OOIR: Observatory of International Research

Papers

(The TQCC of Journal of Patient Safety is 5. The table below lists those papers that are above that threshold based on CrossRef citation counts [max. 250 papers]. The publications cover those that have been published in the past four years, i.e., from 2021-11-01 to 2025-11-01.)

Article	Citations
Using the Generic Analysis Method to Analyze Sentinel Event Reports Across Hospitals: A Retrospective Cross-Sectional Study	84
A Clinical Data Warehouse Analysis of Risk Factors for Inpatient Falls in a Tertiary Hospital: A Case-Control Study	48
Cost-effectiveness Analysis of Peripherally Inserted Central Catheters Versus Central Venous Catheters for in-Hospital Parenteral Nutrition	47
Capturing Parents’ Perspectives of Child Wellness to Support Identification of Acutely Unwell Children in the Emergency Department	44
Patient Safety and Legal Regulations: A Total-Scale Analysis of the Scientific Literature	36
Validation of the Second Victim Experience and Support Tool-Revised in the Neonatal Intensive Care Unit	31
Preventing Potential Patient Harm Through Clinical Content Interventions During Oncology Clinical Trial Implementation	30
Harms and Contributors of Leaving Against Medical Advice in Patients With Infective Endocarditis	30
Supporting Error Management and Safety Climate in Ambulatory Care Practices: The CIRSforte Study	30
Patient Safety Culture Analysis in Dental Hospital Using Dental Office Survey on Patient Safety Culture Questionnaire: A Cross-cultural Adaptation and Validation Study	28
Incidence of Hospital-Acquired Conditions During Pediatric Clinical Research Inpatient Hospitalizations: A Matched Cohort Study	26
COVID-19 Therapeutics Can Be Safely Administered at Home	26
Patient Safety Threats in Information Management Using Health Information Technology in Ambulatory Cancer Care: An Exploratory, Prospective Study	25
Allergic Adverse Drug Events After Alert Overrides in Hospitalized Patients	24
Improving Capnography Use for Critically Ill Emergency Patients: An Implementation Study	24
Consequences of Inpatient Falls in Acute Care: A Retrospective Register Study	21
How Were Patient Safety Incidents Responded to, Investigated, and Learned From Within the English National Health Service Before the Implementation of the Patient Safety Incident Response Framework? A	21
From Experiment to Excellence: The Impact of Patient Safety Learning Laboratories	21
Hospitals That Report Severe Sepsis and Septic Shock Bundle Compliance Have More Structured Sepsis Performance Improvement	21
Patient Falls in the Operating Room: Why Is This Still a Problem in 2024?	18
Comparisons of Fall Prevention Activities Using Electronic Nursing Records: A Case-Control Study	17
Does an Orthopedic Ward Round Pro Forma Improve Inpatient Documentation?	17
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	17
Independent Double Checks in the ICU: A Word of Caution	16
Understanding Patient and Clinician Reported Nonroutine Events in Ambulatory Surgery	16

Enhancing Compliance With Work-Hour Restrictions Through Safety Culture and Leadership in Medical Residencies	15
The Prevention and Treatment of Postoperative Delirium in the Elderly: A Narrative Systematic Review of Reviews	14
Development of an Evidence-Based Instrument to Justify the Use of Physical Restraint in General Adult Ward Settings: A Systematic Review	14
Cross-disciplinary Insights for Overcoming Speak-up Barriers in Medical Education	14
Development of a Psychological Scale for Measuring Disruptive Clinician Behavior: Erratum	14
Aspects of Patient Safety Culture Most Associated With Employees’ Overall Rating of Patient Safety and Whether Employees Reported Safety Events: Overall and for Hospitals Predominantly Serving Black P	14
Screening for Latent Infections Among Users of High-Risk Immunosuppressants: A Cross-Sectional Analysis From the Veterans Health Administration Healthcare System	13
Proactive Patient Safety: Focusing on What Goes Right in the Perioperative Environment	13
In Situ Simulation for Adoption of New Technology to Improve Sepsis Care in Rural Emergency Departments	13
Pressure Injury Prediction Model Using Advanced Analytics for At-Risk Hospitalized Patients	13
Patient and Family Involvement in Serious Incident Investigations From the Perspectives of Key Stakeholders: A Review of the Qualitative Evidence	13
Comparison of a Voluntary Safety Reporting System to a Global Trigger Tool for Identifying Adverse Events in an Oncology Population	11
Patient Deterioration in Australian Regional and Rural Hospitals: Is the Queensland Adult Deterioration Detection System the Criterion Standard?	11
Development of the Leapfrog Group’s Bar Code Medication Administration Standard to Address Hospital Inpatient Medication Safety	11
Psychological Impact and Risk of Suicide in Hospitalized COVID-19 Patients, During the Initial Stage of the Pandemic: A Cross-Sectional Study	11
Evaluating Patient Identification Practices During Intrahospital Transfers: A Human Factors Approach	10
Using a Patient Portal to Screen Patients for Symptoms After Starting New Medications	10
Communication During Interhospital Transfers of Emergency General Surgery Patients: A Qualitative Study of Challenges and Opportunities	10
Exploring the “Black Box” of Recommendation Generation in Local Health Care Incident Investigations: A Scoping Review	10
Evaluation of Policies Limiting Opioid Exposure on Opioid Prescribing and Patient Pain in Opioid-Naive Patients Undergoing Elective Surgery in a Large American Health System	10
High-Risk Medication in Home Care Nursing: A Delphi Study	10
Spinal Cord Stimulators: An Analysis of the Adverse Events Reported to the Australian Therapeutic Goods Administration	10
It’s Called “Informed Consent,” But How “Informed” Are Patients? A Patient Perspective on Informed Consent in a Tertiary Care Hospital in Saudi Arabia	10
Response to “Taking Up the Challenge to Improve Name and Role Recognition in the Operating Room”	10
Patient Safety, One Health Approach, and Linking With Sustainable Development Goals (SDGs): An Indian Perspective	10
The Association Between Time to First Dose of Venous Thromboembolism Prophylaxis and the Incidence of Hospital-Acquired Venous Thromboembolism	10
Room of Hazards: A Comparison of Differences in Safety Hazard Recognition Among Various Hospital-Based Healthcare Professionals and Trainees in a Simulated Patient Room	9
Patient Outcomes Compared Between Admissions Coordinated by the Transfer Center and Emergency Department at a U.S. Tertiary Care Hospital	9
Characteristics of Cumulative Annual Radiation Exposure in Young Intensive Care Unit Survivors	9
Relationships Between Pediatric Safety Indicators Across a National Sample of Pediatric Hospitals: Dispelling the Myth of the “Safest” Hospital	9
Evaluation of Interruptions During IV Smart Pump Medication Administration in Intensive Care Units	9
Transforming the Culture of Peer Review: Implementation Across Three Departments in an Academic Health Center	9
Adverse Events in Patients Transitioning From the Emergency Department to the Inpatient Setting	9
Exploring Changes in Patient Safety Incidents During the COVID-19 Pandemic in a Canadian Regional Hospital System: A Retrospective Time Series Analysis	9
Saturday Elective Operations: Untapped Opportunity or Dangerous Fool’s Errand	9
Comparing Guidelines to Daily Practice When Screening Older Patients for the Risk of Functional Decline in Hospitals: Outcomes of a Functional Resonance Analysis Method (FRAM) Study	9
Perceptions of U.S. and U.K. Incident Reporting Systems: A Scoping Review	9
Impact of Repeated Reimbursement Penalties on Hospital Total Quality Scores	9
Unexpected Mechanical Ventilation Dysfunction in a Coronavirus Disease Patient With Severe Pneumonia Due to the Oxygen Flowsensor Failure	9
Incorporating Patient Safety and Quality Into the Medical School Curriculum: An Assessment of Student Gains	9
Enhancing Patient Safety in Prehospital Environment: Analyzing Patient Perspectives on Non-Transport Decisions With Natural Language Processing and Machine Learning	9
The Impact of a 22-Month Multistep Implementation Program on Speaking-Up Behavior in an Academic Anesthesia Department	8
Patient Safety Climate, Quality of Care, and Intention of Nursing Professionals to Remain in Their Job During the COVID-19 Pandemic	8
Development and Psychometric Evaluation of the Wright Normalization of Deviance (NOD) Scale	8
Evaluation of National Patient Safety Implementation Framework in Selected Public Healthcare Facilities of Tamil Nadu: An Operational Research	8
Power Failures During Surgery: A 2000–2019 Review of Reported Events in the Veterans Health Administration	8
Why Is Patient Safety a Challenge? Insights From the Professionalism Opinions of Medical Students’ Research	8
Effects of Generic Exchange of Levodopa Medication in Patients With Parkinson Disease	8
Monitoring Preventable Adverse Events and Near Misses: Number and Type Identified Differ Depending on Method Used	8
What Drives Patients’ Complaints About Adverse Events in Their Hospital Care? A Data Linkage Study of Australian Adults 45 Years and Older	8

Second Victims in Mental Health Care	8
Identifying Contributing Factors Associated With Dental Adverse Events Through a Pragmatic Electronic Health Record–Based Root Cause Analysis	8
Dental Anesthesia Guidelines and Regulations of US States and Major Professional Organizations: A Review	8
From Missed Appointments to Missed Opportunities: The Patient Safety Challenge	8
Preanalytical Errors in Clinical Biochemistry Laboratory and Relationship With Hospital Departments and Staff: A Record-Based Study	7
Development of a Quality Improvement Dental Chart Review Training Program	7
Knowledge and Practices Regarding Prevention of Central Venous Catheter Removal-Associated Air Embolism: A Survey of Nonintensive Care Unit Medical and Nursing Staff	7
A Cohort Study of Nonfood Choking Incidents in the Hospital	7
Starting a High-Fidelity Simulation-Based Hospital Quality and Safety Program: Ten Tips for Success	7
Defects in Value Associated With Hospital-Acquired Conditions: How Improving Quality Could Save U.S. Healthcare $50 Billion	7
Value of Incident Reporting to Address Real-time Safety Opportunities During the COVID-19 Pandemic	7
Evaluating the Effects of a General Anesthesia and Prone Position Nursing Checklist and Training Course on Posterior Lumbar Surgery: A Randomized Controlled Trial	7
SCALPEL: A Structured Handoff Protocol for Scrub Nurses in the Operating Room for Patient Safety	7
Preventing Surgical Site Infections: Are Safety Climate Level and Its Strength Associated With Self-reported Commitment To, Subjective Norms Toward, and Knowledge About Preventive Measures?	7
The Patient Safety Adoption Framework: A Practical Framework to Bridge the Know-Do Gap	7
Effect of a Financial Incentive Scheme for Medication Review on Polypharmacy in Elderly Inpatients With Dementia: A Retrospective Before-and-After Study	7
Neonatal Adverse Events’ Trigger Tool Setup With Random Forest	7
Cross-cultural Adaptation of the Safety Attitudes Questionnaire Short Form in Spanish and Italian Operating Rooms: Psychometric Properties	7
Temporal Trends in Adverse Effects of Medical Treatment Among Chinese Children and Adolescents, 1990-2021: Evidence From the Global Burden of Disease 2021 Study	7
Care Home Safety Incidents and Safeguarding Reports Relating to Hospital to Care Home Transitions: A Retrospective Content Analysis	7
Application of the IMB Model in the Vision of Zero Harm Caused by Magnetic Resonance Ferromagnetic Projection Accidents	7
The Impact of Electronic Communication of Medication Discontinuation (CancelRx) on Medication Safety: A Pilot Study	7
Implementation of a Checklist for Surgical Inpatient Rounds: An Observational Cohort Study	7
Translating the Leapfrog Safety Letter Grade to a Percentile: Unlock Your Hospital’s Door to Quality Improvement With This Easy “Quality Hack”	6
A Retrospective Review of Serious Surgical Incidents in 5 Large UK Teaching Hospitals: A System-Based Approach	6
Incorporating a Patient Safety and Quality Course Into the Nursing Curriculum: An Assessment of Student Gains	6
Self-assessment and Modulation of Traction During Shoulder Dystocia Simulation Training	6
Uncovering the Risks of Anticancer Therapy Through Incident Report Analysis Using a Newly Developed Medical Oncology Incident Taxonomy	6
Developing and Aligning a Safety Event Taxonomy for Inpatient Psychiatry: Erratum	6
Decreasing Hospital-acquired Pressure Injuries During the COVID-19 Pandemic: A 5-step Quality Improvement Approach	6
Teamwork Before and During COVID-19: The Good, the Same, and the Ugly…	6
A Novel Color-Coding Method to Prevent Wrong-Site Surgery in Ophthalmology	6
The Government as Plaintiff: An Analysis of Medical Litigation Against Healthcare Providers in the Eastern Province of the Kingdom of Saudi Arabia	6
Characteristics of Fall Occurrence in Hospitals and the Factors Influencing Falls That Require Additional Medical Care: Based on an Accident Database	6
The Implementation of Perioperative Geriatric Management Could Decrease the Incidence of Postoperative Delirium in the Elderly Undergoing Major Orthopedic Surgeries	6
Optimizing Event Reporting to Drive a Culture of Learning and Safety: A System-Based Approach to Mitigating Harm Through Near-Miss and No-Harm Reporting	6
Response to the Letter to the Editor by Cioccari et al	6
Evaluation of the Culture of Safety and Quality in Pediatric Primary Care Practices	6
Critical Care Clinicians’ Experiences of Patient Safety During the COVID-19 Pandemic	6
Safety Investigation Incident Reports in Social and Health Care: Analysis of Contributing Factors in Finland	6
Letter to the Editor—Response to “A Qualitative Analysis of Outpatient Medication Use in Community Settings: Observed Safety Vulnerabilities and Recommendations for Improved Patient Safety”	6
Outcomes for Hospitalized Aggressive and Violent Patients When Physical Restraints Are Introduced	6
Ambulatory Medication Errors and Adverse Events Involved in Medicine-Related Malpractice Cases From 2011 to 2021	6
The Relationship Between Duration of General Anesthesia and Postoperative Fall Risk During Hospital Stay in Orthopedic Patients	6
Pakistan’s Silent Killer: How Fake and Substandard Medicines Are Destroying Patient Safety	6
Application of System-Theoretic Process Analysis (STPA) for Enhancing Safety in a Ventilator System	6
Discrepancies Between Clinical and Autopsy Diagnoses in Rapid Response Team–Assisted Patients: What Are We Missing?	6
Why Is Patient Safety a Challenge? Insights From the Professionalism Opinions of Medical Students’ Research	6
Clinician Communication and Patient Safety in Pediatrics: A Practical Application of Human-Centered Design for Problem Identification and Analysis	5
Implementation of a Standardized Tool for Root Cause Analysis Selection	5
The Value of a Cross-Disciplinary Approach to Human and System Performance Research in Obstetrics and Neonatology: AHRQ’s Patient Safety Learning Laboratory	5
Translation and Comprehensive Validation of the Hebrew Survey on Patient Safety Culture (HSOPS 2.0)	5
Content Analysis of Patient Safety Incident Reports for Older Adult Patient Transfers, Handovers, and Discharges: Do They Serve Organizations, Staff, or Patients?	5
Delays in Diagnosis, Treatment, and Surgery: Root Causes, Actions Taken, and Recommendations for Healthcare Improvement	5
Patient Safety Education in the Undergraduate Dental Curriculum: Evidence Base and Current Practice in UK Dental Schools	5
Wrong-Site Surgery in Spain and Professional Liability Claims	5
Factors Causing Variation in World Health Organization Surgical Safety Checklist Effectiveness—A Rapid Scoping Review	5
Veterans Health Administration Response to the COVID-19 Crisis: Surveillance to Action	5
The Influence of Preoperative Waiting Time on Anxiety and Pain Levels in Outpatient Surgery for Breast Diseases	5
A 6-Year Thematic Review of Reported Incidents Associated With Cardiopulmonary Resuscitation Calls in a United Kingdom Hospital	5
Incorporating Machine Learning Driven Factors in the Design of Electronic-triggers to Detect Diagnostic Errors in the Emergency Department	5
Mobile Phones in the Operating Room: A Call for Strict Regulation to Ensure Patient Safety	5
Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events	5
Introduction of a Novel Patient Safety Advisory: Evaluation of Perceived Information With a Modified QPP Questionnaire—A Case-Control Study	5
Integrating Multifaceted Strategies to Prevent Patient Falls: Insights and Implementations at Taoyuan Psychiatric Center	5
Factors Related to Medication Administration Incidents in England and Wales Between 2007 and 2016: A Retrospective Trend Analysis	5
Applying High-reliability Principles to Infusion Pump Safety: A Case Study at a Multisite Health System	5
Understanding Hazards for Adverse Drug Events Among Older Adults After Hospital Discharge: Insights From Frontline Care Professionals	5
Validation of a Reduced Set of High-Performance Triggers for Identifying Patient Safety Incidents with Harm in Primary Care: TriggerPrim Project	5
The Barriers and Enhancers to Trust in a Just Culture in Hospital Settings: A Systematic Review	5
The Potential Role of Smart Infusion Devices in Preventing or Contributing to Medication Administration Errors: A Descriptive Study of 2 Data Sets	5
Overview of Patient Safety Culture in Bosnia and Herzegovina With Improvement Recommendations for Hospitals	5
Redefining Interruptions: Events, Causes, and Impacts in Trauma Rooms	5
Making Sense of Patient Safety Through Cultural-Historical Activity Theory and Complexity Modeling	5