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Yr Athro Andrew Carson-Stevens
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Timau a rolau for Andrew Carson-Stevens
Athro Diogelwch Cleifion
Trosolwyg
Rwy'n Athro Clinigol Diogelwch Cleifion a Chyfarwyddwr Canolfan Gydweithredol Sefydliad Iechyd y Byd ar gyfer Dysgu a Gwella Diogelwch Cleifion yn yr Is-adran Meddygaeth Poblogaeth, Ysgol Feddygaeth, Prifysgol Caerdydd. Cylch gwaith technegol y Ganolfan yw cefnogi Sefydliad Iechyd y Byd i ddysgu o weithrediad Cynllun Gweithredu Diogelwch Cleifion Byd-eang WHO gan yr Aelod-laleithiau, a chefnogi gwaith Sefydliad Iechyd y Byd ar weithredu systemau adrodd a dysgu digwyddiadau diogelwch cleifion.
Ym Mhrifysgol Caerdydd, rwy'n ymgynnull y Grŵp Ymchwil Diogelwch Cleifion (y 'grŵp PISA') gydag arbenigedd sy'n ymchwilio i natur a baich niwed y gellir ei osgoi mewn gofal iechyd, gan gynnwys datblygiadau methodolegol i fesur canlyniadau diogelwch ar draws cyd-destunau iechyd a gofal cymdeithasol. Mae gen i ddiddordeb arbennig mewn gweithio a gwireddu synergeddau rhwng disgyblaethau, ac ar draws sawl ysgol yn y brifysgol rwy'n cydlynu Cynghrair Ergonomeg a Chleifion Mwy Diogel Cymru (WESPA) sy'n grŵp rhyngddisgyblaethol o ymchwilwyr ac academyddion clinigol sy'n gweithio i wella diogelwch cleifion yn y GIG.
Rwy'n Uwch Arweinydd Ymchwil Ymchwil Iechyd a Gofal Cymru. Ledled Cymru, rwy'n Gyfarwyddwr y Ganolfan Ymchwil Gofal Sylfaenol a Gofal Brys (PRIME), cydweithrediad a ariennir gan Ymchwil Iechyd a Gofal Cymru rhwng pedair prifysgol yng Nghymru, sy'n canolbwyntio ar ymchwil i wella ansawdd a diogelwch darparu gofal sylfaenol ac argyfwng, ac i gynnal twf mewn capasiti a gallu ar gyfer arweinyddiaeth ymchwil o'r radd flaenaf yng Nghymru.
Rwyf wedi gweithio gyda nifer o gyrff llywodraethol a rhynglywodraethol, gan gynnwys Sefydliad Iechyd y Byd (WHO) a'r Sefydliad ar gyfer Cydweithrediad a Datblygu Economaidd (OECD).
Cyhoeddiad
2027
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2026
- Hopewell-Kelly, N. et al. 2026. 90 Developing patient-focused outcomes for routine clinical care in glioma: A synthesis of qualitative evidence from the COMBaT study [Abstract]. Neuro-Oncology 28 (S1) noag172.031. (10.1093/neuonc/noag172.031)
- Walker, D. et al., 2026. A primary care intervention to expedite cancer diagnosis: protocol for the ThinkCancer! phase III trial. British Journal of General Practice Open (10.3399/bjgpo.2026.0029)
- Bowers, B. et al. 2026. Understanding end-of-life injectable medication patient safety origin incidents in the community: a mixed-methods analysis of national incident-reporting data. International Journal of Nursing Studies 180 105544. (10.1016/j.ijnurstu.2026.105544)
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- McFadzean, J. et al. 2026. Incidence and nature of avoidable healthcare-associated harm in prisons: a retrospective case note review study of 18 prisons in England [Abstract]. Presented at: SAPC ASM 2026 St Andrews, Scotland, UK 24-26th June 2026. SAPC ASM 2026 Abstract Booklet. SAPC. , pp.7-8.
- Jordan, M. et al., 2026. Lived experience of avoidable healthcare harm in prisons in England: a qualitative study. Health and Justice (10.1186/s40352-026-00417-0)
- McFadzean, J. et al. 2026. Parental involvement in patient safety events in paediatric emergency care: a multi-method analysis. BMJ Paediatrics Open 10 e004794. (10.1136/bmjpo-2026-004794)
- Purchase, T. et al. 2026. Fighting to be heard: Thematic analysis of parent perspectives of safety in general practice. British Journal of General Practice (10.3399/BJGP.2025.0651)
- McFadzean, I. J. et al. 2026. The incidence of avoidable healthcare-associated harm in prisons in England: a retrospective case note review. BMJ Quality & Safety (10.1136/bmjqs-2025-019935)
- Button, K. et al. 2026. Addressing the challenges of including older people with OA and multi-morbidity in digitally enabled trials: lessons from the tiptoe trial [Abstract]. Osteoarthritis and Cartilage 34 (S), pp.S402. (10.1016/j.joca.2026.01.588)
- Purchase, T. et al. 2026. Co-generating ideas for safer paediatric care in general practice with parents and stakeholders. British Journal of General Practice (10.3399/BJGP.2025.0690)
- Alsuwat, M. et al., 2026. Exploring medication-related safety incidents and avoidable harm in English prisons: a combined national retrospective record review study. International Journal of Pharmacy Practice 34 (S1), pp.i48-i48. (10.1093/ijpp/riag034.066)
- McFadzean, I. et al. 2026. Critical illness in prisons: a multi-method analysis of reported healthcare safety incidents in England. British Journal of General Practice 76 (764), pp.e244-e252. (10.3399/bjgp.2025.0239)
- Santos Gomes, B. et al., 2026. How are handover delays from ambulances to emergency departments being addressed in the United Kingdom? A nationwide survey of ambulance services and emergency departments. BMC Emergency Medicine 26 134. (10.1186/s12873-026-01532-9)
- Sivell, S. et al. 2026. PP-48 COMBaT: a protocol for developing patient-focused outcomes in routine glioma care [Poster]. BMJ Supportive & Palliative Care 16 A26. (10.1136/spcare-2026-mcrc.59)
2025
- Hope, I. et al. 2025. Revealing the hidden harms in end-of-life care: a mixed-methods characterisation of reported safety incidents involving injectable symptom control medication.. British Journal of General Practice (10.3399/BJGP.2025.0301)
- Spencer, R. A. et al., 2025. Implementing Jess’s rule in England’s primary care [Editorial]. BMJ 391 r2396. (10.1136/bmj.r2396)
- Porter, A. et al., 2025. ‘Every day was a learning curve’: implementing COVID-19 triage protocols in UK ambulance services—a qualitative study of staff experiences. Emergency Medicine Journal 42 , pp.747-751. (10.1136/emermed-2024-214495)
- Purchase, T. et al. 2025. Parental involvement in paediatric patient safety incidents in general practice: a cross-sectional study. British Journal of General Practice 0786. (10.3399/BJGP.2024.0786)
- Sha'aban, A. et al. 2025. Coproducing data-driven organisational safety with patients: development and cognitive testing of a multi-setting patient-reported safety concern tool. International Journal for Quality in Health Care 37 (3) mzaf056. (10.1093/intqhc/mzaf056)
- Williams, D. et al. 2025. Recommendations for a communication strategy to support informed decision-making about self or clinician sampling for cervical screening in the UK: qualitative study. Health Expectations 28 (2) e70191. (10.1111/hex.70191)
- Edwards, P. J. et al., 2025. Safety-netting advice documentation out-of-hours: a retrospective cohort from 2013 to 2020. British Journal of General Practice 75 (751), pp.80-89. (10.3399/BJGP.2024.0057)
- Acton, J. H. et al. 2025. Patient safety in eye care: a multi-method analysis of reported incidents involving implementation of care and clinical assessment in England and Wales. Eye (10.1038/s41433-025-03669-6)
- Brown, A. et al., 2025. Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: A mixed methods analysis. Palliative Medicine 39 (1), pp.7-21. (10.1177/02692163241287639)
- Harris, V. et al., 2025. Health outcomes 3 months and 6 months after molnupiravir treatment for COVID-19 for people at higher risk in the community (PANORAMIC): a randomised controlled trial. The Lancet Infectious Diseases 25 (1), pp.68-79. (10.1016/S1473-3099(24)00431-6)
- McFadzean, I. J. et al. 2025. The evolution of patient-reported safety concerns during the COVID-19 pandemic within a series of study questionnaires: a multi-method analysis. International Journal for Quality in Health Care 37 (2) mzaf040. (10.1093/intqhc/mzaf040)
2024
- Carson-Stevens, A. et al. 2024. Understanding the scale and nature of avoidable healthcare-associated harm for prisoners in England: protocol for a retrospective cross-sectional study. BMJ Open 14 (12) e085607. (10.1136/bmjopen-2024-085607)
- Driscoll, T. et al., 2024. PP35 Does mean ambulance handover time at emergency departments correlate with number of handovers per month?. Emergency Medicine Journal 41 (3), pp.A15-A16. (10.1136/emermed-2024-999.35)
- Shaw, J. et al., 2024. Understanding the scale and nature of avoidable harm in prison healthcare. Project Report.
- Sagua, N. , Carson-Stevens, A. and James, K. L. 2024. Characterizing medication safety incidents in surgical patients: a retrospective cross-sectional analysis of incident reports. Therapeutic Advances in Drug Safety 2024 (15)(10.1177/20420986241271881)
- Png, M. E. et al., 2024. Cost-utility analysis of molnupiravir plus usual care versus usual care alone as early treatment for community-based adults with COVID-19 and increased risk of adverse outcomes in the UK PANORAMIC trial. British Journal of General Practice 74 (745), pp.e570-e579. (10.3399/BJGP.2023.0444)
- Deere, R. et al. 2024. Multi-domain self-management in older people with osteoarthritis and multimorbidities: protocol for the TIPTOE randomised controlled trial. Trials 25 557. (10.1186/s13063-024-08380-7)
- Ball, E. et al., 2024. 6637 How do families mitigate paediatric safety incidents in emergency departments? A multi-method national analysis of incident reports. Archives of Disease in Childhood 109 , pp.A400-A401. (10.1136/archdischild-2024-rcpch.629)
- Hibbert, P. D. et al., 2024. Improving health system responses when patients are harmed: a protocol for a multistage mixed-methods study. BMJ Open 14 (7) e085854. (10.1136/bmjopen-2024-085854)
- Davies, F. et al. 2024. Evaluation of different models of general practitioners working in or alongside emergency departments: a mixed methods realist evaluation. Health and Social Care Delivery Research 12 (10)(10.3310/JWQZ5348)
- de Andrade, F. K. et al., 2024. Validated medication deprescribing instruments for patients with palliative care needs a systematic review. Hospital Pharmacy 48 (2), pp.83-89. (10.1016/j.farma.2023.08.004)
- Rawlings, A. et al., 2024. The burden of acute eye conditions on different healthcare providers: a retrospective population-based study. British Journal of General Practice 74 , pp.e264-e274. (10.3399/BJGP.2022.0616)
- Cooper, A. et al. 2024. Programme theories to describe how different general practitioner service models work in different contexts in or alongside emergency departments (GP-ED): realist evaluation. Emergency Medicine Journal 41 (5), pp.287-295. (10.1136/emermed-2023-213426)
- Pereira, N. et al., 2024. Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. Journal of the American Medical Informatics Association 31 (2), pp.499-508. (10.1093/jamia/ocad231)
- Hibbert, P. D. et al., 2024. The quality of care delivered to residents in long-term care in Australia: an indicator-based review of resident records (CareTrack Aged study). BMC Medicine 22 (1) 22. (10.1186/s12916-023-03224-8)
2023
- Sewell, B. et al., 2023. The cost of implementing the COVID-19 shielding policy in Wales. BMC Public Health 23 2342. (10.1186/s12889-023-17169-3)
- Purchase, T. et al. 2023. Human factors to improve patient safety. In: Patient Safety. Cham, Switzerland: Springer. , pp.45-60. (10.1007/978-3-031-35933-0_4)
- Purchase, T. et al. 2023. Analysis of applying a patient safety taxonomy to patient and clinician-reported incident reports during the COVID-19 pandemic: a mixed methods study. BMC Medical Research Methodology 23 (1) 234. (10.1186/s12874-023-02057-6)
- Anderson, N. et al. 2023. Mapping processes in the emergency department using the functional resonance analysis method. Annals of Emergency Medicine 82 (3), pp.288-297. (10.1016/j.annemergmed.2022.12.029)
- Gbinigie, O. et al., 2023. Platform adaptive trial of novel antivirals for early treatment of COVID-19 In the community (PANORAMIC): protocol for a randomised, controlled, open-label, adaptive platform trial of community novel antiviral treatment of COVID-19 in people at increased risk of more severe disease. BMJ Open 13 e069176. (10.1136/bmjopen-2022-069176)
- Porter, A. et al., 2023. Rationale for the shielding policy for clinically vulnerable people in the UK during the COVID-19 pandemic: a qualitative study. BMJ Open 13 e073464. (10.1136/bmjopen-2023-073464)
- McFadzean, I. J. et al. 2023. Patient safety in prisons: a multi-method analysis of reported incidents in England. Journal of the Royal Society of Medicine 116 (7), pp.236-245. (10.1177/01410768231166138)
- Evans, S. et al. 2023. Survey of practices for documenting evidence of bruises from physical abuse during child protection proceedings. BMJ Paediatrics Open 7 (1) e002047. (10.1136/bmjpo-2023-002047)
- Rees, P. et al. 2023. Family role in paediatric safety incidents: a retrospective study protocol. BMJ Open 13 (7) e075058. (10.1136/bmjopen-2023-075058)
- Sivell, S. , Price, D. and Carson-Stevens, A. 2023. The challenges and experiences of providing end-of-life care in primary care: online survey and semi-structured interviews with UK primary care professionals.. Presented at: RCGP Annual Conference 2023 Glasgow 19-20 October 2023. Vol. 73.Vol. Suppl. Royal College of General Practitioners(10.3399/bjgp23X733833)
- Hibbert, P. D. et al., 2023. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. International Journal for Quality in Health Care 35 (3)(10.1093/intqhc/mzad056)
- Snooks, H. et al., 2023. Did the UK's public health Shielding policy protect the clinically extremely vulnerable during the Covid-19 pandemic in Wales? Results of EVITE Immunity, a link data retrospective study. Public Health 218 , pp.12-20. (10.1016/j.puhe.2023.02.008)
- Alqenae, F. A. et al., 2023. Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. Therapeutic Advances in Drug Safety 14 (10.1177/20420986231154365)
- Keers, R. N. et al., 2023. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. PLoS ONE 18 (3) e0282021. (10.1371/journal.pone.0282021)
- Sivell, S. , Price, D. and Carson-Stevens, A. 2023. Understanding the experiences of providing end-of-life care in UK general practices; preliminary data from an independent evaluation of the daffodil standards.. Presented at: The Marie Curie Research Conference 2023 Virtual 6-10 February 2023. Vol. 13.BMJ Supportive and Palliative Care: BMJ Publishing Group. , pp.A8-A9. (10.1136/spcare-2023-MCRC.20)
- Sivell, S. et al. 2023. Protocol to evaluate the implementation of the royal college of general practitioners and Marie Curie Daffodil Standards in UK general practice. Presented at: The Marie Curie Research Conference 2023 Virtual 6-10 February 2023. Vol. 13.BMJ Publishing Group. , pp.A8. (10.1136/spcare-2023-MCRC.19)
- Butler, C. C. et al. 2023. Molnupiravir plus usual care versus usual care alone as early treatment for adults with COVID-19 at increased risk of adverse outcomes (PANORAMIC): an open-label, platform-adaptive randomised controlled trial. The Lancet 401 (10373)(10.1016/S0140-6736(22)02597-1)
- Bowie, P. et al., 2023. Patient safety learning for healthcare improvement: considering the "system context" in medico-legal cases?. Journal of Personal Injury Law
- Hibbert, P. D. et al., 2023. Unsafe care in residential settings for older adults. A content analysis of accreditation reports. International Journal for Quality in Health Care 35 (4) mzad085. (10.1093/intqhc/mzad085)
2022
- MacFarlane, E. et al. 2022. A mixed-methods characterisation of patient safety incidents by primary eye care practitioners. Ophthalmic and Physiological Optics 42 (6), pp.1304-1315. (10.1111/opo.13030)
- Evans, B. A. et al., 2022. Implementing public involvement throughout the research process - experience and learning from the GPs in EDs study. Health Expectations 25 (5), pp.2471-2484. (10.1111/hex.13566)
- Evans, B. A. et al., 2022. Evaluation of the shielding initiative in Wales (EVITE Immunity): protocol for a quasi-experimental study. BMJ Open 12 e059813. (10.1136/bmjopen-2021-059813)
- Dinnen, T. et al. 2022. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. BMJ Supportive and Palliative Care 12 (e3), pp.e403-e410. (10.1136/bmjspcare-2019-001824)
- Edwards, M. et al. 2022. The effectiveness of primary care streaming in emergency departments on decision-making and patient flow and safety – a realist evaluation. International Emergency Nursing 62 101155. (10.1016/j.ienj.2022.101155)
- Slater, D. et al., 2022. A systems analysis of the COVID-19 pandemic response in the United Kingdom-Part 1-The overall context. Safety Science 146 105525. (10.1016/j.ssci.2021.105525)
- Yardley, S. et al., 2022. Which human factors design issues are influencing system performance in out-of-hours community palliative care? Integration of realist approaches with an established systems analysis framework to develop mid-range programme theory. BMJ Open 12 (1)(10.1136/bmjopen-2020-048045)
- Price, D. et al. 2022. Patients' experiences of attending emergency departments where primary care services are located: qualitative findings from patient and clinician interviews from a realist evaluation. BMC Emergency Medicine 22 (12)(10.1186/s12873-021-00562-9)
- Hibbert, P. D. et al., 2022. Designing clinical indicators for common residential aged care conditions and processes of care: the CareTrack Aged development and validation study. International Journal for Quality in Health Care 34 (2) mzac033. (10.1093/intqhc/mzac033)
- McFadzean, I. et al. 2022. Realist analysis of whether emergency departments with primary care services generate 'provider-induced demand'. BMC Emergency Medicine 22 (1) 155. (10.1186/s12873-022-00709-2)
- Sewell, B. et al., 2022. P3 How Much Did the COVID-19 Shielding Policy Cost in Wales? Results of a Cost Analysis Within the EVITE Immunity Evaluation. Value in Health 25 (12)(10.1016/j.jval.2022.09.015)
2021
- Avery, A. J. et al., 2021. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. BMJ Quality and Safety 30 , pp.961-976. (10.1136/bmjqs-2020-011405)
- Cooper, A. et al. 2021. Identifying safe care processes when GPs work in or alongside emergency departments: realist evaluation. British Journal of General Practice 71 (713), pp.e931-e940. (10.3399/BJGP.2021.0090)
- Ensaldo-Carrasco, E. et al., 2021. Patient safety incidents in primary care dentistry in England and Wales: a mixed-methods study. Journal of Patient Safety 17 (8), pp.e1383-e1393. (10.1097/PTS.0000000000000530)
- Lazarus, R. et al., 2021. Safety and immunogenicity of concomitant administration of COVID-19 vaccines (ChAdOx1 or BNT162b2) with seasonal influenza vaccines in adults in the UK (ComFluCOV): a multicentre, randomised, controlled, phase 4 trial. The Lancet 398 (10318), pp.2277-2287. (10.1016/S0140-6736(21)02329-1)
- Urquhart, A. et al., 2021. Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. Journal of the Royal Society of Medicine 14 (12), pp.563-574. (10.1177/01410768211032589)
- Cooper, A. et al. 2021. Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. BMC Emergency Medicine 21 139. (10.1186/s12873-021-00537-w)
- Bennett-Britton, I. et al., 2021. Continuous, risk-based, consultation peer review in out-of-hours general practice: a qualitative interview study of the benefits and limitations. British Journal of General Practice 71 (711), pp.e797-e805. (10.3399/BJGP.2021.0076)
- Yardley, S. et al., 2021. Mixed methods study protocol: Do national reporting and learning system medication incidents in palliative care reflect patient and carer concerns about medication management and safety?. BMJ Open 11 (9)(10.1136/bmjopen-2021-048696)
- Alshehri, G. H. et al., 2021. Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System. Journal of Patient Safety 17 , pp.341-351. (10.1097/PTS.0000000000000815)
- Snooks, H. et al., 2021. Call volume, triage outcomes and protocols during the first wave of the COVID-19 pandemic in the UK: results of a national survey. Journal of the American College of Emergency Physicians Open (JACEP Open) 2 (4) e12492. (10.1002/emp2.12492)
- Fournier, J. et al. 2021. Patient-safety incidents during COVID-19 health crisis in France: an exploratory sequential multi-method study in primary care. European Journal of General Practice 27 (1), pp.142-151. (10.1080/13814788.2021.1945029)
- Alghamdi, A. A. et al., 2021. A mixed-methods analysis of medication safety incidents reported in neonatal and children's intensive care. Pediatric Drugs 23 , pp.287-297. (10.1007/s40272-021-00442-6)
- Edwards, M. et al. 2021. A classification of primary care streaming pathways in UK emergency departments: findings from a multi-methods study comprising cross-sectional survey; site visits with observations, semi-structured and informal interviews. International Emergency Nursing 56 101000. (10.1016/j.ienj.2021.101000)
- Choudhry, M. et al. 2021. Senior clinical and business managers' perspectives on the influence of different funding mechanisms, and barriers and enablers to implementing models of employing General Practitioners in or alongside emergency departments: qualitative study. Health Policy 125 , pp.482-488. (10.1016/j.healthpol.2020.11.016)
- Hernan, A. L. et al., 2021. Nature and type of patient-reported safety incidents in primary care: cross-sectional survey of patients from Australia and England. BMJ Open 11 (4) e042551. (10.1136/bmjopen-2020-042551)
- Disbeschl, S. et al., 2021. Protocol for a feasibility study incorporating a randomised pilot trial with an embedded process evaluation and feasibility economic analysis of ThinkCancer!: a primary care intervention to expedite cancer diagnosis in Wales. Pilot and Feasibility Studies 7 (1) 100. (10.1186/s40814-021-00834-y)
- Emary, K. R. W. et al., 2021. Efficacy of ChAdOx1 nCoV-19 (AZD1222) vaccine against SARS-CoV-2 variant of concern 202012/01 (B.1.1.7): an exploratory analysis of a randomised controlled trial. The Lancet 397 (10282), pp.1351-1362. (10.1016/S0140-6736(21)00628-0)
- Voysey, M. et al., 2021. Single-dose administration and the influence of the timing of the booster dose on immunogenicity and efficacy of ChAdOx1 nCoV-19 (AZD1222) vaccine: a pooled analysis of four randomised trials. Lancet 397 (10277), pp.881-891. (10.1016/S0140-6736(21)00432-3)
- Vaismoradi, M. et al., 2021. Nobody ever questions-Polypharmacy in care homes: A mixed methods evaluation of a multidisciplinary medicines optimisation initiative. PLoS ONE 16 (1) e0244519. (10.1371/journal.pone.0244519)
- Bowie, P. et al., 2021. Is the "never event?"concept a useful safety management strategy in complex primary healthcare systems?. International Journal for Quality in Health Care 33 (S1), pp.25-30. (10.1093/intqhc/mzaa101)
- Voysey, M. et al., 2021. Safety and efficacy of the ChAdOx1 nCoV-19 vaccine (AZD1222) against SARS-CoV-2: an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK. Lancet 397 (10269), pp.99-111. (10.1016/S0140-6736(20)32661-1)
- Ensaldo-Carrasco, E. et al., 2021. Patient safety incidents and adverse events in ambulatory dental care: A systematic scoping review. Journal of Patient Safety 17 (5), pp.381-391. (10.1097/PTS.0000000000000316)
2020
- Evans, H. P. et al. 2020. Automated classification of primary care patient safety incident report content and severity using supervised Machine Learning (ML) approaches. Health Informatics Journal 26 (4), pp.3123-3139. (10.1177/1460458219833102)
- Hibbert, P. D. et al., 2020. Characterising the types of paediatric adverse events detected by the global trigger tool - CareTrack Kids. Journal of Patient Safety and Risk Management 25 (6), pp.239-249. (10.1177/2516043520969329)
- Gibson, R. et al., 2020. A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. Addiction 115 (11), pp.2066-2076. (10.1111/add.15039)
- Evans, A. et al., 2020. Use of prescribing indicators as a means of identifying variation in the prevalence of valproate prescribing between health communities: a cross-sectional study. Integrated Healthcare Journal 2 (1) e000022. (10.1136/ihj-2019-000022)
- Omar, A. et al. 2020. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. Archives of Disease in Childhood 105 , pp.731-737. (10.1136/archdischild-2019-318406)
- Edwards, M. et al. 2020. Emergency department clinical leads' experiences of implementing primary care services where GPs work in or alongside emergency departments in the UK: a qualitative study. BMC Emergency Medicine 20 (1) 62. (10.1186/s12873-020-00358-3)
- Price, D. et al. 2020. Challenges of recruiting emergency department patients to a qualitative study: a thematic analysis of researchers? experiences. BMC Medical Research Methodology 20 (1) 151. (10.1186/s12874-020-01039-2)
- Hibbert, P. et al., 2020. A qualitative content analysis of retained surgical items: Learning from root cause analysis investigations. International Journal for Quality in Health Care 32 (3), pp.184-189. (10.1093/intqhc/mzaa005)
- Cooper, A. et al. 2020. Is streaming patients in emergency departments to primary care services effective and safe?. BMJ 368 m462. (10.1136/bmj.m462)
- Mitchell, R. et al., 2020. Using the WHO international classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths. Applied Ergonomics 82 102920. (10.1016/j.apergo.2019.102920)
- Young, S. et al., 2020. A mixed methods analysis of lithium-related patient safety incidents in primary care. Therapeutic Advances in Drug Safety 11 , pp.1-8. (10.1177/2042098620922748)
2019
- Hussain, F. et al., 2019. Diagnostic error in the emergency department: learning from national patient safety incidents report analysis. BMC Emergency Medicine 19 77. (10.1186/s12873-019-0289-3)
- Carson-Stevens, A. et al. 2019. Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. BMC Family Practice 20 134. (10.1186/s12875-019-0990-z)
- Cooper, A. et al. 2019. Taxonomy of the form and function of primary care services in or alongside emergency departments: concepts paper. Emergency Medicine Journal 36 (10), pp.625-630. (10.1136/emermed-2018-208305)
- Cooper, A. et al. 2019. The impact of general practitioners working in or alongside emergency departments: a rapid realist review. BMJ Open 9 (4) e024501. (10.1136/bmjopen-2018-024501)
- Williams, H. et al. 2019. Quality improvement identifying priorities for safer out- of- hours palliative care: lessons from a mixed methods analysis of a national incident reporting database. Palliative Medicine 33 (3), pp.346-356. (10.1177/0269216318817692)
2018
- Carson-Stevens, A. et al. 2018. Participatory design of a complex improvement intervention for the primary care management of Sepsis using the Functional Resonance Analysis Method. BMC Medicine 16 174. (10.1186/s12916-018-1164-x)
- Doran, N. et al., 2018. Empowering junior doctors: a qualitative study of a QI programme in South West England. Postgraduate Medical Journal 94 (1116), pp.571-577.
- Stanciu, M. A. et al., 2018. Development of an intervention to expedite cancer diagnosis through primary care: a protocol. BJGP Open 2 (3) 18X101595. (10.3399/bjgpopen18X101595)
- Yardley, I. et al., 2018. Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. Palliative Medicine 32 (8), pp.1353-1362. (10.1177/0269216318776846)
- Carson-Stevens, A. , Donaldson, L. and Sheikh, A. 2018. The rise of patient safety-II: should we give up hope on safety-I and extracting value from patient safety incidents? Comment on "false dawns and new horizons in patient safety research and practice". International Journal of Health Policy and Management 7 (7) 12. (10.15171/ijhpm.2018.23)
- Carson-Stevens, A. et al. 2018. Wales: Realizing a data-drive healthcare improvement agenda: a manifesto for world class patient safety. In: Braithwaite, J. et al., Health Care Systems: Future Predictions of Global Care.. CRC Press Taylor and Francis Group. , pp.275-280.
- Ensaldo-Carrasco, E. et al., 2018. Developing agreement on never events in primary care dentistry: an international eDelphi study. British Dental Journal 224 , pp.733-740. (10.1038/sj.bdj.2018.351)
- Cooper, J. et al. 2018. Classification of patient-safety incidents in primary care. Bulletin of the World Health Organization 96 (7), pp.498-505. (10.2471/BLT.17.199802)
- Stuttaford, L. et al. 2018. G190 Patient safety incidents in neonatology: a 10-year descriptive analysis of reports from NHS England and Wales. Archives of Disease in Childhood 103 (S1) A78. (10.1136/archdischild-2018-rcpch.185)
- Yardley, I. E. , Carson-Stevens, A. and Donaldson, L. J. 2018. Serious incidents after death: content analysis of incidents reported to a national database. Journal of the Royal Society of Medicine 111 (2), pp.57-64. (10.1177/0141076817744561)
2017
- Cooper, J. et al., 2017. Nature of blame in patient safety incident reports: mixed methods analysis of a national database. Annals of Family Medicine 15 (5), pp.455-461. (10.1370/afm.2123)
- Cooper, A. et al. 2017. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Age and Ageing 46 (5), pp.833-839. (10.1093/ageing/afx044)
- Cork, N. , Rooney, K. D. and Carson-Stevens, A. 2017. When I say? quality improvement. Medical Education 51 (5), pp.467-468. (10.1111/medu.13244)
- Carson-Stevens, A. and Donaldson, L. 2017. Reporting and learning from patient safety incidents in general practice: a practical guide. Royal College of General Practitioners.. Manual. Royal College of General Practitioners. Available at: http://www.rcgp.org.uk/-/media/Files/CIRC/Patient-Safety/Reporting-and-learning-from-patient-safety-incidents.ashx?la=en.
- Lazenby, S. et al. 2017. End-of-life care decisions for haemodialysis patients – ‘We only tend to have that discussion with them when they start deteriorating’. Health Expectations 20 (2), pp.260-273. (10.1111/hex.12454)
- Bell, B. G. et al., 2017. Understanding the epidemiology of avoidable significant harm in primary care: protocol for a retrospective cross-sectional study. BMJ Open 7 (2) e013786. (10.1136/bmjopen-2016-013786)
- Cooper, J. et al. 2017. Learning from excellence and patient safety incidents. Archives of Disease in Childhood 102 (3), pp.295-296. (10.1136/archdischild-2016-312445)
- Gibson, R. et al., 2017. Unsafe opioid replacement therapy in England and Wales: a mixed-methods study. The Lancet 389 (S1), pp.S38. (10.1016/S0140-6736(17)30434-8)
- Rees, P. et al. 2017. Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. Plos Medicine 14 (1) e1002217. (10.1371/journal.pmed.1002217)
- Carson-Stevens, A. 2017. Generating learning from patient safety incident reports from general practice. PhD Thesis , Cardiff University.
2016
- Makeham, M. et al., 2016. Administrative errors: technical series on safer primary care. Technical Report.
- Samuriwo, R. et al. 2016. Improving skin care through data: a pitch for patient safety incident reporting. Journal of Wound Care 25 (12), pp.691. (10.12968/jowc.2016.25.12.691)
- Carson-Stevens, A. et al. 2016. Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. Health Services and Delivery Research 4 (27), pp.1-76. (10.3310/hsdr04270)
- Panesar, S. S. et al., 2016. How safe is primary care? A systematic review. BMJ Quality & Safety 25 (7), pp.544-553. (10.1136/bmjqs-2015-004178)
- Wood, F. et al. 2016. Doctors’ perspectives of informed consent for non-emergency surgical procedures: a qualitative interview study. Health Expectations 19 (3), pp.751-761. (10.1111/hex.12258)
- Samuriwo, R. et al. 2016. Primary Care Patient Safety (PISA) Research Group - Identifying priorities for pressure ulcer prevention in primary care.. EWMA Journal 16 (1), pp.25-26.
- Evans, H. P. et al., 2016. Improving the safety of vaccine delivery. Human Vaccines & Immunotherapeutics 12 (5), pp.1280-1281. (10.1080/21645515.2015.1137404)
- Williams, H. , Cooper, A. and Carson-Stevens, A. 2016. Opportunities for incident reporting. Response to: 'The problem with incident reporting' by Macrae et al. BMJ Quality & Safety 25 (2), pp.133-134. (10.1136/bmjqs-2015-004962)
2015
- Carson-Stevens, A. et al. 2015. A cross-sectional mixed methods study protocol to generate learning from patient safety incidents reported from general practice. BMJ Open 5 (12) e009079. (10.1136/bmjopen-2015-009079)
- Williams, H. et al. 2015. Harms from discharge to primary care: mixed methods analysis of incident reports. British Journal of General Practice (BJGP) 65 (641), pp.e829-e837. (10.3399/bjgp15X687877)
- Omar, A. et al. 2015. Vulnerable children and their care quality issues: a descriptive analysis of a national database [Abstract]. BMJ Quality and Safety 24 (11), pp.732-733. 588. (10.1136/bmjqs-2015-IHIabstracts.18)
- Rees, P. et al. 2015. Identifying priorities for improved child healthcare: a mixed methods analysis of safety incident reports [Abstract]. BMJ Quality and Safety 24 (11), pp.730-731. 579. (10.1136/bmjqs-2015-IHIabstracts.16)
- Rees, P. et al. 2015. Pediatric immunization-related safety incidents in primary care: a mixed methods analysis of a national database. Vaccine 33 (32), pp.3873-3880. (10.1016/j.vaccine.2015.06.068)
- Rees, P. et al. 2015. Safety incidents in the primary care office setting. Pediatrics 135 (6), pp.1027-1035. (10.1542/peds.2014-3259)
- Carson-Stevens, A. et al. 2015. Reducing the burden of iatrogenic harm in children. The Lancet 385 (9978), pp.1593-1594. (10.1016/S0140-6736(14)61739-6)
- Dahill, M. et al., 2015. First-year doctors' attitudes and beliefs relating to quality improvement and patient safety. Clinical Risk 21 (2-3), pp.47-49. (10.1177/1356262215585270)
- Rees, P. et al. 2015. Disparities in the quality of primary healthcare for socially deprived children. Archives of Disease in Childhood 100 (3), pp.299-300. (10.1136/archdischild-2014-307618)
- Samuriwo, R. et al. 2015. How do we prevent pressure ulcers in primary care? Galvanising insights from healthcare professionals. Presented at: 21st Annual Institute for Healthcare Improvement Scientific Symposium (IHI 2015) Orlando, FL, USA 7 December 2015.
- Samuriwo, R. et al. 2015. Primary care pressure ulcer related patient safety incidents reports from England and Wales: a mixed methods analysis. Presented at: 18th Annual Meeting of the European Pressure Ulcer Advisory Panel (EPUAP 2015) Ghent, Belgium 16-18 September 2015.
- Samuriwo, R. et al. 2015. Primary care pressure ulcer related patient safety incidents reports from England and Wales: A mixed methods analysis.. Presented at: 25th Conference of the European Wound Management Association (EWMA 2015) London, England 13 May 2015.
- Samuriwo, R. et al. 2015. Priorities for pressure ulcer prevention: mixed methods analysis of patient safety incidents reports from primary care in England and Wales (2003-2013).. Presented at: PRIME Centre Wales 1st Annual Meeting Cardiff, Wales 22 September 2015.
2014
- Rees, P. et al., 2014. Child mortality in the UK. The Lancet 384 (9958), pp.1923-1924. (10.1016/S0140-6736(14)62272-8)
- Rees, P. et al. 2014. Contraindicated BCG vaccination in "at risk" infants. BMJ 349 g5388. (10.1136/bmj.g5388)
- Panesar, S. et al., Panesar, S. et al., 2014. Patient safety and healthcare improvement at a glance. Wiley-Blackwell.
- Jones, A. and Carson-Stevens, A. 2014. Patient stories in improvement. In: Panesar, S. S. et al., Patient Safety and Healthcare Improvement at a Glance. Chichester, UK: Wiley. , pp.90-92.
- Madhok, R. et al., 2014. Promoting patient safety in India: situational analysis and the way forward. National Medical Journal of India 27 (4), pp.217-223.
- Rees, P. et al. 2014. Quality improvement informed by a reporting and learning system. Archives of Disease in Childhood 99 (7), pp.702-703. (10.1136/archdischild-2014-306198)
2013
- Panesar, S. S. et al., 2013. The orthopaedic error index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach. BMJ Open 3 (11), pp.e003448. (10.1136/bmjopen-2013-003448)
- Parry, G. J. et al., 2013. Recommendations for evaluation of health care improvement initiatives. Academic Pediatrics 13 (6), pp.S23-S30. (10.1016/j.acap.2013.04.007)
- Cresswell, K. M. et al., 2013. Global research priorities to better understand the burden of iatrogenic harm in primary care: An international delphi exercise. PLoS Medicine 10 (11), pp.e1001554. (10.1371/journal.pmed.1001554)
- Ward, H. O. et al., 2013. Financial implications for survivors of stroke. British Medical Journal 347 f4999. (10.1136/bmj.f4999)
- Carson-Stevens, A. et al. 2013. The social movement drive: a role for junior doctors in healthcare reform. Journal of the Royal Society of Medicine 106 (8), pp.305-309. (10.1177/0141076813489677)
- Mustafa, M. et al. 2013. Psychological interventions for women with metastatic breast cancer. Cochrane Library 2013 (6) CD004253. (10.1002/14651858.CD004253.pub4)
- Panesar, S. et al., 2013. Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. Drug, Healthcare and Patient Safety 2013 (5), pp.57-65. (10.2147/DHPS.S40887)
- Carson-Stevens, A. et al. 2013. Framing patient consent for student involvement in pelvic examination: a dual model of autonomy: Table 1.. Journal of Medical Ethics 39 (11), pp.676-680. (10.1136/medethics-2012-100809)
- Carson-Stevens, A. P. et al. 2013. Q-Tip: "What can I do to improve your care today?" -One question closer to patient-centered care. American Journal of Medical Quality 28 (2), pp.174-174. (10.1177/1062860612470782)
2011
- Carson-Stevens, A. , Hingston, C. D. and Wise, M. P. 2011. Minimising drug errors in critically ill patients. Critical Care 15 (1) 401. (10.1186/cc9366)
2010
- Panesar, S. S. et al., 2010. The WHO surgical safety checklist - junior doctors as agents for change. International Journal of Surgery 8 (6), pp.414-416. (10.1016/j.ijsu.2010.06.004)
Articles
- Ganasan-Ryan, S. et al., 2027. Exploring the resilience potentials of a responsive team managing clinical deterioration: A systems analysis. Applied Ergonomics: Human Factors in Technology and Society 138 104845. (10.1016/j.apergo.2026.104845)
- Hopewell-Kelly, N. et al. 2026. 90 Developing patient-focused outcomes for routine clinical care in glioma: A synthesis of qualitative evidence from the COMBaT study [Abstract]. Neuro-Oncology 28 (S1) noag172.031. (10.1093/neuonc/noag172.031)
- Walker, D. et al., 2026. A primary care intervention to expedite cancer diagnosis: protocol for the ThinkCancer! phase III trial. British Journal of General Practice Open (10.3399/bjgpo.2026.0029)
- Bowers, B. et al. 2026. Understanding end-of-life injectable medication patient safety origin incidents in the community: a mixed-methods analysis of national incident-reporting data. International Journal of Nursing Studies 180 105544. (10.1016/j.ijnurstu.2026.105544)
- Jordan, M. et al., 2026. Lived experience of avoidable healthcare harm in prisons in England: a qualitative study. Health and Justice (10.1186/s40352-026-00417-0)
- McFadzean, J. et al. 2026. Parental involvement in patient safety events in paediatric emergency care: a multi-method analysis. BMJ Paediatrics Open 10 e004794. (10.1136/bmjpo-2026-004794)
- Purchase, T. et al. 2026. Fighting to be heard: Thematic analysis of parent perspectives of safety in general practice. British Journal of General Practice (10.3399/BJGP.2025.0651)
- McFadzean, I. J. et al. 2026. The incidence of avoidable healthcare-associated harm in prisons in England: a retrospective case note review. BMJ Quality & Safety (10.1136/bmjqs-2025-019935)
- Button, K. et al. 2026. Addressing the challenges of including older people with OA and multi-morbidity in digitally enabled trials: lessons from the tiptoe trial [Abstract]. Osteoarthritis and Cartilage 34 (S), pp.S402. (10.1016/j.joca.2026.01.588)
- Purchase, T. et al. 2026. Co-generating ideas for safer paediatric care in general practice with parents and stakeholders. British Journal of General Practice (10.3399/BJGP.2025.0690)
- Alsuwat, M. et al., 2026. Exploring medication-related safety incidents and avoidable harm in English prisons: a combined national retrospective record review study. International Journal of Pharmacy Practice 34 (S1), pp.i48-i48. (10.1093/ijpp/riag034.066)
- McFadzean, I. et al. 2026. Critical illness in prisons: a multi-method analysis of reported healthcare safety incidents in England. British Journal of General Practice 76 (764), pp.e244-e252. (10.3399/bjgp.2025.0239)
- Santos Gomes, B. et al., 2026. How are handover delays from ambulances to emergency departments being addressed in the United Kingdom? A nationwide survey of ambulance services and emergency departments. BMC Emergency Medicine 26 134. (10.1186/s12873-026-01532-9)
- Sivell, S. et al. 2026. PP-48 COMBaT: a protocol for developing patient-focused outcomes in routine glioma care [Poster]. BMJ Supportive & Palliative Care 16 A26. (10.1136/spcare-2026-mcrc.59)
- Hope, I. et al. 2025. Revealing the hidden harms in end-of-life care: a mixed-methods characterisation of reported safety incidents involving injectable symptom control medication.. British Journal of General Practice (10.3399/BJGP.2025.0301)
- Spencer, R. A. et al., 2025. Implementing Jess’s rule in England’s primary care [Editorial]. BMJ 391 r2396. (10.1136/bmj.r2396)
- Porter, A. et al., 2025. ‘Every day was a learning curve’: implementing COVID-19 triage protocols in UK ambulance services—a qualitative study of staff experiences. Emergency Medicine Journal 42 , pp.747-751. (10.1136/emermed-2024-214495)
- Purchase, T. et al. 2025. Parental involvement in paediatric patient safety incidents in general practice: a cross-sectional study. British Journal of General Practice 0786. (10.3399/BJGP.2024.0786)
- Sha'aban, A. et al. 2025. Coproducing data-driven organisational safety with patients: development and cognitive testing of a multi-setting patient-reported safety concern tool. International Journal for Quality in Health Care 37 (3) mzaf056. (10.1093/intqhc/mzaf056)
- Williams, D. et al. 2025. Recommendations for a communication strategy to support informed decision-making about self or clinician sampling for cervical screening in the UK: qualitative study. Health Expectations 28 (2) e70191. (10.1111/hex.70191)
- Edwards, P. J. et al., 2025. Safety-netting advice documentation out-of-hours: a retrospective cohort from 2013 to 2020. British Journal of General Practice 75 (751), pp.80-89. (10.3399/BJGP.2024.0057)
- Acton, J. H. et al. 2025. Patient safety in eye care: a multi-method analysis of reported incidents involving implementation of care and clinical assessment in England and Wales. Eye (10.1038/s41433-025-03669-6)
- Brown, A. et al., 2025. Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: A mixed methods analysis. Palliative Medicine 39 (1), pp.7-21. (10.1177/02692163241287639)
- Harris, V. et al., 2025. Health outcomes 3 months and 6 months after molnupiravir treatment for COVID-19 for people at higher risk in the community (PANORAMIC): a randomised controlled trial. The Lancet Infectious Diseases 25 (1), pp.68-79. (10.1016/S1473-3099(24)00431-6)
- McFadzean, I. J. et al. 2025. The evolution of patient-reported safety concerns during the COVID-19 pandemic within a series of study questionnaires: a multi-method analysis. International Journal for Quality in Health Care 37 (2) mzaf040. (10.1093/intqhc/mzaf040)
- Carson-Stevens, A. et al. 2024. Understanding the scale and nature of avoidable healthcare-associated harm for prisoners in England: protocol for a retrospective cross-sectional study. BMJ Open 14 (12) e085607. (10.1136/bmjopen-2024-085607)
- Driscoll, T. et al., 2024. PP35 Does mean ambulance handover time at emergency departments correlate with number of handovers per month?. Emergency Medicine Journal 41 (3), pp.A15-A16. (10.1136/emermed-2024-999.35)
- Sagua, N. , Carson-Stevens, A. and James, K. L. 2024. Characterizing medication safety incidents in surgical patients: a retrospective cross-sectional analysis of incident reports. Therapeutic Advances in Drug Safety 2024 (15)(10.1177/20420986241271881)
- Png, M. E. et al., 2024. Cost-utility analysis of molnupiravir plus usual care versus usual care alone as early treatment for community-based adults with COVID-19 and increased risk of adverse outcomes in the UK PANORAMIC trial. British Journal of General Practice 74 (745), pp.e570-e579. (10.3399/BJGP.2023.0444)
- Deere, R. et al. 2024. Multi-domain self-management in older people with osteoarthritis and multimorbidities: protocol for the TIPTOE randomised controlled trial. Trials 25 557. (10.1186/s13063-024-08380-7)
- Ball, E. et al., 2024. 6637 How do families mitigate paediatric safety incidents in emergency departments? A multi-method national analysis of incident reports. Archives of Disease in Childhood 109 , pp.A400-A401. (10.1136/archdischild-2024-rcpch.629)
- Hibbert, P. D. et al., 2024. Improving health system responses when patients are harmed: a protocol for a multistage mixed-methods study. BMJ Open 14 (7) e085854. (10.1136/bmjopen-2024-085854)
- Davies, F. et al. 2024. Evaluation of different models of general practitioners working in or alongside emergency departments: a mixed methods realist evaluation. Health and Social Care Delivery Research 12 (10)(10.3310/JWQZ5348)
- de Andrade, F. K. et al., 2024. Validated medication deprescribing instruments for patients with palliative care needs a systematic review. Hospital Pharmacy 48 (2), pp.83-89. (10.1016/j.farma.2023.08.004)
- Rawlings, A. et al., 2024. The burden of acute eye conditions on different healthcare providers: a retrospective population-based study. British Journal of General Practice 74 , pp.e264-e274. (10.3399/BJGP.2022.0616)
- Cooper, A. et al. 2024. Programme theories to describe how different general practitioner service models work in different contexts in or alongside emergency departments (GP-ED): realist evaluation. Emergency Medicine Journal 41 (5), pp.287-295. (10.1136/emermed-2023-213426)
- Pereira, N. et al., 2024. Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. Journal of the American Medical Informatics Association 31 (2), pp.499-508. (10.1093/jamia/ocad231)
- Hibbert, P. D. et al., 2024. The quality of care delivered to residents in long-term care in Australia: an indicator-based review of resident records (CareTrack Aged study). BMC Medicine 22 (1) 22. (10.1186/s12916-023-03224-8)
- Sewell, B. et al., 2023. The cost of implementing the COVID-19 shielding policy in Wales. BMC Public Health 23 2342. (10.1186/s12889-023-17169-3)
- Purchase, T. et al. 2023. Analysis of applying a patient safety taxonomy to patient and clinician-reported incident reports during the COVID-19 pandemic: a mixed methods study. BMC Medical Research Methodology 23 (1) 234. (10.1186/s12874-023-02057-6)
- Anderson, N. et al. 2023. Mapping processes in the emergency department using the functional resonance analysis method. Annals of Emergency Medicine 82 (3), pp.288-297. (10.1016/j.annemergmed.2022.12.029)
- Gbinigie, O. et al., 2023. Platform adaptive trial of novel antivirals for early treatment of COVID-19 In the community (PANORAMIC): protocol for a randomised, controlled, open-label, adaptive platform trial of community novel antiviral treatment of COVID-19 in people at increased risk of more severe disease. BMJ Open 13 e069176. (10.1136/bmjopen-2022-069176)
- Porter, A. et al., 2023. Rationale for the shielding policy for clinically vulnerable people in the UK during the COVID-19 pandemic: a qualitative study. BMJ Open 13 e073464. (10.1136/bmjopen-2023-073464)
- McFadzean, I. J. et al. 2023. Patient safety in prisons: a multi-method analysis of reported incidents in England. Journal of the Royal Society of Medicine 116 (7), pp.236-245. (10.1177/01410768231166138)
- Evans, S. et al. 2023. Survey of practices for documenting evidence of bruises from physical abuse during child protection proceedings. BMJ Paediatrics Open 7 (1) e002047. (10.1136/bmjpo-2023-002047)
- Rees, P. et al. 2023. Family role in paediatric safety incidents: a retrospective study protocol. BMJ Open 13 (7) e075058. (10.1136/bmjopen-2023-075058)
- Hibbert, P. D. et al., 2023. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. International Journal for Quality in Health Care 35 (3)(10.1093/intqhc/mzad056)
- Snooks, H. et al., 2023. Did the UK's public health Shielding policy protect the clinically extremely vulnerable during the Covid-19 pandemic in Wales? Results of EVITE Immunity, a link data retrospective study. Public Health 218 , pp.12-20. (10.1016/j.puhe.2023.02.008)
- Alqenae, F. A. et al., 2023. Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. Therapeutic Advances in Drug Safety 14 (10.1177/20420986231154365)
- Keers, R. N. et al., 2023. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. PLoS ONE 18 (3) e0282021. (10.1371/journal.pone.0282021)
- Butler, C. C. et al. 2023. Molnupiravir plus usual care versus usual care alone as early treatment for adults with COVID-19 at increased risk of adverse outcomes (PANORAMIC): an open-label, platform-adaptive randomised controlled trial. The Lancet 401 (10373)(10.1016/S0140-6736(22)02597-1)
- Bowie, P. et al., 2023. Patient safety learning for healthcare improvement: considering the "system context" in medico-legal cases?. Journal of Personal Injury Law
- Hibbert, P. D. et al., 2023. Unsafe care in residential settings for older adults. A content analysis of accreditation reports. International Journal for Quality in Health Care 35 (4) mzad085. (10.1093/intqhc/mzad085)
- MacFarlane, E. et al. 2022. A mixed-methods characterisation of patient safety incidents by primary eye care practitioners. Ophthalmic and Physiological Optics 42 (6), pp.1304-1315. (10.1111/opo.13030)
- Evans, B. A. et al., 2022. Implementing public involvement throughout the research process - experience and learning from the GPs in EDs study. Health Expectations 25 (5), pp.2471-2484. (10.1111/hex.13566)
- Evans, B. A. et al., 2022. Evaluation of the shielding initiative in Wales (EVITE Immunity): protocol for a quasi-experimental study. BMJ Open 12 e059813. (10.1136/bmjopen-2021-059813)
- Dinnen, T. et al. 2022. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. BMJ Supportive and Palliative Care 12 (e3), pp.e403-e410. (10.1136/bmjspcare-2019-001824)
- Edwards, M. et al. 2022. The effectiveness of primary care streaming in emergency departments on decision-making and patient flow and safety – a realist evaluation. International Emergency Nursing 62 101155. (10.1016/j.ienj.2022.101155)
- Slater, D. et al., 2022. A systems analysis of the COVID-19 pandemic response in the United Kingdom-Part 1-The overall context. Safety Science 146 105525. (10.1016/j.ssci.2021.105525)
- Yardley, S. et al., 2022. Which human factors design issues are influencing system performance in out-of-hours community palliative care? Integration of realist approaches with an established systems analysis framework to develop mid-range programme theory. BMJ Open 12 (1)(10.1136/bmjopen-2020-048045)
- Price, D. et al. 2022. Patients' experiences of attending emergency departments where primary care services are located: qualitative findings from patient and clinician interviews from a realist evaluation. BMC Emergency Medicine 22 (12)(10.1186/s12873-021-00562-9)
- Hibbert, P. D. et al., 2022. Designing clinical indicators for common residential aged care conditions and processes of care: the CareTrack Aged development and validation study. International Journal for Quality in Health Care 34 (2) mzac033. (10.1093/intqhc/mzac033)
- McFadzean, I. et al. 2022. Realist analysis of whether emergency departments with primary care services generate 'provider-induced demand'. BMC Emergency Medicine 22 (1) 155. (10.1186/s12873-022-00709-2)
- Sewell, B. et al., 2022. P3 How Much Did the COVID-19 Shielding Policy Cost in Wales? Results of a Cost Analysis Within the EVITE Immunity Evaluation. Value in Health 25 (12)(10.1016/j.jval.2022.09.015)
- Avery, A. J. et al., 2021. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. BMJ Quality and Safety 30 , pp.961-976. (10.1136/bmjqs-2020-011405)
- Cooper, A. et al. 2021. Identifying safe care processes when GPs work in or alongside emergency departments: realist evaluation. British Journal of General Practice 71 (713), pp.e931-e940. (10.3399/BJGP.2021.0090)
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- Disbeschl, S. et al., 2021. Protocol for a feasibility study incorporating a randomised pilot trial with an embedded process evaluation and feasibility economic analysis of ThinkCancer!: a primary care intervention to expedite cancer diagnosis in Wales. Pilot and Feasibility Studies 7 (1) 100. (10.1186/s40814-021-00834-y)
- Emary, K. R. W. et al., 2021. Efficacy of ChAdOx1 nCoV-19 (AZD1222) vaccine against SARS-CoV-2 variant of concern 202012/01 (B.1.1.7): an exploratory analysis of a randomised controlled trial. The Lancet 397 (10282), pp.1351-1362. (10.1016/S0140-6736(21)00628-0)
- Voysey, M. et al., 2021. Single-dose administration and the influence of the timing of the booster dose on immunogenicity and efficacy of ChAdOx1 nCoV-19 (AZD1222) vaccine: a pooled analysis of four randomised trials. Lancet 397 (10277), pp.881-891. (10.1016/S0140-6736(21)00432-3)
- Vaismoradi, M. et al., 2021. Nobody ever questions-Polypharmacy in care homes: A mixed methods evaluation of a multidisciplinary medicines optimisation initiative. PLoS ONE 16 (1) e0244519. (10.1371/journal.pone.0244519)
- Bowie, P. et al., 2021. Is the "never event?"concept a useful safety management strategy in complex primary healthcare systems?. International Journal for Quality in Health Care 33 (S1), pp.25-30. (10.1093/intqhc/mzaa101)
- Voysey, M. et al., 2021. Safety and efficacy of the ChAdOx1 nCoV-19 vaccine (AZD1222) against SARS-CoV-2: an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK. Lancet 397 (10269), pp.99-111. (10.1016/S0140-6736(20)32661-1)
- Ensaldo-Carrasco, E. et al., 2021. Patient safety incidents and adverse events in ambulatory dental care: A systematic scoping review. Journal of Patient Safety 17 (5), pp.381-391. (10.1097/PTS.0000000000000316)
- Evans, H. P. et al. 2020. Automated classification of primary care patient safety incident report content and severity using supervised Machine Learning (ML) approaches. Health Informatics Journal 26 (4), pp.3123-3139. (10.1177/1460458219833102)
- Hibbert, P. D. et al., 2020. Characterising the types of paediatric adverse events detected by the global trigger tool - CareTrack Kids. Journal of Patient Safety and Risk Management 25 (6), pp.239-249. (10.1177/2516043520969329)
- Gibson, R. et al., 2020. A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. Addiction 115 (11), pp.2066-2076. (10.1111/add.15039)
- Evans, A. et al., 2020. Use of prescribing indicators as a means of identifying variation in the prevalence of valproate prescribing between health communities: a cross-sectional study. Integrated Healthcare Journal 2 (1) e000022. (10.1136/ihj-2019-000022)
- Omar, A. et al. 2020. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. Archives of Disease in Childhood 105 , pp.731-737. (10.1136/archdischild-2019-318406)
- Edwards, M. et al. 2020. Emergency department clinical leads' experiences of implementing primary care services where GPs work in or alongside emergency departments in the UK: a qualitative study. BMC Emergency Medicine 20 (1) 62. (10.1186/s12873-020-00358-3)
- Price, D. et al. 2020. Challenges of recruiting emergency department patients to a qualitative study: a thematic analysis of researchers? experiences. BMC Medical Research Methodology 20 (1) 151. (10.1186/s12874-020-01039-2)
- Hibbert, P. et al., 2020. A qualitative content analysis of retained surgical items: Learning from root cause analysis investigations. International Journal for Quality in Health Care 32 (3), pp.184-189. (10.1093/intqhc/mzaa005)
- Cooper, A. et al. 2020. Is streaming patients in emergency departments to primary care services effective and safe?. BMJ 368 m462. (10.1136/bmj.m462)
- Mitchell, R. et al., 2020. Using the WHO international classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths. Applied Ergonomics 82 102920. (10.1016/j.apergo.2019.102920)
- Young, S. et al., 2020. A mixed methods analysis of lithium-related patient safety incidents in primary care. Therapeutic Advances in Drug Safety 11 , pp.1-8. (10.1177/2042098620922748)
- Hussain, F. et al., 2019. Diagnostic error in the emergency department: learning from national patient safety incidents report analysis. BMC Emergency Medicine 19 77. (10.1186/s12873-019-0289-3)
- Carson-Stevens, A. et al. 2019. Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. BMC Family Practice 20 134. (10.1186/s12875-019-0990-z)
- Cooper, A. et al. 2019. Taxonomy of the form and function of primary care services in or alongside emergency departments: concepts paper. Emergency Medicine Journal 36 (10), pp.625-630. (10.1136/emermed-2018-208305)
- Cooper, A. et al. 2019. The impact of general practitioners working in or alongside emergency departments: a rapid realist review. BMJ Open 9 (4) e024501. (10.1136/bmjopen-2018-024501)
- Williams, H. et al. 2019. Quality improvement identifying priorities for safer out- of- hours palliative care: lessons from a mixed methods analysis of a national incident reporting database. Palliative Medicine 33 (3), pp.346-356. (10.1177/0269216318817692)
- Carson-Stevens, A. et al. 2018. Participatory design of a complex improvement intervention for the primary care management of Sepsis using the Functional Resonance Analysis Method. BMC Medicine 16 174. (10.1186/s12916-018-1164-x)
- Doran, N. et al., 2018. Empowering junior doctors: a qualitative study of a QI programme in South West England. Postgraduate Medical Journal 94 (1116), pp.571-577.
- Stanciu, M. A. et al., 2018. Development of an intervention to expedite cancer diagnosis through primary care: a protocol. BJGP Open 2 (3) 18X101595. (10.3399/bjgpopen18X101595)
- Yardley, I. et al., 2018. Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. Palliative Medicine 32 (8), pp.1353-1362. (10.1177/0269216318776846)
- Carson-Stevens, A. , Donaldson, L. and Sheikh, A. 2018. The rise of patient safety-II: should we give up hope on safety-I and extracting value from patient safety incidents? Comment on "false dawns and new horizons in patient safety research and practice". International Journal of Health Policy and Management 7 (7) 12. (10.15171/ijhpm.2018.23)
- Ensaldo-Carrasco, E. et al., 2018. Developing agreement on never events in primary care dentistry: an international eDelphi study. British Dental Journal 224 , pp.733-740. (10.1038/sj.bdj.2018.351)
- Cooper, J. et al. 2018. Classification of patient-safety incidents in primary care. Bulletin of the World Health Organization 96 (7), pp.498-505. (10.2471/BLT.17.199802)
- Stuttaford, L. et al. 2018. G190 Patient safety incidents in neonatology: a 10-year descriptive analysis of reports from NHS England and Wales. Archives of Disease in Childhood 103 (S1) A78. (10.1136/archdischild-2018-rcpch.185)
- Yardley, I. E. , Carson-Stevens, A. and Donaldson, L. J. 2018. Serious incidents after death: content analysis of incidents reported to a national database. Journal of the Royal Society of Medicine 111 (2), pp.57-64. (10.1177/0141076817744561)
- Cooper, J. et al., 2017. Nature of blame in patient safety incident reports: mixed methods analysis of a national database. Annals of Family Medicine 15 (5), pp.455-461. (10.1370/afm.2123)
- Cooper, A. et al. 2017. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Age and Ageing 46 (5), pp.833-839. (10.1093/ageing/afx044)
- Cork, N. , Rooney, K. D. and Carson-Stevens, A. 2017. When I say? quality improvement. Medical Education 51 (5), pp.467-468. (10.1111/medu.13244)
- Lazenby, S. et al. 2017. End-of-life care decisions for haemodialysis patients – ‘We only tend to have that discussion with them when they start deteriorating’. Health Expectations 20 (2), pp.260-273. (10.1111/hex.12454)
- Bell, B. G. et al., 2017. Understanding the epidemiology of avoidable significant harm in primary care: protocol for a retrospective cross-sectional study. BMJ Open 7 (2) e013786. (10.1136/bmjopen-2016-013786)
- Cooper, J. et al. 2017. Learning from excellence and patient safety incidents. Archives of Disease in Childhood 102 (3), pp.295-296. (10.1136/archdischild-2016-312445)
- Gibson, R. et al., 2017. Unsafe opioid replacement therapy in England and Wales: a mixed-methods study. The Lancet 389 (S1), pp.S38. (10.1016/S0140-6736(17)30434-8)
- Rees, P. et al. 2017. Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. Plos Medicine 14 (1) e1002217. (10.1371/journal.pmed.1002217)
- Samuriwo, R. et al. 2016. Improving skin care through data: a pitch for patient safety incident reporting. Journal of Wound Care 25 (12), pp.691. (10.12968/jowc.2016.25.12.691)
- Carson-Stevens, A. et al. 2016. Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. Health Services and Delivery Research 4 (27), pp.1-76. (10.3310/hsdr04270)
- Panesar, S. S. et al., 2016. How safe is primary care? A systematic review. BMJ Quality & Safety 25 (7), pp.544-553. (10.1136/bmjqs-2015-004178)
- Wood, F. et al. 2016. Doctors’ perspectives of informed consent for non-emergency surgical procedures: a qualitative interview study. Health Expectations 19 (3), pp.751-761. (10.1111/hex.12258)
- Samuriwo, R. et al. 2016. Primary Care Patient Safety (PISA) Research Group - Identifying priorities for pressure ulcer prevention in primary care.. EWMA Journal 16 (1), pp.25-26.
- Evans, H. P. et al., 2016. Improving the safety of vaccine delivery. Human Vaccines & Immunotherapeutics 12 (5), pp.1280-1281. (10.1080/21645515.2015.1137404)
- Williams, H. , Cooper, A. and Carson-Stevens, A. 2016. Opportunities for incident reporting. Response to: 'The problem with incident reporting' by Macrae et al. BMJ Quality & Safety 25 (2), pp.133-134. (10.1136/bmjqs-2015-004962)
- Carson-Stevens, A. et al. 2015. A cross-sectional mixed methods study protocol to generate learning from patient safety incidents reported from general practice. BMJ Open 5 (12) e009079. (10.1136/bmjopen-2015-009079)
- Williams, H. et al. 2015. Harms from discharge to primary care: mixed methods analysis of incident reports. British Journal of General Practice (BJGP) 65 (641), pp.e829-e837. (10.3399/bjgp15X687877)
- Omar, A. et al. 2015. Vulnerable children and their care quality issues: a descriptive analysis of a national database [Abstract]. BMJ Quality and Safety 24 (11), pp.732-733. 588. (10.1136/bmjqs-2015-IHIabstracts.18)
- Rees, P. et al. 2015. Identifying priorities for improved child healthcare: a mixed methods analysis of safety incident reports [Abstract]. BMJ Quality and Safety 24 (11), pp.730-731. 579. (10.1136/bmjqs-2015-IHIabstracts.16)
- Rees, P. et al. 2015. Pediatric immunization-related safety incidents in primary care: a mixed methods analysis of a national database. Vaccine 33 (32), pp.3873-3880. (10.1016/j.vaccine.2015.06.068)
- Rees, P. et al. 2015. Safety incidents in the primary care office setting. Pediatrics 135 (6), pp.1027-1035. (10.1542/peds.2014-3259)
- Carson-Stevens, A. et al. 2015. Reducing the burden of iatrogenic harm in children. The Lancet 385 (9978), pp.1593-1594. (10.1016/S0140-6736(14)61739-6)
- Dahill, M. et al., 2015. First-year doctors' attitudes and beliefs relating to quality improvement and patient safety. Clinical Risk 21 (2-3), pp.47-49. (10.1177/1356262215585270)
- Rees, P. et al. 2015. Disparities in the quality of primary healthcare for socially deprived children. Archives of Disease in Childhood 100 (3), pp.299-300. (10.1136/archdischild-2014-307618)
- Rees, P. et al., 2014. Child mortality in the UK. The Lancet 384 (9958), pp.1923-1924. (10.1016/S0140-6736(14)62272-8)
- Rees, P. et al. 2014. Contraindicated BCG vaccination in "at risk" infants. BMJ 349 g5388. (10.1136/bmj.g5388)
- Madhok, R. et al., 2014. Promoting patient safety in India: situational analysis and the way forward. National Medical Journal of India 27 (4), pp.217-223.
- Rees, P. et al. 2014. Quality improvement informed by a reporting and learning system. Archives of Disease in Childhood 99 (7), pp.702-703. (10.1136/archdischild-2014-306198)
- Panesar, S. S. et al., 2013. The orthopaedic error index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach. BMJ Open 3 (11), pp.e003448. (10.1136/bmjopen-2013-003448)
- Parry, G. J. et al., 2013. Recommendations for evaluation of health care improvement initiatives. Academic Pediatrics 13 (6), pp.S23-S30. (10.1016/j.acap.2013.04.007)
- Cresswell, K. M. et al., 2013. Global research priorities to better understand the burden of iatrogenic harm in primary care: An international delphi exercise. PLoS Medicine 10 (11), pp.e1001554. (10.1371/journal.pmed.1001554)
- Ward, H. O. et al., 2013. Financial implications for survivors of stroke. British Medical Journal 347 f4999. (10.1136/bmj.f4999)
- Carson-Stevens, A. et al. 2013. The social movement drive: a role for junior doctors in healthcare reform. Journal of the Royal Society of Medicine 106 (8), pp.305-309. (10.1177/0141076813489677)
- Mustafa, M. et al. 2013. Psychological interventions for women with metastatic breast cancer. Cochrane Library 2013 (6) CD004253. (10.1002/14651858.CD004253.pub4)
- Panesar, S. et al., 2013. Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. Drug, Healthcare and Patient Safety 2013 (5), pp.57-65. (10.2147/DHPS.S40887)
- Carson-Stevens, A. et al. 2013. Framing patient consent for student involvement in pelvic examination: a dual model of autonomy: Table 1.. Journal of Medical Ethics 39 (11), pp.676-680. (10.1136/medethics-2012-100809)
- Carson-Stevens, A. P. et al. 2013. Q-Tip: "What can I do to improve your care today?" -One question closer to patient-centered care. American Journal of Medical Quality 28 (2), pp.174-174. (10.1177/1062860612470782)
- Carson-Stevens, A. , Hingston, C. D. and Wise, M. P. 2011. Minimising drug errors in critically ill patients. Critical Care 15 (1) 401. (10.1186/cc9366)
- Panesar, S. S. et al., 2010. The WHO surgical safety checklist - junior doctors as agents for change. International Journal of Surgery 8 (6), pp.414-416. (10.1016/j.ijsu.2010.06.004)
Book sections
- Purchase, T. et al. 2023. Human factors to improve patient safety. In: Patient Safety. Cham, Switzerland: Springer. , pp.45-60. (10.1007/978-3-031-35933-0_4)
- Carson-Stevens, A. et al. 2018. Wales: Realizing a data-drive healthcare improvement agenda: a manifesto for world class patient safety. In: Braithwaite, J. et al., Health Care Systems: Future Predictions of Global Care.. CRC Press Taylor and Francis Group. , pp.275-280.
- Jones, A. and Carson-Stevens, A. 2014. Patient stories in improvement. In: Panesar, S. S. et al., Patient Safety and Healthcare Improvement at a Glance. Chichester, UK: Wiley. , pp.90-92.
Books
- Panesar, S. et al., Panesar, S. et al., 2014. Patient safety and healthcare improvement at a glance. Wiley-Blackwell.
Conferences
- Bowers, B. et al. 2026. Understanding the origins of end-of-life injectable medication patient safety incidents in the community: a mixed-methods analysis [Abstract]. Presented at: SAPC ASM 2026 St Andrews, Scotland, UK 24-26th June 2026. SAPC ASM 2026 Abstract Booklet. SAPC. , pp.228-229. (10.37361/asm.2026.1.1)
- McFadzean, J. et al. 2026. Incidence and nature of avoidable healthcare-associated harm in prisons: a retrospective case note review study of 18 prisons in England [Abstract]. Presented at: SAPC ASM 2026 St Andrews, Scotland, UK 24-26th June 2026. SAPC ASM 2026 Abstract Booklet. SAPC. , pp.7-8.
- Sivell, S. , Price, D. and Carson-Stevens, A. 2023. The challenges and experiences of providing end-of-life care in primary care: online survey and semi-structured interviews with UK primary care professionals.. Presented at: RCGP Annual Conference 2023 Glasgow 19-20 October 2023. Vol. 73.Vol. Suppl. Royal College of General Practitioners(10.3399/bjgp23X733833)
- Sivell, S. , Price, D. and Carson-Stevens, A. 2023. Understanding the experiences of providing end-of-life care in UK general practices; preliminary data from an independent evaluation of the daffodil standards.. Presented at: The Marie Curie Research Conference 2023 Virtual 6-10 February 2023. Vol. 13.BMJ Supportive and Palliative Care: BMJ Publishing Group. , pp.A8-A9. (10.1136/spcare-2023-MCRC.20)
- Sivell, S. et al. 2023. Protocol to evaluate the implementation of the royal college of general practitioners and Marie Curie Daffodil Standards in UK general practice. Presented at: The Marie Curie Research Conference 2023 Virtual 6-10 February 2023. Vol. 13.BMJ Publishing Group. , pp.A8. (10.1136/spcare-2023-MCRC.19)
- Samuriwo, R. et al. 2015. How do we prevent pressure ulcers in primary care? Galvanising insights from healthcare professionals. Presented at: 21st Annual Institute for Healthcare Improvement Scientific Symposium (IHI 2015) Orlando, FL, USA 7 December 2015.
- Samuriwo, R. et al. 2015. Primary care pressure ulcer related patient safety incidents reports from England and Wales: a mixed methods analysis. Presented at: 18th Annual Meeting of the European Pressure Ulcer Advisory Panel (EPUAP 2015) Ghent, Belgium 16-18 September 2015.
- Samuriwo, R. et al. 2015. Primary care pressure ulcer related patient safety incidents reports from England and Wales: A mixed methods analysis.. Presented at: 25th Conference of the European Wound Management Association (EWMA 2015) London, England 13 May 2015.
- Samuriwo, R. et al. 2015. Priorities for pressure ulcer prevention: mixed methods analysis of patient safety incidents reports from primary care in England and Wales (2003-2013).. Presented at: PRIME Centre Wales 1st Annual Meeting Cardiff, Wales 22 September 2015.
Monographs
- Shaw, J. et al., 2024. Understanding the scale and nature of avoidable harm in prison healthcare. Project Report.
- Carson-Stevens, A. and Donaldson, L. 2017. Reporting and learning from patient safety incidents in general practice: a practical guide. Royal College of General Practitioners.. Manual. Royal College of General Practitioners. Available at: http://www.rcgp.org.uk/-/media/Files/CIRC/Patient-Safety/Reporting-and-learning-from-patient-safety-incidents.ashx?la=en.
- Makeham, M. et al., 2016. Administrative errors: technical series on safer primary care. Technical Report.
Thesis
- Carson-Stevens, A. 2017. Generating learning from patient safety incident reports from general practice. PhD Thesis , Cardiff University.
Ymchwil
Trosolwg o Ymchwil
Dysgu o ganlyniadau iechyd a gofal cymdeithasol anniogel a brofwyd gan gleifion a'u teuluoedd
Rwyf wedi datblygu dull cymysg ar gyfer mesur amlder ac osgoi niwed, a nodi blaenoriaethau ar gyfer gwella diogelwch.
Mae'r system ddosbarthu Diogelwch Cleifion (PISA), sy'n cynnwys fframweithiau codio aml-echelin, wedi'i halinio â Dosbarthiad Rhyngwladol WHO ar gyfer Diogelwch Cleifion, ac fe'i datblygwyd yn empirig yn ystod astudiaeth gosod agenda genedlaethol o ddigwyddiadau diogelwch cleifion mewn Practis Cyffredinol (a ariennir gan raglen Gwasanaethau Iechyd a Chyflenwi NIHR ac a elwir ar lafar yn 'astudiaeth PISA').
Astudiaeth PISA oedd y nodweddiad mwyaf o ddigwyddiadau diogelwch cleifion mewn ymarfer cyffredinol ledled y byd. Ers hynny, mae'r system ddosbarthu PISA wedi darparu sylfaen i ymchwilwyr eraill ailadrodd ac ymestyn yr ymchwil, a hyrwyddo'r agenda diogelwch cleifion gofal sylfaenol, yn rhyngwladol. Yn y DU, er enghraifft, mae PISA wedi'i gymhwyso i nodi 'niwed sylweddol y gellir ei osgoi' mewn Practisau Cyffredinol yn Lloegr (a ariennir gan Raglen Ymchwil Polisi NIHR), yr astudiaeth a ariennir gan yr NIHR i ymchwilio i niwed y gellir ei osgoi mewn gwasanaethau gofal iechyd carchardai yn Lloegr, a'r astudiaeth a ariennir gan Ymchwil Canser Cymru, Think Cancer! Treial sy'n archwilio achosion yr oedi hiraf ar gyfer diagnosisau canser.
Mae gan y grŵp PISA bortffolio helaeth o astudiaethau wedi'u cwblhau sydd wedi nodi blaenoriaethau gwella diogelwch ar draws y continwwm iechyd a gofal cymdeithasol, gan gynnwys: rhyddhau anniogel o leoliadau gofal eilaidd i leoliadau gofal sylfaenol a digwyddiadau diogelwch a brofwyd gan blant mewn gofal sylfaenol, oedolion hŷn, cleifion sy'n derbyn gofal lliniarol, cynllunio gofal uwch, cleifion â dementia, oedolion sy'n derbyn gwasanaethau iechyd meddwl mewn gofal sylfaenol, ac oedolion sy'n derbyn amnewid opiate.
Meysydd enghreifftiol o astudiaethau wedi'u cwblhau:
Gofal iechyd mewn carchardai
- Digwyddiadau diogelwch cleifion mewn carchardai – cyhoeddwyd yn y Journal of the Royal Society of Medicine https://doi.org/10.1177/01410768231166138
Gofal pediatrig mewn cyd-destunau cymunedol
- Digwyddiadau diogelwch cleifion sy'n ymwneud â phlant sâl mewn gofal sylfaenol yng Nghymru a Lloegr: Dadansoddiad o ddulliau cymysg – cyhoeddwyd yn PLOS Medicine https://doi.org/10.1371/journal.pmed.1002217
- Digwyddiadau diogelwch sy'n ymwneud â phlant mewn ymarfer cyffredinol – cyhoeddwyd yn Pediatrics https://doi.org/10.1542/peds.2014-3259
- Digwyddiadau diogelwch sy'n gysylltiedig ag imiwneiddio pediatrig mewn gofal sylfaenol: Dadansoddiad dulliau cymysg o gronfa ddata genedlaethol – a gyhoeddwyd yn Vaccine https://doi.org/10.1016/j.vaccine.2015.06.068
Lleoliadau gofal acíwt
- Harms from discharge to primary care: Mixed methods analysis of incident reports – published in British Journal of General Practice https://doi.org/10.3399/bjgp15X687877
- Gwall diagnostig yn yr adran achosion brys: dysgu o ddadansoddiad adroddiad digwyddiadau diogelwch cleifion cenedlaethol – cyhoeddwyd yn BMC Emergency Medicine https://doi.org/10.1186/s12873-019-0289-3.
- Dysgu o ddigwyddiad diogelwch cleifion sy'n ymwneud ag oedolion sâl acíwt mewn unedau asesu ysbytai yng Nghymru a Lloegr: dadansoddiad dulliau cymysg ar gyfer gwella ansawdd – cyhoeddwyd yn Journal of the Royal Society of Medicine. https://doi.org/10.1177/01410768211032589
- Dysgu o wallau diagnostig i wella diogelwch cleifion pan fydd meddygon teulu yn gweithio mewn adrannau brys neu ochr yn ochr ag adrannau: ymgorffori methodoleg realistig mewn dadansoddiad adroddiadau digwyddiadau diogelwch cleifion – cyhoeddwyd yn BMC Emergency Medicine https://doi.org/10.1186/s12873-021-00537-w
Deintyddiaeth
- Digwyddiadau diogelwch cleifion mewn deintyddiaeth gofal sylfaenol yng Nghymru a Lloegr: Astudiaeth dulliau cymysg – cyhoeddwyd yn y Journal of Patient Safety http://dx.doi.org/10.1097/PTS.0000000000000530
Grwpiau cymdeithasol sy'n agored i niwed ar draws y continwwm gofal
- Niwed sy'n gysylltiedig â gofal iechyd a gofal cymdeithasol ymhlith plant sy'n agored i niwed mewn gofal sylfaenol: dadansoddiad dulliau cymysg o adroddiadau diogelwch cenedlaethol – cyhoeddwyd yn Archives of Disease in Childhood. http://dx.doi.org/10.1136/archdischild-2019-318406
- Dadansoddiad dulliau cymysg o ddigwyddiadau diogelwch cleifion sy'n ymwneud â thriniaeth amnewid opioid gyda methadon neu buprenorphine mewn gofal cymunedol yng Nghymru a Lloegr – cyhoeddwyd yn Addiction https://doi.org/10.1111/add.15039
- Digwyddiadau diogelwch cleifion mewn cynlluniau gofal ymlaen llaw ar gyfer salwch difrifol: dadansoddiad o ddulliau cymysg – cyhoeddwyd yn BMJ Supportive and Palliative Care http://dx.doi.org/10.1136/bmjspcare-2019-001824
- Ffynonellau gofal sylfaenol anniogel i oedolion hŷn: Dadansoddiad dulliau cymysg o adroddiadau digwyddiadau diogelwch cleifion – cyhoeddwyd yn Age and Ageing https://dx.doi.org/10.1093%2Fageing%2Fafx044
- Blaenoriaethau gwella ansawdd ar gyfer gofal lliniarol mwy diogel y tu allan i oriau: Gwersi o ddadansoddiad dulliau cymysg o gronfa ddata adrodd digwyddiadau cenedlaethol – a gyhoeddwyd yn Palliative Medicine https://doi.org/10.1177%2F0269216318817692
- Diogelwch cleifion mewn gofal lliniarol: Astudiaeth dulliau cymysg o adroddiadau i gronfa ddata genedlaethol o ddigwyddiadau difrifol – cyhoeddwyd yn Palliative Medicine https://doi.org/10.1177/0269216318776846
Meithrin gallu a gallu i alluogi pontio o 'ddysgu i weithredu'
Ledled y byd, mae ymdrechion i nodi a dysgu oddi wrthynt y ffynonellau pwysicaf o niwed i gleifion wedi'u cyfyngu gan ddiffyg system safonol gyffredinol ar gyfer dosbarthu difrifoldeb niwed ac esgeulustod cyffredinol niwed seicolegol yn y cyd-destun hwn. Mae fy ngrŵp ymchwil wedi datblygu cyfres o systemau dosbarthu, er enghraifft System Dosbarthu Difrifoldeb Niwed PISA a gyhoeddwyd ym Mwletin Sefydliad Iechyd y Byd, i'w cymhwyso'n rhyngwladol i wella canfod ac atal digwyddiadau sy'n achosi'r niwed mwyaf difrifol i gleifion.
- Datblygu system ddosbarthu ryngwladol ar gyfer diogelwch cleifion mewn gofal sylfaenol – a gyhoeddwyd ym Mwletin Sefydliad Iechyd y Byd http://dx.doi.org/10.2471/BLT.17.199802
Mae profiadau gofal anhygoel, anniogel cleifion a'u teuluoedd yn cael eu darlunio yn rhy aml mewn adroddiadau digwyddiadau diogelwch cleifion. Mae adroddiadau o'r fath yn cynrychioli persbectif unigryw ar gyfer dysgu. Fodd bynnag, mae cyfaint y data mewn llawer o systemau adrodd digwyddiadau diogelwch cleifion mor fawr fel nad yw llawer erioed wedi'u dadansoddi na'u defnyddio i gefnogi gwelliant mewn diogelwch cleifion. Rydym wedi datblygu dulliau dysgu peirianyddol (h.y. dulliau dosbarthu testun) i oresgyn yr her hon a fydd yn awtomeiddio cipio gwybodaeth hanfodol i ddeall digwyddiadau diogelwch cleifion gan gynnwys tynnu manylion am yr hyn a ddigwyddodd (math o ddigwyddiad), pam y digwyddodd (ffactorau cyfrannol) a difrifoldeb y canlyniad (difrifoldeb niwed).
- Dosbarthiad awtomataidd cynnwys a difrifoldeb adroddiad digwyddiadau diogelwch cleifion gofal sylfaenol gan ddefnyddio dulliau dysgu peiriannau dan oruchwyliaeth (ML) – cyhoeddwyd yn Health Informatics https://doi.org/10.1177/1460458219833102
Addysgu
Trosolwg o ysgolheictod addysgol
Yn rhyngwladol, rwyf wedi rhannu gydag ymchwilwyr eraill y dulliau dull cymysg arloesol a ddatblygwyd gan fy ngrŵp ymchwil i ymchwilio a deall epidemioleg digwyddiadau diogelwch cleifion (darlithydd gwadd yn Ysgol Iechyd Cyhoeddus Harvard Chan yn 2017). Rwyf wedi hyfforddi ymchwilwyr i ddysgu o ddigwyddiadau diogelwch cleifion gan ddefnyddio'r Dull PISA yn genedlaethol ac yn fyd-eang (Awstralia, Brasil, Canada, Ffrainc, Kuwait, Mecsico, Sbaen, Twrci, UDA) gan arwain at lawer o gydweithrediadau ymchwil rhyngwladol ac allbynnau effeithiol. Mae'r Grŵp PISA yn croesawu mynegiadau o ddiddordebau gan y rhai sy'n ceisio hyrwyddo eu hyfedredd ymchwil diogelwch cleifion (myfyrwyr ôl-raddedig, academyddion clinigol, cymrodyr ôl-ddoethurol, uwch academyddion) drwy apwyntiadau ymweld ym Mhrifysgol Caerdydd.
Mae gwersi a ddysgwyd o fy astudiaethau ymchwil wedi dylanwadu ar strategaeth Sefydliad Iechyd y Byd ar gyfer diogelwch cleifion. Mae dysgu yn cael ei rannu'n ôl i ddarparwyr rheng flaen trwy systemau addysgol sefydledig fel Coleg Brenhinol yr Ymarferwyr Cyffredinol; mae un enghraifft yn cynnwys rhaglen sydd wedi'i chynllunio i gefnogi'r gweithlu gofal sylfaenol i gydnabod, adrodd a dysgu o ddigwyddiadau diogelwch cleifion drwy gyrsiau e-ddysgu, seminarau cenedlaethol, a chanllaw ymarferol 'sut i'. Rwyf hefyd wedi cyfrannu'n rhyngwladol at raglen OPEN Pediatrics Ysbyty Plant Boston / Ysgol Feddygol Harvard, sydd wedi'i anelu'n bennaf at ddysgwyr o leoliadau incwm isel a chanolig, ar ddatgelu ac ymddiheuriad i gleifion a theuluoedd yn dilyn gofal iechyd anniogel.
O 2012-16, roeddwn yn Arweinydd Cyfadran Sefydliad Gwella Gofal Iechyd y DU ac Iwerddon ar gyfer y rhaglen addysgol ar-lein a chymunedol, Ysgol Agored IHI (2012-16) – bellach y darparwr mwyaf o addysg gwella ansawdd a diogelwch cleifion ledled y byd. Yn 2008, roeddwn yn intern i'r Athro Donald Berwick yn y Sefydliad Gwella Gofal Iechyd yng Nghaergrawnt, UDA. Roeddwn i'n un o gyd-sylfaenwyr Ysgol Agored IHI. Gan ddefnyddio dulliau trefnu cymdeithasol a rhwydwaith cynyddol Ysgol Agored IHI o selogion gwella ansawdd, roeddwn yn gyd-sylfaenydd ymgyrch diogelwch cleifion byd-eang ar gyfer gweithwyr gofal iechyd proffesiynol iau o'r enw "Check a Box. Achub Bywyd." gan gefnogi lledaeniad a lledaenu Rhestr Wirio Diogelwch Llawfeddygol WHO . Yn y blynyddoedd diweddarach, fel aelod o'r gyfadran, datblygais ddulliau i fyfyrwyr ddysgu am brofiad cleifion a theuluoedd mewn gofal iechyd i lywio gwella ansawdd trwy Gofyn Un Cwestiwn – annog myfyrwyr i fabwysiadu strategaethau syml fel gofyn i bob claf maen nhw'n cwrdd, "Beth alla i ei wneud i wella eich gofal heddiw?". Ers hynny, mae'r arloesiadau addysgol hyn wedi'u gweithredu mewn sawl cwricwlwm meddygol, er enghraifft, ym Mhrifysgol Caerdydd a Phrifysgol British Columbia (Canada).
Arweinyddiaeth addysgol ym Mhrifysgol Caerdydd
Arweinyddiaeth a chyfraniadau modiwl
|
Blwyddyn o/ i |
Ysgol |
Teitl modiwl/ cwrs |
Lefel astudio |
Rôl |
|
2019 – 2021 |
Meddyginiaeth |
Modiwl Ansawdd a Diogelwch (20 credyd) a ddatblygwyd i'w ddefnyddio yn: MSc Gofal Critigol, Arweinyddiaeth Glinigol a Rheoli Newid mewn Cardioleg MSc, Meddygaeth Lliniarol ar gyfer Gweithwyr Gofal Iechyd Proffesiynol MSc. |
Msc |
Arweinydd modiwl |
|
2019 – 2021 |
Busnes |
Cynllunio Strategol ac Arloesi |
Diploma PG mewn Cynllunio Gofal Iechyd |
Cynneddf |
|
2014 – parhaus |
Meddyginiaeth |
Meddygaeth Blwyddyn 5: Newid Arfer, MB BCh |
Myfyrwyr Meddygol Blwyddyn 5 (n=300+) |
Arweinydd modiwl |
|
2017 – parhaus |
Meddyginiaeth |
Gwella ansawdd gofal clinigol |
BSc Rhyngosodedig Meddygaeth Poblogaeth (n=10+) |
Arweinydd modiwl |
|
2018 – parhaus |
Meddyginiaeth |
Wythnos Blasu Ymchwil SSC Blwyddyn 2 |
Myfyrwyr Meddygol Blwyddyn 2 (n=20) |
Tiwtor SSC |
|
2018/2019 |
Meddyginiaeth |
Profiad Ymchwil Ymarferol Cydran Ddewisol Myfyriwr |
Myfyrwyr Meddygol Blwyddyn 1 (n=10) |
Tiwtor |
Arweinyddiaeth academaidd , rheolaeth ac addysgu/rolau gweinyddu sy'n gysylltiedig ag ymchwil
- Cyfarwyddwr Ymchwil, Is-adran Meddygaeth y Boblogaeth, Ebrill 2021 – Medi 2024
- Cydlynydd Amserlen Cyfarfod Academaidd Is-adran Meddygaeth y Boblogaeth, Tachwedd 2018 – Medi 2024.
- Aelod o Bwyllgor Moeseg Ymchwil yr Ysgol Feddygaeth, Gorffennaf 2020 – Ebrill 2021
- Cyfwelydd myfyrwyr meddygol, Rhagfyr 2019 – parhaus
- Diwrnod blasu Wellcome INSPIRE, Rhagfyr 2019 – parhaus
- Cadeirydd y Bwrdd Arholi PhD, Medi 2019
- Aelod o'r gyfadran yn sicrhau cyllid gan Lywodraeth Cymru ar gyfer Diploma Prifysgol Caerdydd mewn Cynllunio Gofal Iechyd, 2018
- Aelod o brosiect Phoenix Prifysgol Caerdydd, 2018 – 2020
- C21 Arweinydd ac Aelod, Grŵp Rheoli Addysg, Is-adran Meddygaeth y Boblogaeth, Ysgol Feddygaeth, Hydref 2018 – Mawrth 2021
- Arweinydd thema diogelwch cleifion, Is-adran Meddygaeth y Boblogaeth, Ysgol Feddygaeth, Awst 2018 – parhaus
- Aelod o'r Uwch Dîm Arweinyddiaeth, Is-adran Meddygaeth y Boblogaeth, Ysgol Feddygaeth, Awst 2018 – parhaus
- Aelod o'r Grŵp Rheoli Ymchwil, Is-adran Meddygaeth y Boblogaeth, Awst 2018 – Mawrth 2021
- Y Ganolfan Gofal Sylfaenol ac Achosion Brys: arweinydd pecyn gwaith ar gyfer diogelwch cleifion, Mai 2015 – ar waith
- Bwrdd arholi ar gyfer BSc Epidemioleg Glinigol Intercalated, Mehefin 2017 – ongiong
- Mentor academaidd / tiwtor personol, Tachwedd 2015 – parhaus
Rolau sicrhau ansawdd / arholwr
- Ymgynghorydd arbenigol, Casgliad Dysgu BMJ ar Wella Ansawdd, 2023 – parhaus
- Arholwr PhD, Prifysgol Abertawe, Prifysgol Glasgow, Coleg Prifysgol Llundain, Prifysgol Sydney
- Cadeirydd Arholiad PhD, Prifysgol Caerdydd
- Arholwr Allanol, Gwella Ansawdd mewn cwricwlwm MB BS, Coleg y Brenin Llundain, 2016 – 2021.
- Gwerthuswr Allanol ar gyfer y Comisiwn Ewropeaidd i'r 'Hyfforddiant Gwyddoniaeth Gwella ar gyfer Gweithwyr Gofal Iechyd Ewropeaidd', prosiect ymchwil a datblygu addysgol aml-wlad, 2013 – 2016.
Cyfraniadau addysgu allanol
- Ymgynghorydd arbenigol, prosiect Cancer Research UK i ddatblygu cyfres o ddarllediadau sgriniau addysgol ar 'Quality Improvement to Assist Early Diagnosis of Cancers in General Practice', Coleg Brenhinol yr Ymarferwyr Cyffredinol, Llundain, y DU, Mawrth – Hydref 2019
- Cynghorydd arbenigol, fel uchod ar gyfer CRUK, ar gyfer darllediadau sgrin 'Gwella Gofal Diwedd Oes' RCGP, Coleg Brenhinol yr Ymarferwyr Cyffredinol, Gorffennaf 2019 –
- Datblygu dau fodiwl e-ddysgu ar-lein ar 'Gwella diogelwch cleifion mewn ymarfer cyffredinol', modiwlau e-ddysgu RCGP, Coleg Brenhinol yr Ymarferwyr Cyffredinol, Llundain, y DU, Ebrill 2018
- Cyflwyno gweithdai cenedlaethol ar 'Dysgu o ddigwyddiadau diogelwch cleifion mewn ymarfer cyffredinol', Coleg Brenhinol yr Ymarferwyr Cyffredinol (Caerdydd, Lerpwl, Llundain), Gwanwyn 2017
- Siaradwr gwadd yn nigwyddiadau'r Gyfadran RCGP (RCGP Canolbarth Lloegr, RCGP Gorllewin yr Alban, Gaeaf 2017 / Gwanwyn 2018) a Chynhadledd Flynyddol RCGP (Lerpwl), Hydref 2017
- Cyfadran, 'Adeiladu Sgiliau QI Hanfodol', cwrs undydd ar y cyd (gyda Dr Kedar Mate) ar gyfer y Sefydliad Gwella Gofal Iechyd ym Mhrifysgol British Columbia, Vancouver, Canada, Mehefin 2017
- Cyfadran wahoddedig, 'Dulliau epidemiolegol ar gyfer diogelwch cleifion', a gyd-addysgwyd (gyda'r Athro Malcolm Maclure) cwrs wythnos yn Ysgol Iechyd Cyhoeddus Harvard Chan, Boston, UDA, Ionawr 2017
- Darlithydd ar-lein, 'Disclosure and apology to patients and families following unsafe healthcare', rhaglen OPEN Pediatrics Ysbyty Plant Boston / Ysgol Feddygol Harvard, Boston, UDA, Rhagfyr 2015 (a gyflwynir ar gyfer DPP yn flynyddol dro ar ôl tro)
- Cyfadran, Academi Arweinyddiaeth Trefnu Myfyrwyr Ysgol Agored IHI, Sefydliad Gwella Gofal Iechyd, Caergrawnt, UDA; a, cyflwynodd weithdy ar 'Defnyddio'r cyfryngau cymdeithasol ar gyfer mobileiddio cymdeithasol i wella iechyd cleifion a phoblogaeth', Awst 2015
- Darlith ar-lein, 'Beth yw Gwella ansawdd?' ar gyfer y Rhaglen Meistr mewn Iechyd Cyhoeddus yng Ngholeg y Brenin Llundain, 2015
- Cyd-drefnydd, Dosbarth Meistr Gwella Ansawdd ar gyfer Arweinwyr Gofal Iechyd a Pholisi, Cyfadran Arweinyddiaeth a Rheolaeth Feddygol, Mawrth 2013
Gwerslyfr
- Cyd-olygydd, Cipolwg ar Ddiogelwch Cleifion a Gwella Gofal Iechyd, Wiley Blackwell
Bywgraffiad
Addysg a chymwysterau
- 2024: Cymrawd Coleg Brenhinol yr Ymarferwyr Cyffredinol
- 2019: Mesur Gwerth ar gyfer Gofal Iechyd, Addysg Gweithredol Ysgol Fusnes Harvard, Boston UDA
- 2018: Aelod o Goleg Brenhinol yr Ymarferwyr Cyffredinol
- 2017: Doethur mewn Athroniaeth, Cynhyrchu dysgu o adroddiadau digwyddiadau diogelwch cleifion gan feddygfa gyffredinol, Prifysgol Caerdydd, y DU
- 2014: Rhaglen Datblygu Proffesiynol Ymgynghorydd Gwella, Sefydliad Gwella Gofal Iechyd, Caergrawnt, UDA
- 2011: Arwain Arloesi mewn Gofal Iechyd ac Addysg, Sefydliad Harvard Macy, Prifysgol Harvard, Boston, UDA
- 2010: Meistr Athroniaeth (Addysg Feddygol), Prifysgol Caerdydd, Caerdydd, y DU
- 2010: MB BCh, Coleg Meddygaeth Prifysgol Cymru, Caerdydd, UK
- 2007: BSc (Anrh Dosbarth 1af, Iechyd y Cyhoedd), Prifysgol Cymru, Caerdydd, UK
Anrhydeddau a dyfarniadau
Dyfarniadau
- Gwobr Uwch Arweinydd Ymchwil, Ymchwil Iechyd a Gofal Cymru, 2025
- Prifysgol Caerdydd yn Dathlu Gwobr Rhagoriaeth am Gyfraniad Gwirfoddol, 2024
- Dyfarnwyd Gwobr Partneriaeth Ymchwil Iechyd a Gofal Cymdeithasol gyda Diwydiant (cyd-dderbynnydd) gan MediWales, 2020
- Dyfarnwyd statws 'Arbenigwr ISQua' gan y Gymdeithas Ryngwladol ar gyfer Ansawdd mewn Gofal Iechyd (ISQua), 2018
- Gwobr Cyflawniad Cynnwys y Cyhoedd – Ail, Ymchwil Iechyd a Gofal Cymru, 2018
- Aelodaeth er Anrhydedd (enwebwyd gan ddau gyn-Brif Swyddog Meddygol), Cyfadran Iechyd y Cyhoedd, Coleg Brenhinol y Meddygon, 2017
- Gwobr y Tîm Ymchwil Gorau (Canolfan Ymchwil Gofal Sylfaenol a Gofal Brys), Ysgol Feddygaeth, Prifysgol Caerdydd, 2017
- 'Gwobr Sbotolau' Coleg Brenhinol yr Ymarferwyr Cyffredinol, 2016
- Ysgolhaig Gwadd Rhyngwladol Peter Wall, Sefydliad Astudiaethau Uwch, Prifysgol British Columbia, 2016/17
- Gwobr Rising Star Journal y Gwasanaeth Iechyd, 2015
- Cymrawd Churchill, Ymddiriedolaeth Goffa Winston Churchill, 2013–2015
- Gwobr Arloesi ac Ymgysylltu, Ysgol Feddygaeth Prifysgol Caerdydd, 2013
- Gwobr GIG Cymru (cyd-dderbynnydd) am Hyrwyddo Ymchwil Glinigol a Chymhwyso i Ymarfer, 2012
- Gwobr Gwasanaethau Iechyd Permanente Journal, 2012
- Enillydd Gwobr Aur, Worshipful Lifrai Company of Wales, 2010
Aelodaethau proffesiynol
- Cymrawd, Coleg Brenhinol yr Ymarferwyr Cyffredinol (2023–)
- Aelod, Coleg Brenhinol yr Ymarferwyr Cyffredinol (2018–2024)
- Cymrawd, Cymdeithas Frenhinol y Celfyddydau (2018–)
- Aelod, Cymdeithas Iechyd y Cyhoedd Ewrop (2017–)
- Aelod Anrhydeddus, Cyfadran Iechyd y Cyhoedd y DU (2017–)
- Aelod Cyswllt, Coleg Brenhinol yr Ymarferwyr Cyffredinol (2012–2018)
- Ymarferydd meddygol cofrestredig, Cyngor Meddygol Cyffredinol (2010–)
Safleoedd academaidd blaenorol
- 2019 – presennol: Athro Cynorthwyol, Prifysgol y Frenhines, Kingston, ON, Canada
- 2016 – presennol: Athro er Anrhydedd, Sefydliad Arloesi Iechyd Awstralia, Prifysgol Macquarie , Sydney, Awstralia
- 2015 – 2018: Cadeirydd Gwadd (Athro) Gwella Gofal Iechyd ac Arweinyddiaeth, Adran Ymarfer Teulu, Prifysgol British Columbia
- 2015 – 2025: Arweinydd Ymchwil Diogelwch Cleifion, Canolfan Ymchwil Gofal Sylfaenol ac Brys, Cymru
- 2012 – 2018: Darlithyddiaeth Hyfforddiant Academaidd Clinigol Cymru (Darlithydd Clinigol), Prifysgol Caerdydd
- 2010 – 2012: Cymrawd Clinigol, Sefydliad Iechyd Cyhoeddus Cochrane, Prifysgol Caerdydd
Pwyllgorau ac adolygu
Cenedlaethol
- Aelod, Grŵp Cynghori Strategol, Canolfan Dystiolaeth Ymchwil Iechyd a Gofal Cymru, 2022 – yn parhau.
- Aelod, Pwyllgor Cyllid Ymchwil Marie Curie, Ionawr 2022 – yn parhau.
- Member, Clinical Research Delivery in Wales Review, Llywodraeth Cymru, Medi - Rhagfyr 2023.
- Aelodau, Gweithgor Rhaglen Data ar gyfer Ymchwil Cymru, Mehefin 2022 – yn parhau.
- Observer (sy'n cynrychioli Ymchwil Iechyd a Gofal Cymru), Bwrdd Rhaglen Gofal Sylfaenol NIHR, Awst 2021 – yn parhau.
- Aelod, Grŵp Arbenigol COVID Hir mewn Plant, NIHR, Awst 2021
- Aelod, Grŵp Cyfeirio Arbenigol Ymchwil Gwasanaeth Iechyd Cymru, Ymchwil Iechyd a Gofal Cymru, Awst 2021.
- Aelod, panel cyllido ymchwil COVID hir (cleifion nad ydynt yn yr ysbyty), NIHR, Mehefin 2021
- Aelodau, COVID-19 Deall a Dileu Panel Gweithredu Treialon COVID-19 (CUE-TIP), Ebrill 2021 - Mawrth 2022
- Aelod, Grŵp Cyfeirio Gofal Sylfaenol, Ein Iechyd yn y Dyfodol (Rhagfyr 2020 – parhaus)
- Aelod, Grŵp Cyflenwi Ymchwil Brechlyn COVID-19 Cymru (Grŵp Cyflenwi Ymchwil Brechlynnau Cymru erbyn hyn), Gorffennaf 2020 – parhaus
- Aelod, Grŵp Iechyd y Cyhoedd Brys (COVID-19), NIHR / DHSC / CMOs, Mawrth 2020 – 2021
- Pwyllgor Goruchwylio Blaenoriaethu, NIHR / Ymchwil Iechyd a Gofal Cymru – RfPPB (2020–) a Gwobrau Ymchwil Iechyd (2020–)
- Adolygydd y grant / adroddiad terfynol ar gyfer: Sefydliad Cenedlaethol Ymchwil Iechyd – HS&DR (2015-); Rhaglen Ymchwil Polisi NIHR (2019–), Sefydliad Iechyd (2017–), grantiau Rhaglen NIHR ar gyfer Ymchwil Gymhwysol (2018-); Gwobrau Cyflymydd Arloesedd y GIG (2018–); Cyngor Ymchwil Meddygol (2019-); Cymrodoriaethau Uwch NIHR (2020–); Wellcome (2022 –).
- Arbenigwr gwahoddedig, Pwyllgor Ariannu Rhaglen Ymchwil Polisi Ymchwil y Sefydliad Cenedlaethol ar gyfer Ymchwil i Iechyd (2019)
- Ffrwd waith Byw, Byw gyda a Thu Hwnt i Ganser, Sefydliad Ymchwil Canser Cenedlaethol (NCRI), Llundain, y DU (2019-2022)
- Aelod, Panel Gwerthuso Sefydliad Gofal Integredig Salford, Hyrwyddo Cynghrair Ansawdd (AQuA) (2019-2020)
- Ymgynghorydd gwyddonol, Ymchwil Diogelwch Cleifion a Gwella Ansawdd a Datblygiad Addysgol, Addysg GIG i'r Alban (2018- parhaus)
- Aelod, Coleg yr Aseswyr ar gyfer Arloesi ar gyfer Gwella a Chynyddu Grantiau Gwella, Sefydliad Iechyd (2017)
- Aelod, Grŵp Arbenigol Diogelwch Gofal Sylfaenol, Gwasanaeth Gwella Bywydau 1000, Iechyd Cyhoeddus Cymru (2017)
- Aelod, Lleihau Niwed sy'n Gysylltiedig â Meddyginiaethau yn y GIG Cymru, Llywodraeth Cymru (2017)
- Pwyllgor Rheoli Gweithredol, Canolfan PRIME Cymru (2015-parhaus) a chyd-Gadeirydd Cyfarfod Blynyddol PRIME (2021)
Rhyngwladol
- Golygydd Academaidd Gwadd, PLOS Medicine (2020)
- Adolygydd Grant, Bwrdd Ymchwil Iechyd, Iwerddon (2019), Bwrdd Ymchwil Iechyd, Seland Newydd (2020), Sefydliad Gwyddoniaeth Cenedlaethol y Swistir (2020).
- Panel Cynghori Ymchwil Rhyngwladol, Canolfan Rhagoriaeth Ymchwil ar gyfer Ecwiti Gofal Iechyd Cynhenid a ariennir gan Ganolfan Rhagoriaeth Ymchwil Ymchwil Iechyd a Meddygol Cenedlaethol Llywodraeth Awstralia (NHMRC), Sydney. CI: Yr Athro Ross Bailie. (2020-)
- Aelod, Gweithgor ar gyfer rhaglen Arolygon Dangosyddion Adroddedig Cleifion OECD (PaRIS). Sefydliad ar gyfer Cydweithrediad a Datblygiad Economaidd Paris, Ffrainc. (2019-2022)
- Aelod, Gweithgor ar gyfer rhaglen Canlyniadau Diogelwch Cleifion OECD a Adroddwyd. Sefydliad ar gyfer Cydweithrediad a Datblygiad Economaidd Paris, Ffrainc. (2019-)
- Grŵp cynghori arbenigol, Llwyfan Rhannu Gwybodaeth Byd-eang WHO ar gyfer Diogelwch Cleifion (cyfarfod 1af 2017, 2il gyfarfod 2019)
- Bwrdd cynghori gwyddonol rhyngwladol, "Care Track Aged: gofal priodol a ddarperir i Awstraliaid sy'n byw mewn gofal preswyl oed." Dyfarnwyd Prosiect Rhif 1143223 gan y Cyngor Ymchwil Iechyd a Meddygol Cenedlaethol i Brifysgol Macquarie, Sydney. Yr Athro Jeffrey Braithwaite. (2018-)
- Bwrdd cynghori gwyddonol rhyngwladol, "Harneisio gwyddoniaeth systemau i adeiladu system iechyd effeithiol ac effeithlon" grant rhaglen ($ 10.75 miliwn) a ddyfarnwyd gan y Cyngor Ymchwil Iechyd a Meddygol Cenedlaethol i Brifysgol Macquarie, Sydney. Yr Athro Jeffrey Braithwaite. (2017-)
- Bwrdd cynghori golygyddol, BMJ Open Quality (2017-)
- Sefydliad Gwella Gofal Iechyd Aelod o'r Bwrdd Cynghori Symposiwm Gwyddonol (2013)
- Aelod cydlynol, Sefydliad Iechyd y Byd Grŵp Arbenigol Gofal Sylfaenol Mwy Diogel, (2012-)
Meysydd goruchwyliaeth
PhD cyfredol / goruchwylio ymchwilwyr / myfyrwyr ymchwil ôl-raddedig:
Myfyrwyr PhD
- Dr Peter Edwards, Astudiaeth AI-SAFE-GP: Gwerthuso Deallusrwydd Artiffisial (AI) i wella'n ddiogel
Dogfennaeth Meddyg Teulu (Meddyg Teulu) a chyngor ar rwydo diogelwch mewn ymgynghoriadau cymhleth (Cymrodoriaeth Ddoethurol NIHR). - Dr Ellen Haire, Datblygu set o ganlyniadau craidd i werthuso anghenion gofal lliniarol a chefnogol cleifion â chlefyd yr afu nad yw'n malaen cam diwedd. Cymrodoriaeth Hyfforddiant Academaidd Clinigol Cymru (Cymrodoriaeth Doethurol Ymchwil Iechyd a Gofal Cymru / AaGIC).
- Dr Imogen John, Diogelwch gofal diwedd oes. Cymrodoriaeth Hyfforddiant Academaidd Clinigol Cymru (AAIC / Llywodraeth Cymru).
- Dr Thomas Purchase, IncorporAting parental health aDVOcaCy when mAnaging sick Children in primarY care (ADVOCACY): dull systemau aml-ddull i gyd-ddatblygu ymyrraeth gymhleth. Ymchwil Iechyd a Gofal Cymru / Cymrodoriaeth Ddoethurol NIHR.
- Dr Joy McFadzean, Dulliau i ddysgu o ddigwyddiadau diogelwch cleifion. PhD yn ôl portffolio. Gwobr Ymchwil Newydd Ymchwil Iechyd a Gofal Cymru.
- Setareh Majidian, Dylanwad galluoedd deallusrwydd artiffisial (AI) a pherfformiad arloesol ar ddatblygu gwasanaeth newydd.
- Laura Pozzobon, Mesur niwed sy'n gysylltiedig â meddyginiaeth gyda chleifion.
- Samantha Laws, Diogelwch ambiwlans nad yw'n cludo.
Mentora Ymarferol / Ôl-ddoethurol
- Dr Sarah Yardley, Defnyddio methodolegau 'agos at ymarfer' i esbonio a newid effaith perthnasoedd rhyngbersonol ar wella ansawdd. Cymrodoriaeth Ôl-ddoethurol y Sefydliad HWN, Coleg Prifysgol Llundain (2019–).
- Dr Ben Bowers, Defnyddio meddyginiaethau rheoli symptomau diwedd oes chwistrellu yn y cartref: deall ffactorau dynol a system trwy ddylunio cynhwysol. Gwobr Cymrodoriaeth Gyrfa Gynnar Wellcome, Prifysgol Caergrawnt (2023–).
- Dr Rebecca Barnes, Optimeiddio rheoli risg cleifion mewn gwasanaethau gofal sylfaenol brys. Cymrodoriaeth Uwch NIHR, Prifysgol Rhydychen (2023–).
Goruchwyliaeth gyfredol
Sam Laws
Tom Purchase
Ellen Haire
Prosiectau'r gorffennol
- Shalini Ganasan, Astudiaeth Achos Dulliau Cymysg o System Ymateb Cyflym yng Nghymru: Dysgu o Ganlyniadau Gofal Gwydn ar gyfer Gwella Diogelwch. Cymrodoriaeth PhD ESRC. Cyd-oruchwyliwr. Dyfarnwyd 2025.
- Nichole Pereira, Gwerthuso gweithredu gweithredu cofnodion iechyd electronig mewn gofal pediatric. PhD. Aelod o'r pwyllgor goruchwylio. Dyfarnwyd 2024.
- Elinor MacFarlane, Gwerthuso diogelwch cleifion wrth ddarparu gofal i gleifion â phroblemau sy'n gysylltiedig â'r llygaid. KESS. PhD. Cyd-oruchwyliwr. Dyfarnwyd 2024.
- Thomas Hewson, Archwilio Digwyddiadau Diogelwch Cleifion Gofal Iechyd Meddwl mewn Carchardai Lloegr: astudiaeth aml-ddull. MRes. Cyd-oruchwyliwr. Dyfarnwyd 2023.
- Jaafer Qasem, Archwilio Derbynioldeb System Dysgu Diogelwch Cleifion Rhyngwladol: Dull Dulliau Cymysg Dilyniannol Archwiliadol, PhD. Goruchwylydd. Dyfarnwyd 2023.
- Samuel Evans, Ansawdd y dystiolaeth a gasglwyd yn y feddygol amddiffyn plant: Datblygu a phrofi peilot is-goch, uwchfioled, croespolareiddio ac uwchsain amledd uchel i wella
casgliad o friwiau, PhD. Cyd-oruchwyliwr. Dyfarnwyd 2022. - Khalid Muhammad, Digwyddiadau Diogelwch Meddyginiaeth Gofal Sylfaenol a Adroddwyd i'r System Adrodd a Dysgu Genedlaethol (NRLS), PhD. Cyd-oruchwyliwr. Dyfarnwyd yn 2021.
- Alison Cooper, Archwilio cyfleoedd ar gyfer diogelwch cleifion pan fydd meddygon teulu yn gweithio mewn neu ochr yn ochr ag adrannau brys: synthesis a gwerthuso realistig, PhD. Cyd-oruchwyliwr. Dyfarnwyd 2020.
- Flore Laforest, MPH, a Jawaher Alkhaldi, MPH, Prifysgol Caerdydd. Goruchwyliwr. Dyfarnwyd yn 2019.
- Myfyrwyr doethuriaeth ym Mhrifysgol Macquarie, Sydney: Melissa Riddoch DPT, Avanthi Rajaratnam DPT, Natalie Fowler DPT, Kelsy Weavil DPT, Michelle Khan DPT, Maxine Delaney DPT. Cyd-oruchwylydd. Dyfarnwyd yn 2019.
- Haroon Chughtai, MSc Biowybodeg Glinigol, Prifysgol Lerpwl. Cyd-oruchwyliwr. Dyfarnwyd yn 2019.
- Myfyrwyr doethuriaeth ym Mhrifysgol Macquarie, Sydney: Harriet Amey DPT, Luke Davies DPT, Sarah Trifogli DPT, Kathryn Walker DPT. Cyd-oruchwylydd. Dyfarnwyd yn 2018.
- Eduardo Ensaldo-Carrasco, Disgrifio a deall digwyddiadau diogelwch cleifion mewn deintyddiaeth gofal sylfaenol ac adeiladu consensws ar Never Events, PhD, Prifysgol Caeredin. Cyd-oruchwyliwr. Dyfarnwyd yn 2018.
- Huw Evans, MSc Gwybodeg Iechyd, Prifysgol Abertawe. Cyd-oruchwyliwr. Dyfarnwyd yn 2016.
- Philippa Claire Rees, Diogelwch pediatrig mewn gofal sylfaenol: Astudiaeth dulliau cymysg trawsdoriadol o ddata adroddiadau digwyddiadau cenedlaethol, MPhil, Prifysgol Caerdydd (myfyriwr meddygol rhyngweithiol). Goruchwyliwr. Dyfarnwyd 2015.
Ymgysylltu
Enghreifftiau o weithgareddau ymgysylltu
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Gweithgaredd |
Partner |
Effaith |
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Astudiaeth i wella ansawdd gwasanaethau gofal lliniarol y tu allan i oriau ar gyfer cleifion diwedd oes (Cymrodoriaeth Ymchwil Marie Curie / RCGP, 2016–2018) |
Bwrdd Iechyd Prifysgol Aneurin Bevan (BIUHB) |
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Harneisio dadansoddeg data i wneud y mwyaf o ddysgu gan y GIG o adroddiadau digwyddiadau diogelwch cleifion; ariannwyd gan Health Foundation (Gwobr Hyrwyddo Analytics, Medi 2019-2020) |
Bwrdd Iechyd Prifysgol Caerdydd a'r Fro |
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PhD a ariennir gan KESS-2 i archwilio diogelwch cleifion mewn iechyd llygaid |
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Cyfraniadau parhaus yn seiliedig ar ymchwil at gyfieithu gwybodaeth o fewn y proffesiwn ymarfer cyffredinol (allanol i'r sector HEI) |
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Themâu ymchwil
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- Diogelwch cleifion
