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1 1. Vincent C. Patient Safety. 2nd ed. Wiley‐Blackwell; 2010.

2 2. Donaldson L. An organisation with a memory. Clin Med. 2002; 2:452.

3 3. Kohn LT, Corrigan JM, Donaldson MS, eds. To Err Is Human: Building a Safer Health System. Institute of Medicine, National Academies Press; 2000.

4 4. Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med. 1991; 324:370–6.

5 5. Darzi A. High quality care for all. NHS Next Stage Review Final Report. The Stationery Office; 2008.

6 6. Mills DH. Report of the Medical Insurance Feasibility Study. California Medical Association; 1977.

7 7. Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. N Engl J Med. 1991; 324:370–6.

8 8. Wilson RM, Runciman WB, Gibberd RW, et al. The quality in Australian health care study. Med J Aust. 1995; 163: 458–71.

9 9. Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care. 2000; 38:261–71.

10 10. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. BMJ. 2001; 322:517–19.

11 11. Davis P, Lay‐Yee R, Briant R, et al. Adverse events in New Zealand public hospitals I: occurrence and impact. N Z Med J. 2002; 115:U271.

12 12. Baker GR, Norton PG, Flintoft V, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ. 2004; 170:1678–86.

13 13. Forster AJ, Asmis TR, Clark HD, et al. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. CMAJ. 2004; 170:1235–40.

14 14. Michel PP, Quenon JL, Djihoud AA, et al. French national survey of inpatient adverse events prospectively assessed with ward staff. Qual Saf Health Care. 2007; 16:369–77.

15 15. Sari AB, Sheldon TA, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. BMJ. 2007; 334:79.

16 16. Sousa P, Uva AS, Serranheira F, et al. Estimating the incidence of adverse events in Portuguese hospitals: a contribution to improving quality and patient safety. BMC Health Services Research. 2014; 14:311.

17 17. Rafter N, Hickey A, Conroy RM, et al. The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals – a retrospective record review study. BMJ Qual Saf. 2017; 26:111–119. doi:10.1136/bmjqs‐2015‐004828.

18 18. Nilsson L, Borgstedt‐Risberg M, Soop M, et al. Incidence of adverse events in Sweden during 2013–2016: a cohort study describing the implementation of a national trigger tool. BMJ Open. 2018; 8:e020833. doi:10.1136/bmjopen‐2017‐020833.

19 19. Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med. 2003; 18:61.

20 20. Michel P, Quenon JL, de Sarasqueta AM, et al. Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. BMJ. 2004; 328: 1–5 doi 10.1136/bmj.328.7433.199.

21 21. Reason J. Managing the Risks of Organizational Accidents. Ashgate Publishing; 1997.

22 22. Reason J. Human error: models and management. BMJ. 2000; 320:768–70.

23 23. Croskerry P. Achieving quality in clinical decision making: cognitive strategies and detection of bias. Acad Emerg Med. 2002; 9:1184–204.

24 24. Redelmeier DA. Improving patient care. The cognitive psychology of missed diagnoses. Ann Intern Med. 2005; 142:115–20.

25 25. Vincent C, Taylor‐Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998; 316:1154–7.

26 26. Blais R, Bruno D, Bartlett G. Can we use incident reports to detect hospital adverse events? J Patient Saf. 2008; 4(1):9.

27 27. Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1994; 343:1609–13.

28 28. Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. BMJ. 2000; 320:741–4.

29 29. Long SJ, Brown KF, Ames D, et al. What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. International Journal for Quality in Health Care. 2013; 25: 542–554.

30 30. Tsilimingras D, Rosen AK, Berlowitz DR. Patient safety in geriatrics: a call for action. J Gerontol A Biol Sci Med Sci. 2003; 58:M813–9.

31 31. Asher RAJ. Dangers of going to bed. Qual Saf Health Care. 1947; 2:967.

32 32. Boyd CM, Landefeld CS, Counsell SR, et al. Recovery of activities of daily living in older adults after hospitalization for acute medical illness. J Am Geriatr Soc. 2008; 56:2171–9.

33 33. Spinewine A, Schmader K, Barber N, et al. Appropriate prescribing in elderly people: how well can it be measured and optimised? Lancet. 2007; 370:173–84.

34 34. Page R II, Ruscin JM. The risk of adverse drug events and hospital‐related morbidity and mortality among older adults with potentially inappropriate medication use. Am J Geriatr Pharmacother. 2006; 4:297–305.

35 35. Leape LL, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med. 1991; 324:377–84.

36 36. Department of Health. Prescriptions dispensed in the community: statistics for 1993–2003, England. Department of Health, London; 2004.

37 37. Rollason V, Vogt N. Reduction of polypharmacy in the elderly: a systematic review of the role of the pharmacist. Drugs Aging. 2003; 20:817–32.

38 38. Pirmohamed M, James S, Meakin S, et al. Adverse drug reactions as cause of admission to hospital: prospective analysis of 18 820 patients. BMJ. 2004; 329:15–9.

39 39. Zhang M, Holman CD, Price SD, et al. Comorbidity and repeat admission to hospital for adverse drug reactions in older adults: retrospective cohort study. BMJ. 2009; 338:a2752.

40 40. Barber N, Alldred DC, Raynor DF, et al. Care homes’ use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. Qual Saf Health Care. 2009; 18:341–6.

41 41. Fick DM, Cooper JW, Wade WE, et al. Updating the Beers criteria for potentially inappropriate medication use in older adults: results of a US consensus panel of experts. Arch Intern Med. 2003; 163:2716–24.

42 42. Rochon PA, Gurwitz JH. Optimising drug treatment for elderly people: the prescribing cascade. BMJ. 1997; 315:1096–9.

43 43. Fortin M, Bravo G, Hudon C, et al. Prevalence of multimorbidity among adults seen in family practice. Ann Fam Med. 2005; 3:223–8.

44 44. George J, Long S, Vincent C. How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. Journal of the Royal Society of Medicine. 2013; 106:355–361. DOI: 10.1177/0141076813476497

45 45. Fried LP. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001; 56:M146.

46 46. Masoudi FA, Havranek EP, Wolfe P, et al. Most hospitalized older persons do not meet the enrollment criteria for clinical trials in heart failure. Am Heart J. 2003; 146:250–7.

47 47. Milton JC, Hill‐Smith I, Jackson SHD. Prescribing for older people. BMJ. 2008; 336:606–9.

48 48. Young L, George J. Do guidelines improve the process and outcomes of care in delirium? Age Ageing. 2003; 32:525–8.

49 49. Levinson W, Kao A, Kuby A, Thisted RA. Not all patients want to participate in decision making. J Gen Intern Med. 2005; 20:531–5.

50 50. Sutcliffe KM, Lewton E, Rosenthal MM. Communication failures: an insidious contributor to medical mishaps. Acad Med. 2004; 79:186–94.

51 51. O’Leary KJ, Ritter CD, Wheeler H, et al. Teamwork on inpatient medical units: assessing attitudes and barriers. Qual Saf Health Care. 2010; 19:117–21.

52 52. Witherington EMA, Pirzada OM, Avery AJ. Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. Qual Saf Health Care. 2008; 17:71–5.

53 53. Joint Committee on Human Rights. The human rights of older people in healthcare. Eighteenth Report of Session 2006–07, HL Paper 156‐I, HC 378‐I, The Stationery Office, London; 2007.

54 54. Oliver D. ‘Acopia’ and ‘social admission’ are not diagnoses: why older people deserve better. J R Soc Med. 2008; 101:168–74.

55 55. Harries C, Forrest D, Harvey N, et al. Which doctors are influenced by a patient’s age? A multi‐method study of angina treatment in general practice, cardiology and gerontology. Qual Saf Health Care. 2007; 16:23–7.

56 56. Forster AJ, Asmis TR, Clark HD, et al. Ottawa Hospital patient safety study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. CMAJ. 2004; 170(8):1235–40.

57 57. Zegers M, Hesselink G, Geense W, et al. Evidence‐based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. BMJ Open. 2016; 6:e012555. doi:10.1136/bmjopen‐2016‐012555.

58 58. Flin RH, O’Connor P, Crichton M. Safety at the Sharp End: a Guide to Non‐technical Skills. Ashgate Publishing; 2008.

59 59. Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med. 2003; 348:2526–34.

60 60. Garg AX, Adhikari NKJ, McDonald H, et al. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA. 2005; 293:1223–38.

61 61. Vincent C, Burnett S, Carthey J. The Measurement and Monitoring of Safety. The Health Foundation; 2013. ISBN 978‐1‐906461‐44‐7.

62 62. Palmer RM, Counsell SR, Landefeld SC. Acute care for elders units: practical considerations for optimizing health outcomes. Dis Manage Health Outcomes. 2003; 11:507–17.

63 63. van Melle MA, van Stel HF, Poldervaart JM, et al. Measurement tools and outcome measures used in transitional patient safety; a systematic review. PLoS One. 2018; 13:e0197312. doi: 10.1371/journal.pone.0197312.

64 64. Oikonomou E, Chatburn E, Higham H, et al. Developing a measure to assess the quality of care transitions for older people. BMC Health Services Research. 2019; 19:505. doi.org/10.1186/s12913‐019‐4306‐8.

65 65. Brice S, Long S, Forbes M, et al. Identifying risks to older patients – a scoping exercise. A report for the Dunhill Medical Trust; 2009.

66 66. Stuck AE, Siu AL, Wieland GD, et al. Comprehensive geriatric assessment: a meta‐analysis of controlled trials. Lancet. 1993; 342:1032–6.

67 67. Inouye SK, Bogardus ST Jr, Charpentier PA, et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med. 1999; 340:669–76.

68 68. Oliver D, Connelly JB, Victor CR, et al. Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment: systematic review and meta‐analyses. BMJ. 2007; 334:82.

69 69. The Health Foundation. Safer Patients Initiative Factfile. Accessed 25 June 2010. www.health.org.uk/publications/briefings_leaflets/spi_fact_files.html.

70 70. Bates DW. Preventing medication errors: a summary. Am J Health‐Syst Pharm. 2007; 64(14 Suppl 9):S3–9.

71 71. Gallagher P, O’Mahony D. Inappropriate prescribing in older people. Rev Clin Gerontol. 2008; 18:65–76.

72 72. Dyer CAE, Taylor GJ, Reed M, et al. Falls prevention in residential care homes: a randomised controlled trial. Age Ageing. 2004; 33:596–602.

73 73. Cameron ID, Dyer SM, Panagoda CE, et al. Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Systematic Review – Intervention. 2018. https://doi.org/10.1002/14651858.CD005465.pub4

74 74. Desborough JA, Clark A, Houghton J, et al. Clinical and cost effectiveness of a multi‐ professional medication reviews in care homes (CAREMED). International Journal of Pharmacy Practice. 2020(June). doi: 10.1111/ijpp.12656.

75 75. Damery S, Flanagan S, Jones J, et al. Improving safety in care homes: evaluation of the Safer Provision and Caring Excellence (SPACE) programme. University of Birmingham; 2019. https://www.wmahsn.org/storage/resources/documents/SPACE_evaluation_report_final_04042019.pdf.

76 76. Tsang C, Majeed A, Aylin P. Routinely recorded patient safety events in primary care: a literature review. Fam Pract. 2012; 29:8–15.

77 77. Behrman S, Wilkinson P, Lloyd H, et al. Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? Age Ageing. 2017; 46:518–521.

78 78. Wenger NS, Shekelle PG. Assessing care of vulnerable elders: Acove Project overview. RAND Corporation; 2001.

79 79. The NHS Confederation. Acute awareness. Improving hospital care for people with dementia. 2010. Accessed 25 June 2010. www.nhsconfed.org/Publications/Documents/Dementiareport_cute_awareness.pdf.