordan, Richard N. Keers, Tim Millar, Maria Panagioti, Caroline Sanders, Jane Senior, Caroline Stevenson, Ellie Thompson, Florian Walter, Carl de Wet, Verity Wainwright, Jenny Shaw (BMJ Open)

Improving medication safety for intensive care patients transitioning to a hospital ward: development of a theory-informed intervention package. Richard S. Bourne, Mark Jeffries, Jennifer K. Jennings, Darren M. Ashcroft & Paul Norman (BMC Health Services Research) 

Primary care contact, clinical management, and suicide risk following discharge from inpatient mental health care: a case–control study. Rebecca Musgrove, Matthew J Carr, Nav Kapur, Carolyn A Chew-Graham, Faraz Mughal, Darren M Ashcroft and Roger T Webb (BJGP Open) 

Suicide and self-harm in prisons: The challenge of service evaluation and prevention. Alexander Challinor, Joe Rafferty, Noir Thomas, Sarah Pilling, Sahil Bhandari, Saied Ibrahim, Nav Kapur (CBMH) 

The Lancet Commission on self-harm. Prof Paul Moran, Prof Amy Chandler, Prof Pat Dudgeon, Olivia J Kirtley, Duleeka Knipe, Prof Jane Pirkis, Mark Sinyor, Rosie Allister, Jeffrey Ansloos, Melanie A Ball, Prof Lai Fong Chan, Leilani Darwin, Kate L Derry, Prof Keith Hawton, Veronica Heney, Sarah Hetrick, Ang Li, Daiane B Machado, Emma McAllister, David McDaid, Ishita Mehrax, Prof Thomas Niederkrotenthaler, Prof Matthew K Nock, Victoria M O’Keefe, Prof Maria A Oquendo, Prof Joseph Osafo, Prof Vikram Patel, Soumitra Pathare, Shanna Peltier, Tessa Roberts, Prof Jo Robinson, Fiona Shand, Fiona Stirling, Jon P A Stoor, Natasha Swingler, Prof Gustavo Turecki, Prof Svetha Venkatesh, Waikaremoana Waitoki, Michael Wright, Prof Paul S F Yip, Michael J Spoelma, Prof Navneet Kapur, Prof Rory C O’Connor, Prof Helen Christensen (The Lancet) 

European Nurses’ Burnout before and during the COVID-19 Pandemic and Its Impact on Patient Safety: A Scoping Review. Goitseone Mogomotsi and Jennifer Creese (MDPI) 

The use of locum doctors in the NHS: understanding and improving the quality and safety of care. Thomas Allen, Darren Ashcroft, Jane Ferguson, Christos Grigoroglou, Evan Kontopantelis, Gemma Stringer & Kieran Walshe (NIHR Journals) 

Exploring General Practitioners’ Management of Self-Harm in Young People: A Qualitative Study. Faraz Mughal, Benjamin Saunders, Martyn Lewis, Christopher J. Armitage, Lisa Dikomitis, Gillian Lancaster, Ellen Townsend, Carolyn A. Chew-Graham (Health Expectations) 

The role of the community pharmacy work system in the enactment of pharmacists’ non-technical skills. Ahmed Ashour, Darren M. Ashcroft and Denham L. Phipps (Ergonomics) 

Assessment and management of self-harm and suicide risk in young people. Faraz Mughal, Dennis Ougrin, Lucy Stephens, Lakshmi Vijayakumar, Nav Kapur (BMJ) 

‘None of Them Know Me’: A Qualitative Study of the Implications of Locum Doctor Working for Patient Experience. Jane Ferguson, Gemma Stringer, Kieran Walshe, Ailsa Donnelly, Christos Grigoroglou, Thomas Allen, Evangelos Kontopantelis, Darren M. Ashcroft (Health Expectations) 

Estimating the economic effect of harm associated with high risk prescribing of oral non-steroidal anti-inflammatory drugs in England: population based cohort and economic modelling study. Elizabeth M Camacho, Leonie S Penner, ,Amy Taylor, Bruce Guthrie, Anthony J Avery, Darren M Ashcroft, Daniel R Morales, Gabriel Rogers, Antony Chuter, Rachel A Elliott (BMJ) 

Protocol for the development and validation of a Polypharmacy Assessment Score. Jung Yin Tsang, Matthew Sperrin, Thomas Blakeman, Rupert A. Payne & Darren M. Ashcroft (BMC – Diagnostic and Prognostic Research) 

Indirect effects of the COVID-19 pandemic on diagnosing, monitoring, and prescribing in people with diabetes and strategies for diabetes service recovery internationally. Martin K. Rutter, Matthew J. Carr, Alison K. Wright, Naresh Kanumilli, Nicola Milne, Ewan Jones, Peter Elton, Antonio Ceriello, Anoop Misra, Stefano Del Prato, Emma Barron, Clare Hambling, Naveed Sattar, Kamlesh Khunti, Jonathan Valabhji, Eva L. Feldman, Darren M. Ashcroft (Diabetes Research and Clinical Practice) 

Healthcare practitioners’ views of self-harm management practices in older adults in Ireland: A qualitative study. M. Isabela Troya, Caoimhe Lonergan, Eugene Cassidy, Eve Griffin, Sally Ann Lovejoy, Faraz Mughal, Vincent Russell, Ella Arensman (International Journal of Geriatric Psychiatry) 

Performance of CHA2DS2-VASc and HAS-BLED in predicting stroke and bleeding in atrial fibrillation and cancer. Alyaa M Ajabnoor, Salwa S Zghebi, Rosa Parisi, Darren M Ashcroft, Corinne Faivre-Finn, Mamas A Mamas, Evangelos Kontopantelis (European Heart Journal Open) 

Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. Elizabeth Sutton, Mudathir Ibrahim, William Plath, Lesley Booth, Mark Sujan, Peter McCulloch, Nicola Mackintosh (BMJ Quality & Safety) 

Role of coproduction in the sustainability of innovations in applied health and social care research: a scoping review. Charlotte Overton, Carolyn Tarrant, Jennifer Creese, Natalie Armstrong (BMJ Open Quality) 

Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. Jung Yin Tsang, Matthew Sperrin, Thomas Blakeman, Rupert A Payne, Darren Ashcroft (BMJ Open) 

Qualitative Insights Into Patients’ and Family Members’ Experiences of In-Hospital Medication Management After a Critical Care Episode. Richard S. Bourne, Mark Jeffries, Eleanor Meakin, Ross Norville, Darren M. Ashcroft (CHEST Critical Care) 

Randomised controlled trial of population screening for atrial fibrillation in people aged 70 years and over to reduce stroke: protocol for the SAFER trial. Jonathan Mant, Rakesh N Modi, Andrew Dymond, Natalie Armstrong, Jenni Burt, Peter Calvert, Martin Cowie, Wern Yew Ding, Duncan Edwards, Ben Freedman, Simon J Griffin, Sarah Hoare, F D Richard Hobbs, Rachel Johnson, Stephen Kaptoge, Gregory Y H Lip, , Trudie Lobban, Mark Lown, Jenny Lund, Richard J McManus, Mark T Mills, Stephen Morris, Alison Powell, Riccardo Proietti, Stephen Sutton, Mike Sweeting, Howard Thom, Kate Williams (BMJ Open) 

Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. Jane Ferguson, Gemma Stringer, Kieran Walshe, Thomas Allen, Christos Grigoroglou, Darren M Ashcroft, Evangelos Kontopantelis (BMJ) 

Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units. Adam B. Sutherland, Denham L. Phipps, Suzanne Grant, Joanne Hughes, Stephen Tomlin & Darren M. Ashcroft (Ergonomics)

Comparing the clinical practice and prescribing safety of locum and permanent doctors: observational study of primary care consultations in England. Christos Grigoroglou, Kieran Walshe, Evangelos Kontopantelis, Jane Ferguson, Gemma Stringer, Darren M. Ashcroft & Thomas Allen (BMC Medicine) 

Survival Outcomes in Older Women with Oestrogen-Receptor-Positive Early-Stage Breast Cancer: Primary Endocrine Therapy vs. Surgery by Comorbidity and Frailty Levels. Yubo Wang, Douglas Steinke, Sean P. Gavan, Teng-Chou Chen, Matthew J. Carr, Darren M. Ashcroft, Kwok-Leung Cheung and Li-Chia Chen (Cancers) 

Identifying prior signals of bipolar disorder using primary care electronic health records: a nested case–control study. Catharine Morgan, Darren M Ashcroft, Carolyn A Chew-Graham, Matthew Sperrin, Roger T Webb, Anya Francis, Jan Scott and Alison R Yung (BJGP) 

Development of prescribing indicators related to opioid-related harm in patients with chronic pain in primary care—a modified e-Delphi study. Neetu Bansal, Stephen M. Campbell, Chiu-Yi Lin, Darren M. Ashcroft, Li-Chia Chen (BMC Medicine) 

Medication Safety Gaps in English Pediatric Inpatient Units: An Exploration Using Work Domain Analysis. Adam Sutherland, Denham L. Phipps, Andrea Gill, Stephen Morris, Darren M. Ashcroft (Journal of Patient Safety) 

Providing care to marginalised communities: a qualitative study of community pharmacy teams. Helen Gibson, Caroline Sanders, Thomas Blakeman, Darren M Ashcroft, Nina Fudge, Kelly Howells (BJGP – British Journal of General Practice)

Risk of Falls and Fractures in Individuals With Cataract, Age-Related Macular Degeneration. Jung Yin Tsang, Alison Wright, Matthew J. Carr, Christine Dickinson, Robert A. Harper, Evangelos Kontopantelis, Tjeerd Van Staa, Luke Munford, Thomas Blakeman, Darren M. Ashcroft (JAMA Ophthalmology)

Identifying patients with additional needs isn’t enough to improve care: harnessing the benefits and avoiding the pitfalls of classification. Natalie Armstrong, Elizabeth Sutton, Sarah Chew, Carolyn Tarrant (BMJ Quality & Safety)

Evaluating the UK’s first national prescribing assessment for GPs in training using an online survey. Richard Knox, Brian G Bell, Ndeshi Salema, Kim Emerson, Susan Bodgener, Jonathan Rial, Gill Gookey, Glen Swanwick, Anna Charly and Anthony J Avery (BJGP Open) 

Clinical risk associated with COVID-19 among 86000 patients with congenital heart disease. Simon G. Williams, Simon Frain, Hui Guo, Matthew J Carr, Darren M Ashcroft, Bernard D Keavney (Open Heart) 

Predicting risk of endometrial cancer in asymptomatic women (PRECISION): Model development and external validation. Sarah J. Kitson, Emma J. Crosbie, D. Gareth Evans, Aritaya Lophatananon, Kenneth R. Muir, Darren Ashcroft, Evan Kontopantelis, Glen P. Martin. (BJOG)

unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study. Matthew J Ayre, Penny J Lewis, Denham L Phipps, Richard N Keers (Frontiers)

Transitional Care Interventions From Hospital to Community to Reduce Health Care Use and Improve Patient Outcomes: A Systematic Review and Network Meta-Analysis. Natasha Tyler, Alexander Hodkinson, Claire Planner, Ioannis Angelakis, Christopher Keyworth, Alex Hall, Paul Pascall Jones, Oliver George Wright, Richard Keers, Tom Blakeman, Maria Panagioti (JAMA Network Open) 

A Multi-method Exploratory Evaluation of a Service Designed to Improve Medication Safety for Patients with Monitored Dosage Systems Following Hospital Discharge. Fatema A Alqenae, Douglas Steinke, Hilary Belither, Peter Robertson, Jennifer Bartlett, Jack Wilkinson, Steven D Williams, Lawrence Brad, Mark Jeffries, Darren M Ashcroft, Richard N Keers (Drug Safety)

Common Cancer Types and Risk of Stroke and Bleeding in Patients With Nonvalvular Atrial Fibrillation: A Population-Based Study in England. Alyaa M Ajabnoor, Rosa Parisi, Salwa S Zghebi, Darren M Ashcroft, Corinne Faivre-Finn, Charlotte Morris, Mamas A Mamas, Evangelos Kontopantelis (JAHA)

The association of herpes zoster and influenza vaccinations with the risk of developing dementia: a population-based cohort study within the UK Clinical Practice Research Datalink. Artitaya Lophatananon, Matthew Carr, Brian Mcmillan, Curtis Dobson, Ruth Itzhaki, Rosa Parisi, Darren M. Ashcroft, Kenneth R. Muir (BMC Public Health)

The Impact of Oral Antibiotics Prior to Cancer Diagnosis on Overall Patient Survival: Findings from an English Population-Based Cohort Study. Eleni Domzaridou, Tjeerd Van Staa, Andrew G. Renehan, Natalie Cook, William Welfare, Darren M. Ashcroft, Victoria Palin (Current Oncology) 

Changes to healthcare utilisation and symptoms for common mental health problems over the first 21 months of the COVID-19 pandemic: parallel analyses of electronic health records and survey data in England. Vicky P. Taxiarchi, Morwenna Senior, Darren M. Ashcroft, Matthew J. Carr, Holly Hope, Matthew Hotopf, Evangelos Kontopantelis, Sally McManus, Praveetha Patalay, Sarah Steeg, Roger T. Webb, Kathryn M. Abel, Matthias Pierce (The Lancet Regional Health)

New Guidance for Self-harm: An Opportunity Not to Be Missed. Faraz Mughal, Fiona M. Burton, Harriet Fletcher, Karen Lascelles, Rory C. O’Connor, Sarah Rae, Alex B. Thomson, Nav Kapur (The British Journal of Psychiatry)

The Impact of Frailty and Deprivation on the Likelihood of Receiving Primary Total Hip and Knee Arthroplasty among People with Hip and Knee Osteoarthritis. M. J. Cook, M. Lunt, D. M. Ashcroft, T. Board, Terence W. O’Neill (J Frailty Aging) 

Adverse drug reactions and hospital admissions: Large case-control study of patients aged 65–100 years using linked English primary care and hospital data. Tjeerd Pieter van Staa1, Munir Pirmohamed, Anita Sharma, Darren M. Ashcroft, Iain Buchan (BMC Med) 

Knowledge support for optimising antibiotic prescribing for common infections in general practices: evaluation of the effectiveness of periodic feedback, decision support during consultations and peer comparisons in a cluster randomised trial (BRIT2). Tjeerd van Staa, Anita Sharma, Victoria Palin, Ali Fahmi, Harriet Cant, Xiaomin Zhong, Francine Jury, Natalie Gold, William Welfare, Darren Ashcroft, Jung Yin Tsang, Rachel Ann Elliott, Christopher Sutton, Chris Armitage, Philip Couch, Georgina Moulton, Edward Tempest, Iain Edward Buchan (BMJ Open) 

Non-fatal overdose risk associated with prescribing opioid agonists concurrently with other medication: Cohort study conducted using linked primary care, secondary care and mortality records. Eleni Domzaridou, Matthew J. Carr, Tim Millar, Roger T. Webb, Darren M. Ashcroft (Addiction) 

Association of strong opioids and antibiotics prescribing with GP burnout: a retrospective cross-sectional study. Alexander Hodkinson, Salwa S Zghebi, Evangelos Kontopantelis, Christos Grigoroglou, Darren M Ashcroft, Mark Hann, Carolyn A Chew-Graham, Rupert A Payne, Paul Little, Simon de Lusignan, Anli Zhou, Aneez Esmail and Maria Panagioti (BJGP) 

Impact of the COVID-19 pandemic on new diagnoses of type 2 diabetes in England. Emma Barron, Kamlesh Khunti, Alison K. Wright, Darren M. Ashcroft, Matthew J. Carr, Martin K. Rutter, Jonathan Valabhji (Diabetes, obesity and metabolism) 

Frequency and impact of medication reviews for people aged 65 years or above in UK primary care: an observational study using electronic health records. Rebecca M. Joseph, Roger D. Knaggs, Carol A. C. Coupland, Amelia Taylor, Yana Vinogradova, Debbie Butler, Louisa Gerrard, David Waldram, Barbara Iyen, Ralph K. Akyea, Darren M. Ashcroft, Anthony J. Avery & Ruth H. Jack (BMC Geriatrics) 

Protocol for the mixed methods, Managing young people (aged 16–25) with Attention deficit hyperactivity disorder in Primary care (MAP) study: mapping current practice and co-producing guidance to improve healthcare in an underserved population. Anna Price, Jane R Smith, Faraz Mughal, Anita Salimi, G J Melendez-Torres, Tamsin Newlove-Delgado (BJM Open) 

Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: A prioritisation nominal group technique. Sarah McMullen, Maria Panagioti, Claire Planner, Sally Giles, Ioannis Angelakis, Richard N Keers, Catherine Robinson, Yu Fu, Judith Johnson, Natasha Tyler (Health Expectations) 

Recent GP consultation before death by suicide in middle-aged males: a national consecutive case series study. Faraz Mughal, Lana Bojanić, Cathryn Rodway, Jane Graney, Saied Ibrahim, Leah Quinlivan, Sarah Steeg, Su-Gwan Tham, Pauline Turnbull, Louis Appleby, Roger T Webb and Nav Kapur (BJGP) 

Temporal trends in eating disorder and self-harm incidence rates among adolescents and young adults in the UK in the 2 years since onset of the COVID-19 pandemic: a population-based study. Alex M Trafford, Matthew J Carr, Prof Darren M Ashcroft, Prof Carolyn A Chew-Graham, Emma Cockcroft, Lukasz Cybulski, Emma Garavini, Shruti Garg, Thomas Kabir, Nav Kapur, Rachel K Temple, Roger T Webb, Pearl L H Mok (The Lancet Child & Adolescent Health) 

Patient safety in prisons: a multi-method analysis of reported incidents in England. Isobel J McFadzean, Kate Davies, Thomas Purchase, Adrian Edwards, Stuart Hellard, Darren M Ashcroft, Anthony J Avery, Sandra Flynn, Tom Hewson, Melanie Jordan, Richard Keers, Maria Panagioti, Verity Wainwright, Florian Walter, Jenny Shaw, Andrew Carson-Stevens (J R Soc Med) 

Using sociotechnical theory to understand medication safety work in primary care and prescribers’ use of clinical decision support: a qualitative study. Mark Jeffries, Nde-Eshimuni Salema, Libby Laing, Azwa Shamsuddin, Aziz Sheikh, Tony Avery, Antony Chuter, Justin Waring, Richard Neil Keers (BMJ Open) 

Clinician acceptability of an antibiotic prescribing knowledge support system for primary care: a mixed-method evaluation of features and context. Ruth Hurley1, Francine Jury, Tjeerd P. van Staa, Victoria Palin, Christopher J. Armitage (BMC Health Serv) 

Evaluating a co-designed care bundle to improve patient safety at discharge from adult and adolescent mental health services (SAFER-MH and SAFER-YMH): protocol for a non-randomised feasibility study. Natasha Tyler, Ioannis Angelakis, Richard Neil Keers, Claire Planner, Alexander Hodkinson, Sally J Giles, Andrew Grundy, Navneet Kapur, Chris Armitage, Tom Blakeman, Stephen M Campbell, Catherine Robinson, Jessica Leather, Maria Panagioti (BMJ Open) 

Accessing psychological therapies following self-harm: qualitative survey of patient experiences and views on improving practice. Leah Quinlivan, Louise Gorman, Elizabeth Monaghan, Sadika Asmal, Roger T. Webb and Nav Kapur (BJPsych Open) 

Improving the management of self-harm in primary care. Faraz Mughal, Liam Clarke, Rachel Connolly, Amanda Yenn Teng Lee, Leah Quinlivan, Nav Kapur (British Journal of General Practice) 

Examining non-linearity in the association between age and reported Opioid Use, in different socioeconomic strata: Cohort Study Using Health Survey for England Waves from 1997 to 2014. Nowakowska M, Zghebi SS, Chen L-C, Ashcroft D, Kontopantelis E

Liaison psychiatry practitioner views on accessing aftercare and psychological therapies for patients who present to hospital following self-harm: multi-site interview study. Quinlivan L, Gorman L, Marks S, Monaghan E, Asmal S, Webb RT, Kapur N

Developing the Resident Measure of Safety in Care Homes (RMOS): A Delphi and Think Aloud Study. Tyler N, Planner C, Shears B, Hernan A, Panagioti M, Giles S

Combinations of medicines in patients with polypharmacy aged 65–100 in primary care: Large variability in risks of adverse drug related and emergency hospital admissions. Fahmi A, Wong D, Walker L, Buchan I, Pirmohamed M, Sharma A, Cant H, Ashcroft DM, van Staa TP

Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide. Morris RL, Giles S, Campbell S

Clinical relevance of drug-drug interactions with antibiotics as listed in national medication formulary:Results From Two Large Population-Based Case-Control Studies in Patients Aged 65–100 Years Using Linked English Primary Care and Hospital Data
van Staa TP, Pirmohamed M, Sharma A, Buchan I, Ashcroft DM

Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: Multiple interrupted time series study
Rodgers S, Taylor AC, Roberts SA, Allen T, Ashcroft DM, Barrett J, Boyd MJ, Elliott RA, Khunti K, Sheikh A, Laparidou D, Siriwardena AN, Avery AJ

A Delphi consensus study to identify priorities for improving and measuring medication safety for intensive care patients on transfer to a hospital ward
Bourne RS, Phipps DL, Jennings JK, Boxall E, Wilson F, March H, Ashcroft DM

Exploring the challenges to safer prescribing and medication monitoring in prisons: a qualitative study with health care staff
Magola-Makina E, Abuzour AS, Ashcroft DM, Dunlop J, Brown P, Keers RN

Understanding how the design and implementation of online consultations impact primary care quality: Systematic review of evidence with recommendations for designers, providers, and researchers
Darley S, Coulson T, Peek N, Moschogianis S, van der Veer S, Wong DC, Brown BC

A Delphi consensus study to identify priorities for improving and measuring medication safety for intensive care patients on transfer to a hospital ward
Bourne R, Jennings J, Ashcroft DM

Exploring the challenges to safer prescribing and medication monitoring in prisons: a qualitative study with health care staff
Magola-Makina E, Abuzour AS, Ashcroft DM, Dunlop J, Brown P, Keers RN

Exploring the acceptability of a brief online theory-based intervention to prevent and reduce self-harm: a theoretically-framed qualitative study
Keyworth C, Quinlivan L, Leather JZ, Armitage CJ

Patient Safety, Self-injection and B12 Deficiency: a UK Cross-sectional Survey
Tyler N, Hodkinson A, Ahlam N, Giles S, Zhou A, Panagioti M

Associations of Burnout with the Career Engagement of Physicians and the Quality of Patient Care: A Systematic Review and Meta-analysis
Hodkinson A, Zhou A, Johnson J, Geraghty K, Riley R, Zhou A, Panagopoulou E, Chew-Graham CA, Peters D, Esmail A, Panagioti M

Heightened COVID-19 Mortality in People With Severe Mental Illness Persists After Vaccination: A Cohort Study of Greater Manchester Residents
Hassan L, Sawyer C, Peek N, Lovell K, Carvalho AF, Solmi M, Tilston G, Sperrin M, Firth J

Non-fatal overdose risk during and after opioid agonist treatment: a primary care cohort study with linked hospitalisation and mortality records
Domzaridou E, Carr MJ, Webb RT, Millar T, Ashcroft DM

The impact of the COVID-19 pandemic on presentations to health services following self-harm: systematic review
Steeg S, John A, Gunnell DJ, Kapur N, Dekel D, Schmidt L, Knipe D, Arensman E, Hawton K, Higgins JPT, Eyles E, Macleod-Hall C, McGuiness LA, Webb RT

The frequency and nature of prescribing problems by general practitioners in training (REVISiT)
Salema N, Bell B, Marsden K, Gookey G, Swanwick G, Bassi M, Mehta R, Silcock N, Avery AJ, Knox R

EDITORIAL: Mental Health Services: Quality, safety and suicide
Kapur N, Gorman L, Quinlivan L, Webb RT

Suicide and death by other causes among patients with a severe mental illness: cohort study comparing risks among patients discharged from inpatient care vs. those treated in the community
Musgrove R, Carr MJ, Kapur N, Chew-Graham C, Mughal F, Ashcroft DM, Webb RT

Transitional care interventions for older people living in long-term care facilities: A systematic review and meta-analysis
Birtwell K, Planner C, Hodkinson A, Hall A, Giles S, Campbell S, Tyler N, Panagioti M, Daker-White G

Challenges and adaptations to public involvement with marginalised groups during the COVID-19 pandemic- Commentary with illustrative case studies in the context of patient safety research
Adeyemi I, Sanders C, Ong PBN, Howells K, Quinlivan L, Gorman L, Giles S, Pearson A, Naseem S, Amp M, Monaghan E, Cheraghi-Sohi S

Examining Drivers of Self-Harm Guideline Implementation by General Practitioners: A Qualitative Analysis using the Theoretical Domains Framework
Leather JZ, Keyworth C, Kapur N, Campbell SM, Armitage CJ

Remote primary care during the COVID-19 pandemic for people experiencing homelessness: a qualitative study
Howells K, Amp M, Burrows M, Brown J, Brennan R, Dickinson J, Jackson S, Yeung W-L, Ashcroft D, Campbell S, Blakeman T, Sanders C

Systematic review and narrative synthesis of computerised audit and feedback systems in healthcare
Tsang JY, Peek N, Buchan I, van der Veer SN, Brown B

The association between COVID-19-related fear and reported self-harm in a national survey of people with a lifetime history of self-harm
Keyworth C, Quinlivan L, Leather JZ, O’Connor RC, Armitage CJ

Predicting dispensing errors in community pharmacies: An application of the Systematic Human Error Reduction and Prediction Approach (SHERPA)
Ashour A, Phipps D, Ashcroft DM

Co-designing an Adaption of a Mobile App to Enhance Communication, Safety, and Well-being Among People Living at Home With Early-Stage Dementia: Protocol for an Exploratory Multiple Case Study
Davies K, Ong BN, Cheraghi-Sohi S, Perryman K, Sanders C

Understanding the implementation, impact and sustainable use of an electronic pharmacy referral service at hospital discharge: A qualitative evaluation using Strong Structuration Theory
Jeffries M, Keers RN, Belither H, Sanders C, Gallacher K, Alqenae F, Ashcroft DM

Suicide and other causes of death among working-age and older adults in the year after discharge from inpatient mental health care in England: a matched cohort study
Musgrove R, Carr MJ, Kapur N, Chew-Graham CA, Mughal F, Ashcroft DM, Webb RT

Risk factors for non-fatal self-harm and suicide among adolescents: two nested case-control studies conducted in the UK Clinical Practice Research Datalink
Cybulski L, Ashcroft DM, Carr MJ, Garg Shruti, Chew-Graham CA, Kapur N, Webb RT

Developing Best Practice Guidance for Discharge Planning Using the RAND/UCLA Appropriateness Method
Tyler N, Planner C, Byrne M, Blakeman T, Keers R, Wright O, Pascall Jones P, Giles S, Spencer R, Keyworth C, Hodkinson A, Taylor CDJ, Armitage CJ, Campbell S, Panagioti M

Advancing Mental heaLth Provision In PHarmacY (AMPLIPHY): a feasibility study
Gorton HC, Riste L, Littlewood D, Pickering G, Armitage CJ, Ashcroft DM

Implementing prescribing safety indicators in prisons: a mixed methods study
Abuzour AS, Magola-Makina E, Dunlop J, O’Brien A, Khawagi W, Ashcroft DM, Brown P, Keers RN

Temporal trends in primary care-recorded self-harm during and beyond the first year of the COVID-19 pandemic: time series analysis of electronic healthcare records for 2.8 million patients in the Greater Manchester Care Record
Steeg S, Bojanic L, Tilston G, Williams R, Jenkins DA, Carr MJ, Peek N, Ashcroft DM, Kapur N, Voorhees J, Webb RT

Improving Mental Health Care Transitions through Information Capture during Admission to Inpatient Mental Health Services: A Quality Improvement Study
Tyler N, Wright N, Gregoriou K, Waring J

Impact of COVID-19 restrictions on diabetes health checks and prescribing for people with type 2 diabetes: a UK-wide cohort study involving 618,161 people in primary care
Carr MJ, Wright AK, Leelarantha L, Thabit H, Milne N, Kanumilli N, Ashcroft DM, Rutter MK

Visual Impairment and medication safety: a protocol for a scoping review
Giles SJ, Panagioti M, Riste L, Cheraghi-Sohi S, Lewis P, Adeyemi I, Davies K, Morris R, Phipps D, Dickinson C, Ashcroft D, Sanders C

Acceptability of a Brief Web-Based Theory-Based Intervention to Prevent and Reduce Self-harm: Mixed Methods Evaluation
Keyworth C, O’Connor R, Quinlivan L, Armitage CJ

Evaluating the safety of mental health related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD)
Khawagi W, Steinke D, Carr MJ, Wright AK, Ashcroft DM, Avery A, Keers RN

Beyond the control of the care home: A conceptual review of qualitative studies of Infection Prevention and Control (IPC) in residential and nursing homes for older people
Daker-White G, Panagioti M, Giles S, Blakeman T, Moore V, Hall A, Pascall Jones P, Wright O, Shears B, Tyler N, Campbell S

Effects of the first COVID-19 lockdown on quality and safety in mental health care transitions in England
Tyler N, Daker-White G, Grundy A, Quinlivan L, Armitage C, Campbell S, Panagioti M

Comparative four year risk and type of hospital admission among homeless and housed emergency department attendees
Moss C, Sutton M, Cheraghi-Sohi S, Sanders C, Allen T

Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices
Cheraghi-Sohi S, Holland F, Singh H, Danczak A, Esmail A, Morris R, Small N, Williams R, de Wet C, Campbell SM, Reeves D

Regulating Patient Safety during Hospital Discharge: Casting the Patient Safety Commissioner as the Representative of Order
Moore, V

“Relieved to be seen” – patient and carer experiences of mental health assessment in the emergency department following self-harm: qualitative analysis of 102 free-text survey responses
Quinlivan L, Gorman L, Littlewood D, Monaghan E, Barlow SJ, Campbell S, Webb RT, Kapur N

“Wasn’t offered one, too poorly to ask for one”– Reasons why some patients do not receive a psychosocial assessment following self-harm: Qualitative patient and carer survey
Quinlivan L, Gorman L, Littlewood D, Monaghan E, Barlow SJ, Campbell S, Webb RT, Kapur N

Impact of COVID-19 on the diagnosis, HbA1c monitoring and mortality in people with type 2 diabetes: a UK-wide cohort study involving 13 million people in primary care
Carr MJ, Wright A, Leelarathna L, Thabit H, Milne N, Kanumilli N, Ashcroft DM, Rutter MK

Temporal trends in annual incidence rates for neurodevelopmental disorders, mental illnesses and self-harm among children and adolescents in the United Kingdom: a population-based primary care cohort study
Cybulski L, Ashcroft DM, Carr MJ, Garg S, Chew-Graham CA, Kapur N, Webb RT

The Evaluation of an e-Learning Prescribing Course for General Practice
Salema N, Clement N, Hysenagolli R, Hibberd R, Bell BG, Gookey G, Avery A, Knox R

What challenges do UK adults face when adhering to COVID-19-related instructions? Cross-sectional survey in a representative sample
Keyworth C, Epton T, Byrne-Davis L, Leather JZ, Armitage CJ

The role of Non-Technical Skills in community pharmacy practice: an exploratory review of the literature
Ashour A, Phipps D, Ashcroft D

Mind the Gap: Examining Work-As-Imagined and Work-As-Done in dispensing medication in the Community Pharmacy setting
Ashour A, Ashcroft DA, Phipps D

Protocol for a non-randomised feasibility study evaluating a codesigned patient safety guide in primary care
Morris RL, Gallacher K, Hann M, Rolfe C, Small N, Giles S, Sanders C, Campbell S

What does safety in mental healthcare transitions mean for service users and other stakeholder groups: An open-ended questionnaire study
Tyler, N, Wright N, Panagioti M, Grundy A, Waring J

Exploring the experiences of changes to support access to primary health care services and the impact on the quality and safety of care for homeless people during the COVID-19 pandemic: a study protocol for a qualitative mixed methods approach
Howells K, Burrows M, Amp M, Brennan R, Yeung WL, Jackson S, Dickinson J, Draper J, Campbell S, Ashcroft D, Blakeman T, Sanders C

Effects of the COVID-19 pandemic on primary care-recorded mental illness and self-harm episodes in the UK: a population-based cohort study
Carr M, Steeg S, Webb R, Kapur N, Chew-Graham C, Abel K, Hope H, Pierce M, Ashcroft D

A patient and public involvement workshop using visual art and priority setting to provide patients with a voice to describe quality and safety concerns: Vitamin B12 deficiency and pernicious anaemia
Tyler N, Giles S, Daker-White G, McManus BC, Panagioti M

Developing a patient safety guide for primary care: a co-design approach involving patients, carers and clinicians
Morris R, Ruddock A, Gallacher K, Rolfe C, Giles S, Campbell S

Leaving hospital: A step too far for risk-based regulation?
Moore VL

Evaluation of a pharmacist-led actionable audit and feedback intervention for improving medication safety in UK primary care: An interrupted time series analysis
Peek N, Gude WT, Williams R, Kontopantelis E, Jeffries M, Phipps DL, Brown B, Avery AJ, Ashcroft DM

Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective cohort study
Williams R, Jenkins DA, Ashcroft DM, Brown B, Campbell S, Carr MJ, Cheraghi-Sohi S, Kapur N, Thomas O, Webb RT, Peek N

Healthcare Professionals’ Implementation of National Guidelines with Patients who Self-Harm
Leather JZ, O’Connor RC, Quinlivan L, Kapur N, Campbell S, Armitage CJ

Developing a core outcome set for interventions to improve discharge from mental health inpatient services: a survey, Delphi and consensus meeting with key stakeholder groups
Tyler N, Wright N, Waring J, Grundy A

Co-designing a mental health discharge and transitions of care intervention: A Modified Nominal Group Technique
Tyler N, Wright N, Grundy A, Gregoriou K, Campbell S, Waring J

Understanding the utilisation of a novel interactive electronic medication safety dashboard in general practice: a mixed methods study
Jeffries M, Gude WT, Keers RN, Phipps DL, Williams R, Kontpantelis E, Brown B, Avery AJ, Peek N, Ashcroft DM

Assessing the utility of a differential diagnostic generator in UK general practice: a feasibility study
Cheraghi-Sohi S, Alam R, Hann M, Esmail A, Campbell S, Riches N

Patient safety in Marginalised Groups: A Narrative Scoping Review
Cheraghi-Sohi S, Panagioti M, Daker-White G, Giles S, Riste L, Kirk S, Ong BN, Poppleton A, Campbell S, Sanders C

Evaluating the impact of patient and carer involvement in suicide and self-harm research: A mixed-methods, longitudinal study protocol
Littlewood DL, Quinlivan L, Steeg S, Bennett C, Bickley H, Rodway C, Webb RT, Kapur N

Learning from clinicians’ views of good quality practice in mental healthcare services in the context of suicide prevention: A qualitative study
Littlewood D, Quinlivan L, Graney J, Appleby L, Turnbull P, Webb RT, Kapur N

Current and potential contributions of community pharmacy teams to self-harm and suicide prevention: a qualitative interview study
Gorton HC, Littlewood DL, Spreadbury M, Wong KL, Gooding P, Ashcroft DM

Interventions to Improve Discharge from Acute Adult Mental Health Inpatient Care to the Community: Systematic Review and Narrative Synthesis
Tyler N, Wright N, Waring J

Never events in general practice: a focus group study exploring the views of English and Scottish general practitioners of ‘never events’
Morris RL, Cheraghi-Sohi S, Bowie P, Esmail A, de Wet C, Campbell S

Prevalence of comorbid mental and physical illnesses and risks for self-harm and premature death among primary care patients diagnosed with fatigue syndromes
Carr MJ, Ashcroft DM, White PD, Kapur N, Webb RT

Never Events in UK General Practice: A Survey of the Views of General Practitioners on Their Frequency and Acceptability as a Safety Improvement Approach
Stocks SJ, Alam R, Bowie P, Campbell S, de Wet C, Esmail A, Cheraghi-Sohi S

Capturing Patients’ Perspectives on Medication Safety: The Development of a Patient-Centered Medication Safety Framework
Giles SJ, Lewis, PJ, Phipps, DL, Mann, F, Avery, AJ, Ashcroft, DM

 

Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire.
Giles SJ, Parveen S, Hernan AL

Risk factors for self-harm in people with epilepsy
Gorton HC, Webb RT, Pickrell WO, Carr MJ, Ashcroft DM

Self-harm in a primary care cohort of older people: incidence, clinical management and risk of suicide and other causes of death
Morgan C, Webb RT, Carr MJ, Kontopantelis E, Chew-Graham CA, Kapur N, Ashcroft DM

Safety work and risk management as burdens of treatment in primary care: insights from a focused ethnographic study of patients with multimorbidity
Daker-White G, Hays R, Blakeman T, Croke S, Brown B, Esmail A, Bower P

Developing a learning health system: insights from a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care
Jeffries M, Keers RN, Phipps DL, Williams R, Brown B, Avery AJ, Peek N, Ashcroft DM

Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies
Jones, CEL, Phipps, DL, Ashcroft, DM

SMASH? The Medication Safety Dashboard
Williams R, Keers R, Gude WT, Jeffries M, Davies C, Brown B, Kontopantelis E, Avery AJ, Ashcroft DM, Peek N

Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies
Phipps DL, Jones CEL, Parker D, Ashcroft DM

Identifying primary care patient safety research priorities in the UK: a James Lind Alliance Priority Setting Partnership
Morris R, Stocks SJ, Alam R, Taylor S, Rolfe C, Glover S, Whitcombe J, Campbell C

Risk factors for self-harm in people with epilepsy
Gorton HC, Webb RT, Pickrell WO, Carr MJ, Ashcroft DM

Refer to Pharmacy: a qualitative study exploring the implementation of an electronic transfer of care initiative to improve medicines optimisation following hospital discharge
Ferguson J, Seston L, Ashcroft DM

The frequency and nature of potentially-harmful preventable-problems in primary care from the patient’s perspective with clinician review – a population level survey in Great Britain
Stocks SJ, Donnelly A, Esmail A, Beresford J, Luty S, Deacon R, Danczak A, Mann N, Townsend D, Ashley J, Gamble C, Bowie P, Campbell SM

Mindful organizing in patients’ contributions to primary care medication safety
Phipps DL, Giles S, Lewis PJ, Marsden K, Salema N, Jeffries M, Avery AJ, Ashcroft DM

Multi-method laboratory user evaluation of an actionable clinical performance information system: implications for usability and patient safety
Brown B, Balatsoukas P, Williams R, Sperrin M, Buchan I

Development and piloting of a survey to estimate the frequency and nature of potentially harmful preventable problems in primary care from a UK patient’s perspective
Stocks SJ, Donnelly A, Esmail A, Beresford J, Gamble C, Luty S, Deacon R, Danczak A, Mann N, Townsend D, Ashley J, Bowie P, Campbell SM

The Evidence Base of Frequently prescribed drugs in older Patients: A series of systematic reviews as a basis for recommendations in the PRIMA-eDS-tool to reduce inappropriate polypharmacy
Yolanda Martinez et al

Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention
Hays R, Daker-White G, Esmail A, Barlow W, Minor B, Brown B, Blakeman T, Sanders C, Bower P

Incidence, clinical management, and mortality risk following self harm among children and adolescents: cohort study in primary care
Morgan C, Webb RT, Carr MJ, Kontopantelis E, Green J, Chew-Graham CA, Kapur N, Ashcroft DM

Black and minority ethnic group involvement in health and social care research: a systematic review
Dawson S, Campbell SM, Giles SJ, Morris RL, Cheraghi-Sohi S

Managing Diagnostic Uncertainty in Primary Care: a systematic critical review
Alam R, Cheraghi-Sohi S, Esmail A, Campbell S, Panagopoulou E

What is involved in medicines management across care boundaries? A qualitative study of healthcare practitioners’ experiences in the case of acute kidney injury
Phipps DL, Morris R, Blakeman T, Ashcroft DM

Antipsychotic Prescribing to Patients Diagnosed with Dementia Without a Diagnosis of Psychosis in the Context of National Guidance and Drug Safety Warnings: Longitudinal Study in UK General Practice
Stocks SJ, Kontopantelis E, Webb RT, Avery AJ, Burns A, Ashcroft DM

Understanding the implementation and adoption of a technological intervention to improve medication safety in primary care: a realist evaluation
Jeffries M, Phipps DL, Howard RL, Avery AJ, Rodgers S, Ashcroft DM

Integrating Data From the UK National Reporting and Learning System With Work Domain Analysis to Understand Patient Safety Incidents in Community Pharmacy
Phipps DL, Tam WV, Ashcroft DM

When procedures meet practice in community pharmacies: qualitative insights from pharmacists and pharmacy support staff
Thomas CEL, Phipps DL, Aschroft DM

The Effectiveness of Electronic Differential Diagnoses (DDX) Generators: A Systematic Review and Meta-Analysis
Riches N, Panagioti M, Alam R, Cheraghi-Sohi S, Campbell S, Esmail A, Bower P

Non-psychotropic medication and risk of suicide or attempted suicide: a systematic review
Gorton HC, Webb RT, Kapur N, Ashcroft DM

Sensemaking and the co-production of safety: a qualitative study of primary medical care patients
Rhodes P, McDonald R, Campbell S, Daker-White G, Sanders C

Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical Practice Research Datalink
Video abstract
Stocks SJ, Kontopantelis E, Akbarov A, Rodgers S, Avery AJ, Ashcroft DM

Multimorbidity and Patient Safety Incidents in Primary Care: A Systematic Review and Meta-analysis
Panagioti M, Stokes J, Esmail A, Coventry P, Cheraghi-Sohi S, Alam R, Bower P

Blame the patient, blame the doctor or blame the system? A meta-synthesis of qualitative studies of patient safety in primary care
Daker-White G, Hays R, McSharry J, Giles S, Cheraghi-Sohi S, Rhodes P, Bower P

Missed Diagnostic Opportunities and English general practice: a study to determine their incidence, confounding and contributing factors and potential impact on patients through retrospective review of electronic medical records
Cheraghi-Sohi S, Singh H, Reeves D, Stocks J, Morris R, Esmail A, Campbell SM, de Wet C

Effectiveness of case management for ‘at risk’ patients in primary care: A systematic review and meta-analysis
Stokes J, Panagioti M, Alam R, Checkland K, Cheraghi-Sohi S, Bower P

Developing a Primary Care Patient Measure of Safety (PC PMOS)
Hernan AL, Giles SJ, Fuller J, Johnson JK, Walker C, Dunbar JA

Primary care medication safety surveillance with integrated electronic health records: insights from the UK
Akbarov A, Kontopantelis E, Sperrin M, Stocks SJ, Richard Williams R, Rodgers S, Avery AJ, Iain Buchan IE, Ashcroft DM

Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study
Hernan AL, Giles SJ, Fuller J, Johnson JK, Walker C, Dunbar JA

Non-disclosure of chronic kidney disease in primary care and the limits of instrumental rationality in chronic illness self-management
Daker-White G, Rogers A, Kennedy A, Blakeman T, Blickem C, Chew-Graham C

Application of a tool for the evaluation of public and patient involvement in research
Stocks SJ, Giles SJ, Cheraghi-Sohi S, Campbell SM

The potential for using a Universal Medication Schedule (UMS) to improve adherence in patients taking multiple medications in the UK: a qualitative evaluation
Kenning C, Protheroe J, Gray N, Ashcroft DM, Bower P

Contributory factors to patient safety incidents in primary care: protocol for a systematic review
Giles S, Panagioti M, Hernan A, Cheraghi-Sohi S, Lawton R

Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study
Keers RN, Williams SD, Cooke J, Ashcroft DM

Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study
Rhodes P, Campbell SM, Sanders C