Journal of Patient Safety

Article	Citations
Cost of Health Care–Associated Infections in the United States	46
Reflexive Spaces: Leveraging Resilience Into Healthcare Regulation and Management	41
Understanding the “Swiss Cheese Model” and Its Application to Patient Safety	40
The Association Between Health Care Staff Engagement and Patient Safety Outcomes: A Systematic Review and Meta-Analysis	39
Patient Safety Issues From Information Overload in Electronic Medical Records	38
Redeployment of Health Care Workers in the COVID-19 Pandemic: A Qualitative Study of Health System Leaders’ Strategies	35
Evaluating the Costs of Nurse Burnout-Attributed Turnover: A Markov Modeling Approach	30
Systemic Causes of In-Hospital Intravenous Medication Errors: A Systematic Review	28
Frequency and Nature of Communication and Handoff Failures in Medical Malpractice Claims	25
Next of Kin Involvement in Regulatory Investigations of Adverse Events That Caused Patient Death: A Process Evaluation (Part I – The Next of Kin’s Perspective)	22
What Do We Really Know About Crew Resource Management in Healthcare?: An Umbrella Review on Crew Resource Management and Its Effectiveness	22
Implementing Patient and Family Involvement Interventions for Promoting Patient Safety: A Systematic Review and Meta-Analysis	21
Identifying Health Information Technology Usability Issues Contributing to Medication Errors Across Medication Process Stages	21
Evolving Factors in Hospital Safety: A Systematic Review and Meta-Analysis of Hospital Adverse Events	21
Longitudinal Association of a Medication Risk Score With Mortality Among Ambulatory Patients Acquired Through Electronic Health Record Data	19
Use of Hospital Capacity Command Centers to Improve Patient Flow and Safety: A Scoping Review	18
Inpatient Respiratory Arrest Associated With Sedative and Analgesic Medications: Impact of Continuous Monitoring on Patient Mortality and Severe Morbidity	18
Validation of the Second Victim Experience and Support Tool-Revised in the Neonatal Intensive Care Unit	18
The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) Survey: A Brief, Diagnostic, and Actionable Metric for the Ability to Speak Up in Healthca	17
Next-of-Kin Involvement in Regulatory Investigations of Adverse Events That Caused Patient Death: A Process Evaluation (Part II: The Inspectors’ Perspective)	17
Medication Safety in Two Intensive Care Units of a Community Teaching Hospital After Electronic Health Record Implementation: Sociotechnical and Human Factors Engineering Considerations	17
An Operational Framework to Study Diagnostic Errors in Emergency Departments: Findings From A Consensus Panel	16
Burnout, Engagement, and Dental Errors Among U.S. Dentists	16
The Impact of Malpractice Claims on Physicians’ Well-Being and Practice	16
Addressing Patient Safety Hazards Using Critical Incident Reporting in Hospitals: A Systematic Review	15

A Systematic Review of Methods for Medical Record Analysis to Detect Adverse Events in Hospitalized Patients	15
Spinal Cord Stimulators: An Analysis of the Adverse Events Reported to the Australian Therapeutic Goods Administration	14
Validation of the German Version of the Second Victim Experience and Support Tool—Revised	14
A Systematic Review of Measurement Tools for the Proactive Assessment of Patient Safety in General Practice	13
Systemic Defenses to Prevent Intravenous Medication Errors in Hospitals: A Systematic Review	13
Ultrasound-Guided Peripheral Intravenous Catheter Insertion Training Reduces Use of Midline Catheters in Hospitalized Patients With Difficult Intravenous Access	13
Avoidable Adverse Events Related to Ignoring the Do-Not-Do Recommendations: A Retrospective Cohort Study Conducted in the Spanish Primary Care Setting	13
Psychometric Properties of the Latin American Spanish Version of the Hospital Survey on Patient Safety Culture Questionnaire in the Surgical Setting	12
Patient Safety Strategies in Psychiatry and How They Construct the Notion of Preventable Harm: A Scoping Review	12
What Contributes to Diagnostic Error or Delay? A Qualitative Exploration Across Diverse Acute Care Settings in the United States	12
A Machine Learning Approach to Reclassifying Miscellaneous Patient Safety Event Reports	11
The Effect of Health Care Professional Disruptive Behavior on Patient Care: A Systematic Review	11
Teamwork Before and During COVID-19: The Good, the Same, and the Ugly…	11
A National Study of Patient Safety Culture and Patient Safety Goal in Chinese Hospitals	11
What Can We Learn From the Past? Pandemic Health Care Workers’ Fears, Concerns, and Needs: A Review	11
Content Analysis of Patient Safety Incident Reports for Older Adult Patient Transfers, Handovers, and Discharges: Do They Serve Organizations, Staff, or Patients?	10
Pressure Injury Prediction Model Using Advanced Analytics for At-Risk Hospitalized Patients	10
Missed Nursing Care in a Sample of High-Dependency Italian Nursing Home Residents: Description of Nursing Care in Action	10
How Much and What Local Adaptation Is Acceptable? A Comparison of 24 Surgical Safety Checklists in Switzerland	10
What Severe Medication Errors Reported to Health Care Supervisory Authority Tell About Medication Safety?	10
The Barriers and Enhancers to Trust in a Just Culture in Hospital Settings: A Systematic Review	10
Training Situational Awareness for Patient Safety in a Room of Horrors: An Evaluation of a Low-Fidelity Simulation Method	10
COVID-19 and Patient Safety: Time to Tap Into Our Investment in High Reliability	10
Analyzing and Discussing Human Factors Affecting Surgical Patient Safety Using Innovative Technology: Creating a Safer Operating Culture	10
Reducing Falls in Dementia Inpatients Using Vision-Based Technology	9
Understanding the Second Victim Experience Among Multidisciplinary Providers in Obstetrics and Gynecology	9
Decreasing Foot Traffic in the Orthopedic Operating Room: A Narrative Review of the Literature	9
Challenges and Barriers to Adverse Event Reporting in Clinical Trials: A Children’s Oncology Group Report	9
Electronic Health Record Use Issues and Diagnostic Error: A Scoping Review and Framework	9
Patients’ Perspectives of Diagnostic Error: A Qualitative Study	9
The Impact of Smart Pump Interoperability on Errors in Intravenous Infusion Administrations: A Multihospital Before and After Study	9
COVID-19–Related Circumstances for Hospital Readmissions: A Case Series From 2 New York City Hospitals	9
Patient and Family Involvement in Serious Incident Investigations From the Perspectives of Key Stakeholders: A Review of the Qualitative Evidence	9
Responding to COVID-19 Through Interhospital Resource Coordination: A Mixed-Methods Evaluation	9
Improving Pediatric Drug Safety in Prehospital Emergency Care—10 Years on	9
Medication Safety in Mental Health Hospitals: A Mixed-Methods Analysis of Incidents Reported to the National Reporting and Learning System	9
The Second Victim Experience and Support Tool: A Cross-Cultural Adaptation and Psychometric Evaluation in Italy (IT-SVEST)	8
Implementation of an Electronic Health Record–Based Messaging System in the Emergency Department: Effects on Physician Workflow and Resident Burnout	8
Adverse Drug Events Detected by Clinical Pharmacists in an Emergency Department: A Prospective Monocentric Observational Study	8
Identifying Factors Leading to Harm in English General Practices: A Mixed-Methods Study Based on Patient Experiences Integrating Structural Equation Modeling and Qualitative Content Analysis	8
Perceptions of Stakeholders Toward “Hospital at Home” Program in Singapore: A Descriptive Qualitative Study	8
Harms and Contributors of Leaving Against Medical Advice in Patients With Infective Endocarditis	8
Impact of Patient Safety Incidents Reported by the General Public in Korea	7
Proactive Evaluation of an Operating Room Prototype: A Simulation-Based Modeling Approach	7
Communication During Interhospital Transfers of Emergency General Surgery Patients: A Qualitative Study of Challenges and Opportunities	7
Disparities in Adverse Event Reporting for Hospitalized Children	7
A Worldwide Bibliometric Analysis of Published Literature on Medication Errors	7
Race Differences in Reported “Near Miss” Patient Safety Events in Health Care System High Reliability Organizations	7
Emergency Physician Perceptions of Electronic Health Record Usability and Safety	7
National and Institutional Trends in Adverse Events Over Time: A Systematic Review and Meta-analysis of Longitudinal Retrospective Patient Record Review Studies	7

Current Situation of Medication Errors in Saudi Arabia: A Nationwide Observational Study	7
We Are Not There Yet: A Qualitative System Probing Study of a Hospital Rapid Response System	7
Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care	7
Investigating Hospital Supervision: A Case Study of Regulatory Inspectors’ Roles as Potential Co-creators of Resilience	7
Optimizing Hospital Electronic Prescribing Systems: A Systematic Scoping Review	7
Feasibility of Capturing Adverse Events From Insurance Claims Data Using International Classification of Diseases, Tenth Revision, Codes Coupled to Present on Admission Indicators	7
Second Victim Experience and Support Tool: An Assessment of Psychometric Properties of Italian Version	7
Influence of Organizational Climate and Clinician Morale on Seclusion and Physical Restraint Use in Inpatient Psychiatric Units	7
What Can We Learn From In-Depth Analysis of Human Errors Resulting in Diagnostic Errors in the Emergency Department: An Analysis of Serious Adverse Event Reports	7
Understanding Hazards for Adverse Drug Events Among Older Adults After Hospital Discharge: Insights From Frontline Care Professionals	7
Critical Care Clinicians’ Experiences of Patient Safety During the COVID-19 Pandemic	7
Patient Harm During COVID-19 Pandemic: Using a Human Factors Lens to Promote Patient and Workforce Safety	7
Patient Safety Education in Entry to Practice Pharmacy Programs: A Systematic Review	7
Catastrophic Human Error in Assisted Reproductive Technologies: A Systematic Review	6
Transmitting Device Identifiers of Implants From the Point of Care to Insurers: A Demonstration Project	6
Communication Patterns During Routine Patient Care in a Pediatric Intensive Care Unit: The Behavioral Impact of In Situ Simulation	6
Characterization of Medication Errors in a Medical Intensive Care Unit of a University Teaching Hospital in South Korea	6
Cancer Patients in the Era of Coronavirus: What to Fear Most?	6
An Implementation Science Approach to Promote Optimal Implementation, Adoption, Use, and Spread of Continuous Clinical Monitoring System Technology	6
Influence of Psychological Safety and Organizational Support on the Impact of Humiliation on Trainee Well-Being	6
Developing Methods to Support Collaborative Learning and Co-creation of Resilient Healthcare—Tips for Success and Lessons Learned From a Norwegian Hospital Cancer Care Study	6
A Study on the Status and Contributory Factors of Adverse Events Due to Negligence in Nursing Care	6
Realizing the Power of Text Mining and Natural Language Processing for Analyzing Patient Safety Event Narratives: The Challenges and Path Forward	6
Central Venous Catheter Guidewire Retention: Lessons From England’s Never Event Database	6
Training Effectiveness and Impact on Safety, Treatment Quality, and Communication in Prehospital Emergency Care: The Prospective Longitudinal Mixed-Methods EPPTC Trial	6
Patient Perceptions of Hospital Experiences: Implications for Innovations in Patient Safety	6
In Situ Simulation for Adoption of New Technology to Improve Sepsis Care in Rural Emergency Departments	6
Occupational Prevention of COVID-19 Among Healthcare Workers in Primary Healthcare Settings: Compliance and Perceived Effectiveness of Personal Protective Equipment	6
Multispecialty Physician Online Survey Reveals That Burnout Related to Adverse Event Involvement May Be Mitigated by Peer Support	6
Effect of a Pharmacy-based Centralized Intravenous Admixture Service on the Prevalence of Medication Errors: A Before-and-After Study	6
Hospital Cultural Competency and Attributes of Patient Safety Culture: A Study of U.S. Hospitals	6
Medication Errors in the Operating Room: An Analysis of Contributing Factors and Related Drugs in Case Reports from a Japanese Medication Error Database	6
Patient Safety Training Programs for Health Care Professionals: A Scoping Review	6
Impact on Patient Safety Culture by the Intervention of Multidisciplinary Medical Teams	6
Reason for Exam Imaging Reporting and Data System: Consensus Reached on Quality Assessment of Radiology Requisitions	6
Patient Safety Culture in Dentistry Analysis Using the Safety Attitude Questionnaire in DKI Jakarta, Indonesia: A Cross-Cultural Adaptation and Validation Study	6
Predictors of Seclusion and Restraint Following Injurious Assaults on Psychiatric Units	6
Rates of Adverse Events in Hospitalized Patients After Summer-Time Resident Changeover in the United States: Is There a July Effect?	6
Monitoring Preventable Adverse Events and Near Misses: Number and Type Identified Differ Depending on Method Used	5
Reducing Medication Errors in Children’s Hospitals	5
Adverse Event Reporting Priorities: An Integrative Review	5
The Korea National Patient Safety Incidents Inquiry Survey: Feasibility of Medical Record Review for Detecting Adverse Events in Regional Public Hospitals	5
National Surgical Quality Improvement Program Adverse Events Combined With Clavien-Dindo Scores Can Direct Quality Improvement Processes in Surgical Patients	5
Registered Nurses’ and Medical Doctors’ Experiences of Patient Safety in Health Information Exchange During Interorganizational Care Transitions: A Qualitative Review	5
Validation and Psychometric Properties of the Spanish Version of the Second Victim Experience and Support Tool Questionnaire	5
Factors Associated With Diagnostic Error: An Analysis of Closed Medical Malpractice Claims	5
Root Cause Analysis Using the Prevention and Recovery Information System for Monitoring and Analysis Method in Healthcare Facilities: A Systematic Literature Review	5
Applying Healthcare Failure Mode and Effect Analysis and the Development of a Real-Time Mobile Application for Modified Early Warning Score Notification to Improve Patient Safety During Hemodialysis	5
Insurance Claims for Wrong-Side, Wrong-Organ, Wrong-Procedure, or Wrong-Person Surgical Errors: A Retrospective Study for 10 Years	5
Test-Retest Reliability of an Experienced Global Trigger Tool Review Team	5
Scientific View of the Global Literature on Medical Error Reporting and Reporting Systems From 1977 to 2021: A Bibliometric Analysis	5
Measuring What Matters at Morbidity and Mortality Conferences: A Scoping Review of Effectiveness Measures	5
Exploring Uniformity of Clinical Judgment: A Vignette Approach to Understanding Healthcare Professionals’ Suicide Risk Assessment Practices	5
Factors Related to Medication Administration Incidents in England and Wales Between 2007 and 2016: A Retrospective Trend Analysis	5
Safety of High-Intensity, Low-Volume Interval Training or Continuous Aerobic Training in Adults With Metabolic Syndrome	5
Multi-Institutional Stereotactic Body Radiation Therapy Incident Learning: Evaluation of Safety Barriers Using a Human Factors Analysis and Classification System	5
Development of an Inventory of Dental Harms: Methods and Rationale	4
Hospitals That Report Severe Sepsis and Septic Shock Bundle Compliance Have More Structured Sepsis Performance Improvement	4
Hospital Admissions Associated With Medication-Related Problems in Thai Older Patients: A Multicenter Prospective Observational Study	4
Impact of the COVID-19 Pandemic on the Experiences of Hospitalized Patients: A Scoping Review	4
Development of the Korean Patient Safety Incidents Code Classification System	4
Concordance Among 10 Different Anticholinergic Burden Scales in At-Risk Older Populations	4
Development and Validation of a Fall Prevention Efficiency Scale	4
Patient Safety Education 20 Years After the Institute of Medicine Report: Results From a Cross-sectional National Survey	4
Surgical Error Compensation Claims as a Patient Safety Indicator: Causes and Economic Consequences in the Murcia Health System, 2002 to 2018	4
Observational Study of Drug Formulation Manipulation in Pediatric Versus Adult Inpatients	4
Bedside Clinicians’ Perceptions on the Contributing Role of Diagnostic Errors in Acutely Ill Patient Presentation: A Survey of Academic and Community Practice	4
Body Mass Index Is Not an Independent Factor Associated With Recovery Room Length of Stay for Patients Undergoing Outpatient Surgery	4
A Practical Guide for Building Collaborations Between Clinical Researchers and Engineers: Lessons Learned From a Multidisciplinary Patient Safety Project	4
Factors Associated With Drug Consumption Without Scientific Evidence in Patients With Mild COVID-19 in Peru	4
Cross-Cultural Adaptation, Validation, and Piloting of the Patient Reported Experiences and Outcomes of Safety in Primary Care Questionnaire for Its Use in Spain	4
A Comparative Study Measuring the Difference of Healthcare Workers Reactions Among Those Involved in a Patent Safety Incident and Healthcare Professionals While Working During COVID-19	4
Machine Learning–Based Mortality Prediction of Patients at Risk During Hospital Admission	4
Strength of Safety Measures Introduced by Medical Practices to Prevent a Recurrence of Patient Safety Incidents: An Observational Study	4
The Potential Role of Smart Infusion Devices in Preventing or Contributing to Medication Administration Errors: A Descriptive Study of 2 Data Sets	4
Catching Fire: Are Operating Room Fires a Concern in Orthopedics?	4
The Korea National Patient Safety Incidents Inquiry Survey: Characteristics of Adverse Events Identified Through Medical Records Review in Regional Public Hospitals	4
Safety of Elderly Fallers: Identifying Associated Risk Factors for 30-Day Unplanned Readmissions Using a Clinical Data Warehouse	4
A Monte Carlo Simulation to Estimate the Additional Cost Associated With Adverse Medication Events Leading to Intraoperative Hypotension and/or Hypertension in the United States	4
The Patient Safety Adoption Framework: A Practical Framework to Bridge the Know-Do Gap	4

Why Is Patient Safety a Challenge? Insights From the Professionalism Opinions of Medical Students’ Research	4
Closed-Loop Communication in Interprofessional Emergency Teams: A Cross-Sectional Observation Study on the Use of Closed-Loop Communication Among Anesthesia Personnel	4
A Novel Approach for Engagement in Team Training in High-Technology Surgery: The Robotic-Assisted Surgery Olympics	4
Control Charts Usage for Monitoring Performance in Surgery: A Systematic Review	4
High-Risk Medication in Home Care Nursing: A Delphi Study	4
Comparisons of Fall Prevention Activities Using Electronic Nursing Records: A Case-Control Study	4