Background Underlying systems factors have been seen to be crucial contributors to the
occurrence of medication errors. By understanding the causes of these errors, the most …

Models and methods of work system design need to be developed and implemented to
advance research in and design for patient safety. In this paper we describe how the …

Importance Readmission penalties have catalyzed efforts to improve care transitions, but
few programs have incorporated viewpoints of patients and health care professionals to …

Importance Scalable deprescribing interventions may reduce polypharmacy and the use of
potentially inappropriate medications (PIMs); however, few studies have been large enough …

This paper introduces the construct of leader inclusiveness—words and deeds exhibited by
leaders that invite and appreciate others' contributions. We propose that leader …

Objectives.—To assess incidence and preventability of adverse drug events (ADEs) and
potential ADEs. To analyze preventable events to develop prevention strategies. Design …

Background: Studies of hospitalized patients identify safety as a significant problem, but few
data are available regarding injuries occurring after discharge. Patients may be vulnerable …

ContextIatrogenic injuries, including medication errors, are an important problem in all
hospitalized populations. However, few epidemiological data are available regarding …

ContextMedical errors are associated with feelings of distress in physicians, but little is
known about the magnitude and direction of these associations. ObjectiveTo assess the …

Objective.—To assess the additional resource utilization associated with an adverse drug
event (ADE). Design.—Nested case-control study within a prospective cohort study …