Evidence map›Paper›PMID 39431471›Full record

ArticlePalliative medicine2025

Feasibility of prospective error reporting in home palliative care: A mixed methods study.

Allison M Kurahashi, Grace Kim, Natalie Parry, Vivian Hung, Bhadra Lokuge, Russell Goldman, Mark Bernstein

Abstract read
In one paragraph

Article in Palliative medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Revealing the hidden harms in end-of-life care: a mixed-methods characterisation of reported safety incidents involving injectable symptom control medication.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
  2. Learning from end-of-life injectable medication patient safety incidents in the community: a mixed-methods analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Allison M KurahashiTemmy Latner Centre for Palliative Care, Sinai Health, Toronto, ON, Canada.ORCID 0000-0001-5109-4121
Grace KimDepartment of Family and Community Medicine in the Temerty Faculty of Medicine, University of Toronto, ON, Canada.
Natalie ParryTemmy Latner Centre for Palliative Care, Sinai Health, Toronto, ON, Canada.ORCID 0009-0004-4510-4855
Vivian HungWomen's College Hospital Research Institute, Women's College Hospital, Toronto, ON, Canada.
Bhadra LokugeTemmy Latner Centre for Palliative Care, Sinai Health, Toronto, ON, Canada.
Russell GoldmanTemmy Latner Centre for Palliative Care, Sinai Health, Toronto, ON, Canada.
Mark BernsteinTemmy Latner Centre for Palliative Care, Sinai Health, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProspectively tracking errors can improve patient safety but little is known about how to successfully implement error reporting in a home-based palliative care context.

aimExplore the feasibility of implementing an error reporting system in a home-based palliative care program in Toronto, Canada, and describe the possible factors that may influence uptake.

designA convergent mixed-methods approach was used. Participants prospectively documented errors using a novel reporting tool and completed monthly surveys. Following the reporting period, we conducted a semi-structured interview exploring participants' experiences and perceived factors influencing reporting behaviors. Error, survey, and interview data were analyzed separately, then integrated for comparison. SETTING AND

participantsThirteen palliative care physicians from a single home-based palliative care organization in Toronto, Canada anonymously reported errors between October 2021 and September 2022. Of these, six participated in the exit interview.

resultsParticipants reported 195 errors; one-third (

conclusionsPhysicians are amenable to error reporting activities so long as data is used to improve patient safety. The collaborative nature of care in a home-based palliative care context may present unique challenges to translating error reporting to improved patient safety.

Indexed as

Feasibility StudiesHome Care ServicesMedical ErrorsPalliative CareAdultCanadaFemaleHumansMaleMiddle AgedOntarioPatient SafetyProspective StudiesRisk ManagementSurveys and Questionnairesfeasibility studieshome caremedical errorsmixed methodsPalliative carepatient safety

Identifiers

PMID39431471
PMCPMC11673313

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.