Journal of Patient Safety

Article	Citations
Failure to Rescue Deteriorating Patients: A Systematic Review of Root Causes and Improvement Strategies	77
Impact of Teamwork and Communication Training Interventions on Safety Culture and Patient Safety in Emergency Departments: A Systematic Review	38
Reflexive Spaces: Leveraging Resilience Into Healthcare Regulation and Management	33
Understanding the “Swiss Cheese Model” and Its Application to Patient Safety	32
Cost of Health Care–Associated Infections in the United States	31
Adverse Effects of the Medicare PSI-90 Hospital Penalty System on Revenue-Neutral Hospital-Acquired Conditions	30
Redeployment of Health Care Workers in the COVID-19 Pandemic: A Qualitative Study of Health System Leaders’ Strategies	29
The Association Between Health Care Staff Engagement and Patient Safety Outcomes: A Systematic Review and Meta-Analysis	29
The Use of Rapid Response Teams to Reduce Failure to Rescue Events: A Systematic Review	27
Dealing With Adverse Events: A Meta-analysis on Second Victims’ Coping Strategies	27
Systemic Causes of In-Hospital Intravenous Medication Errors: A Systematic Review	25
Liability of Health Care Professionals and Institutions During COVID-19 Pandemic in Italy: Symposium Proceedings and Position Statement	23
Using Deprescribing Practices and the Screening Tool of Older Persons’ Potentially Inappropriate Prescriptions Criteria to Reduce Harm and Preventable Adverse Drug Events in Older Adults	20
Patient Safety Issues From Information Overload in Electronic Medical Records	20
Evaluating the Costs of Nurse Burnout-Attributed Turnover: A Markov Modeling Approach	20
Identifying Health Information Technology Usability Issues Contributing to Medication Errors Across Medication Process Stages	19
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)	19
Longitudinal Association of a Medication Risk Score With Mortality Among Ambulatory Patients Acquired Through Electronic Health Record Data	18
What Do We Really Know About Crew Resource Management in Healthcare?: An Umbrella Review on Crew Resource Management and Its Effectiveness	18
The Effect of Opioid Stewardship Interventions on Key Outcomes: A Systematic Review	18
Evolving Factors in Hospital Safety: A Systematic Review and Meta-Analysis of Hospital Adverse Events	16
Validation of the Second Victim Experience and Support Tool-Revised in the Neonatal Intensive Care Unit	16
Implementing High-Reliability Organization Principles Into Practice: A Rapid Evidence Review	16
An International Perspective on Definitions and Terminology Used to Describe Serious Reportable Patient Safety Incidents: A Systematic Review	15
Improving Team Performance and Patient Safety on the Job Through Team Training and Performance Support Tools: A Systematic Review	15

Frequency and Nature of Communication and Handoff Failures in Medical Malpractice Claims	15
Next-of-Kin Involvement in Regulatory Investigations of Adverse Events That Caused Patient Death: A Process Evaluation (Part II: The Inspectors’ Perspective)	15
Medication Safety in Two Intensive Care Units of a Community Teaching Hospital After Electronic Health Record Implementation: Sociotechnical and Human Factors Engineering Considerations	14
Analysis of Risk Factors for Patient Safety Events Occurring in the Emergency Department	14
Burnout, Engagement, and Dental Errors Among U.S. Dentists	13
Inpatient Respiratory Arrest Associated With Sedative and Analgesic Medications: Impact of Continuous Monitoring on Patient Mortality and Severe Morbidity	13
The Effects of Interdisciplinary Bedside Rounds on Patient Centeredness, Quality of Care, and Team Collaboration: A Systematic Review	13
Association Between Physician Burnout and Self-reported Errors: Meta-analysis	13
Improving Allergy Documentation: A Retrospective Electronic Health Record System–Wide Patient Safety Initiative	13
A Systematic Review of Measurement Tools for the Proactive Assessment of Patient Safety in General Practice	13
Implementing Patient and Family Involvement Interventions for Promoting Patient Safety: A Systematic Review and Meta-Analysis	13
The Impact of Malpractice Claims on Physicians’ Well-Being and Practice	12
Use of Hospital Capacity Command Centers to Improve Patient Flow and Safety: A Scoping Review	11
Ultrasound-Guided Peripheral Intravenous Catheter Insertion Training Reduces Use of Midline Catheters in Hospitalized Patients With Difficult Intravenous Access	11
System-Level Patient Safety Practices That Aim to Reduce Medication Errors Associated With Infusion Pumps: An Evidence Review	11
What Can We Learn From the Past? Pandemic Health Care Workers’ Fears, Concerns, and Needs: A Review	11
Psychometric Properties of the Latin American Spanish Version of the Hospital Survey on Patient Safety Culture Questionnaire in the Surgical Setting	11
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	11
Validation of the German Version of the Second Victim Experience and Support Tool—Revised	11
Medication Order Errors at Hospital Admission Among Children With Medical Complexity	11
An Operational Framework to Study Diagnostic Errors in Emergency Departments: Findings From A Consensus Panel	11
A Systematic Review of Methods for Medical Record Analysis to Detect Adverse Events in Hospitalized Patients	11
Systemic Defenses to Prevent Intravenous Medication Errors in Hospitals: A Systematic Review	11
Spinal Cord Stimulators: An Analysis of the Adverse Events Reported to the Australian Therapeutic Goods Administration	10
Pressure Injury Prediction Model Using Advanced Analytics for At-Risk Hospitalized Patients	10
Addressing Patient Safety Hazards Using Critical Incident Reporting in Hospitals: A Systematic Review	10
A Root Cause Analysis of Barriers to Timely Colonoscopy in California Safety-Net Health Systems	10
Teamwork Before and During COVID-19: The Good, the Same, and the Ugly…	10
Patient Safety Strategies in Psychiatry and How They Construct the Notion of Preventable Harm: A Scoping Review	10
Avoidable Adverse Events Related to Ignoring the Do-Not-Do Recommendations: A Retrospective Cohort Study Conducted in the Spanish Primary Care Setting	10
What Contributes to Diagnostic Error or Delay? A Qualitative Exploration Across Diverse Acute Care Settings in the United States	10
COVID-19–Related Circumstances for Hospital Readmissions: A Case Series From 2 New York City Hospitals	9
Preparing for an Influenza Pandemic: Hospital Acceptance Study of Filtering Facepiece Respirator Decontamination Using Ultraviolet Germicidal Irradiation	9
What Severe Medication Errors Reported to Health Care Supervisory Authority Tell About Medication Safety?	9
The Effect of Health Care Professional Disruptive Behavior on Patient Care: A Systematic Review	9
The Patient Safety Culture Scale for Chinese Primary Health Care Institutions: Development, Validity and Reliability	9
Fall Prevention Practices and Implementation Strategies: Examining Consistency Across Hospital Units	8
Patient and Family Involvement in Serious Incident Investigations From the Perspectives of Key Stakeholders: A Review of the Qualitative Evidence	8
The Morbidity and Mortality Conference: Opportunities for Enhancing Patient Safety	8
How Much and What Local Adaptation Is Acceptable? A Comparison of 24 Surgical Safety Checklists in Switzerland	8
Adverse Drug Events Detected by Clinical Pharmacists in an Emergency Department: A Prospective Monocentric Observational Study	8
A Machine Learning Approach to Reclassifying Miscellaneous Patient Safety Event Reports	8
Reducing Falls in Dementia Inpatients Using Vision-Based Technology	8
Understanding the Second Victim Experience Among Multidisciplinary Providers in Obstetrics and Gynecology	8
Patient Misidentification Events in the Veterans Health Administration: A Comprehensive Review in the Context of High-Reliability Health Care	8
Improving Pediatric Drug Safety in Prehospital Emergency Care—10 Years on	8
COVID-19 and Patient Safety: Time to Tap Into Our Investment in High Reliability	8
The Barriers and Enhancers to Trust in a Just Culture in Hospital Settings: A Systematic Review	8
Association Between Physicians’ Workload and Prescribing Quality in One Tertiary Hospital in China	8
Training Situational Awareness for Patient Safety in a Room of Horrors: An Evaluation of a Low-Fidelity Simulation Method	8

The Second Victim Experience and Support Tool: A Cross-Cultural Adaptation and Psychometric Evaluation in Italy (IT-SVEST)	7
A High-Reliability Organization Framework for Health Care: A Multiyear Implementation Strategy and Associated Outcomes	7
Hypoglycemia While Driving in Insulin-Treated Patients: Incidence and Risk Factors	7
A Worldwide Bibliometric Analysis of Published Literature on Medication Errors	7
National and Institutional Trends in Adverse Events Over Time: A Systematic Review and Meta-analysis of Longitudinal Retrospective Patient Record Review Studies	7
Medication Safety in Mental Health Hospitals: A Mixed-Methods Analysis of Incidents Reported to the National Reporting and Learning System	7
Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality’s Making Healthcare Safer III Report	7
Patient Harm During COVID-19 Pandemic: Using a Human Factors Lens to Promote Patient and Workforce Safety	7
Perceptions of Stakeholders Toward “Hospital at Home” Program in Singapore: A Descriptive Qualitative Study	7
Challenges and Barriers to Adverse Event Reporting in Clinical Trials: A Children’s Oncology Group Report	7
Harms and Contributors of Leaving Against Medical Advice in Patients With Infective Endocarditis	7
The Impact of Smart Pump Interoperability on Errors in Intravenous Infusion Administrations: A Multihospital Before and After Study	6
Chlorhexidine Bathing Strategies for Multidrug-Resistant Organisms: A Summary of Recent Evidence	6
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	6
Responding to COVID-19 Through Interhospital Resource Coordination: A Mixed-Methods Evaluation	6
Cancer Patients in the Era of Coronavirus: What to Fear Most?	6
Healing Our Own: A Randomized Trial to Assess Benefits of Peer Support	6
Impact of Patient Safety Incidents Reported by the General Public in Korea	6
Proactive Evaluation of an Operating Room Prototype: A Simulation-Based Modeling Approach	6
Communication Patterns During Routine Patient Care in a Pediatric Intensive Care Unit: The Behavioral Impact of In Situ Simulation	6
Patients’ Perspectives of Diagnostic Error: A Qualitative Study	6
Neurological Emergencies in Patients Hospitalized With Nonneurological Illness	6
Characterization of Medication Errors in a Medical Intensive Care Unit of a University Teaching Hospital in South Korea	6
Investigating Hospital Supervision: A Case Study of Regulatory Inspectors’ Roles as Potential Co-creators of Resilience	6
Effect of a Pharmacy-based Centralized Intravenous Admixture Service on the Prevalence of Medication Errors: A Before-and-After Study	6
A Study on the Status and Contributory Factors of Adverse Events Due to Negligence in Nursing Care	6
Prevalence and Seriousness of Analgesic-Induced Adverse Events in Korea: A 10-Year Nationwide Surveillance	6
Transmitting Device Identifiers of Implants From the Point of Care to Insurers: A Demonstration Project	6
User Testing to Improve Retrieval and Comprehension of Information in Guidelines to Improve Medicines Safety	6
Safety and Clinical Outcomes of Hospital in the Home	6
In Situ Simulation for Adoption of New Technology to Improve Sepsis Care in Rural Emergency Departments	6
Patient Safety Culture in Dentistry Analysis Using the Safety Attitude Questionnaire in DKI Jakarta, Indonesia: A Cross-Cultural Adaptation and Validation Study	6
Optimizing Hospital Electronic Prescribing Systems: A Systematic Scoping Review	6
Predictors of Seclusion and Restraint Following Injurious Assaults on Psychiatric Units	6
A National Study of Patient Safety Culture and Patient Safety Goal in Chinese Hospitals	6
Decreasing Foot Traffic in the Orthopedic Operating Room: A Narrative Review of the Literature	5
Realizing the Power of Text Mining and Natural Language Processing for Analyzing Patient Safety Event Narratives: The Challenges and Path Forward	5
Factors Associated With Diagnostic Error: An Analysis of Closed Medical Malpractice Claims	5
Current Situation of Medication Errors in Saudi Arabia: A Nationwide Observational Study	5
Master’s Programs in Patient Safety and Health Care Quality Worldwide	5
We Are Not There Yet: A Qualitative System Probing Study of a Hospital Rapid Response System	5
Patient Safety Training Programs for Health Care Professionals: A Scoping Review	5
Critical Care Clinicians’ Experiences of Patient Safety During the COVID-19 Pandemic	5
A Systematic Review of Patient-Report Safety Climate Measures in Health Care	5
Multispecialty Physician Online Survey Reveals That Burnout Related to Adverse Event Involvement May Be Mitigated by Peer Support	5
Interventions to Reduce Problems Related to the Readability and Comprehensibility of Drug Packages and Labels: A Systematic Review	5
Returning to Elective Orthopedic Surgery During the COVID-19 Pandemic: A Multidisciplinary and Pragmatic Strategy for Initial Patient Selection	5
Evaluation of Automated Video Monitoring to Decrease the Risk of Unattended Bed Exits in Small Rural Hospitals	5
Validation and Psychometric Properties of the Spanish Version of the Second Victim Experience and Support Tool Questionnaire	5
Medication Errors in the Operating Room: An Analysis of Contributing Factors and Related Drugs in Case Reports from a Japanese Medication Error Database	5
Content Analysis of Patient Safety Incident Reports for Older Adult Patient Transfers, Handovers, and Discharges: Do They Serve Organizations, Staff, or Patients?	5
Understanding Hazards for Adverse Drug Events Among Older Adults After Hospital Discharge: Insights From Frontline Care Professionals	5
Optimizing Discharge Summaries: A Multispecialty, Multicenter Survey of Primary Care Clinicians	5
Analyzing and Discussing Human Factors Affecting Surgical Patient Safety Using Innovative Technology: Creating a Safer Operating Culture	5
Perception Gaps of Disclosure of Patient Safety Incidents Between Nurses and the General Public in Korea	5
Feasibility of Capturing Adverse Events From Insurance Claims Data Using International Classification of Diseases, Tenth Revision, Codes Coupled to Present on Admission Indicators	5
Second Victim Experience and Support Tool: An Assessment of Psychometric Properties of Italian Version	5
Registration and Management of “Never Events” in Swiss Hospitals—The Perspective of Clinical Risk Managers	5
Organizational Interventions to Support Second Victims in Acute Care Settings: A Scoping Study	5
Influence of Organizational Climate and Clinician Morale on Seclusion and Physical Restraint Use in Inpatient Psychiatric Units	5
Electronic Health Record Use Issues and Diagnostic Error: A Scoping Review and Framework	5
Communication During Interhospital Transfers of Emergency General Surgery Patients: A Qualitative Study of Challenges and Opportunities	5
Patient Perceptions of Hospital Experiences: Implications for Innovations in Patient Safety	5
An Implementation Science Approach to Promote Optimal Implementation, Adoption, Use, and Spread of Continuous Clinical Monitoring System Technology	5
Occupational Prevention of COVID-19 Among Healthcare Workers in Primary Healthcare Settings: Compliance and Perceived Effectiveness of Personal Protective Equipment	5
A Mixed-Methods Systematic Review of the Effectiveness and Experiences of Quality Improvement Interventions in Radiology	5
Emergency Physician Perceptions of Electronic Health Record Usability and Safety	5
Why Is Patient Safety a Challenge? Insights From the Professionalism Opinions of Medical Students’ Research	4
Exploring Uniformity of Clinical Judgment: A Vignette Approach to Understanding Healthcare Professionals’ Suicide Risk Assessment Practices	4
Central Venous Catheter Guidewire Retention: Lessons From England’s Never Event Database	4
Implementation of an Electronic Health Record–Based Messaging System in the Emergency Department: Effects on Physician Workflow and Resident Burnout	4
Reason for Exam Imaging Reporting and Data System: Consensus Reached on Quality Assessment of Radiology Requisitions	4
In-Hospital Patient Harm Across Linguistic Groups: A Retrospective Cohort Study of Home Care Recipients	4
Safety of Elderly Fallers: Identifying Associated Risk Factors for 30-Day Unplanned Readmissions Using a Clinical Data Warehouse	4
Race Differences in Reported “Near Miss” Patient Safety Events in Health Care System High Reliability Organizations	4
Predictors of Serious Opioid-Related Adverse Drug Events in Hospitalized Patients	4
Rates of Adverse Events in Hospitalized Patients After Summer-Time Resident Changeover in the United States: Is There a July Effect?	4
Hospital Cultural Competency and Attributes of Patient Safety Culture: A Study of U.S. Hospitals	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

The Potential Role of Smart Infusion Devices in Preventing or Contributing to Medication Administration Errors: A Descriptive Study of 2 Data Sets	4
Insurance Claims for Wrong-Side, Wrong-Organ, Wrong-Procedure, or Wrong-Person Surgical Errors: A Retrospective Study for 10 Years	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
Test-Retest Reliability of an Experienced Global Trigger Tool Review Team	4
Registered Nurses’ and Medical Doctors’ Experiences of Patient Safety in Health Information Exchange During Interorganizational Care Transitions: A Qualitative Review	4
Catastrophic Human Error in Assisted Reproductive Technologies: A Systematic Review	4
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	4
Environmental Cleaning and Decontamination to Prevent Clostridioides difficile Infection in Health Care Settings: A Systematic Review	4
Influence of a Preadmission Procedure-Specific Consent Document on Patient Recall of Informed Consent at 4 Weeks After Total Hip Replacement: A Randomized Controlled Trial	4
Routine Bedside Use of Obstetric Early Warning System in the Postnatal Ward to Identify Maternal Morbidity Among High-Risk Women	4
Root Cause Analysis Using the Prevention and Recovery Information System for Monitoring and Analysis Method in Healthcare Facilities: A Systematic Literature Review	4
Disparities in Adverse Event Reporting for Hospitalized Children	4
Hospitals That Report Severe Sepsis and Septic Shock Bundle Compliance Have More Structured Sepsis Performance Improvement	4
Expert Consensus on Currently Accepted Measures of Harm	4
A Practical Guide for Building Collaborations Between Clinical Researchers and Engineers: Lessons Learned From a Multidisciplinary Patient Safety Project	4
Influence of Psychological Safety and Organizational Support on the Impact of Humiliation on Trainee Well-Being	4
Factors Associated With Drug Consumption Without Scientific Evidence in Patients With Mild COVID-19 in Peru	4
Higher Fall Rate of Admitted Patients During the Ongoing COVID-19 Epidemic: Is It Coincidence or Not?	4