OOIR: Observatory of International Research

Papers

(The TQCC of Journal of Patient Safety is 3. 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 2022-08-01 to 2026-08-01.)

Article	Citations
Supporting Error Management and Safety Climate in Ambulatory Care Practices: The CIRSforte Study	39
Patient Safety Culture Analysis in Dental Hospital Using Dental Office Survey on Patient Safety Culture Questionnaire: A Cross-cultural Adaptation and Validation Study	34
COVID-19 Therapeutics Can Be Safely Administered at Home	33
From Experiment to Excellence: The Impact of Patient Safety Learning Laboratories	27
Implementing a Behavioral Escalation Response Team to Promote Patient and Staff Safety: A Descriptive Qualitative Study	27
Safety of Venous Thromboembolism Pharmacological Prophylaxis in Hospitalized Patients With Inflammatory Bowel Disease (VISCOUS Study)	24
Effectiveness and Safety of Continuous Quality Improvement and Failure Mode and Effect Analysis for Preventing Adverse Events in Hospitalized Patients: A Systematic Review of Complex Interventions	20
Preventing Potential Patient Harm Through Clinical Content Interventions During Oncology Clinical Trial Implementation	19
Patient Falls in the Operating Room: Why Is This Still a Problem in 2024?	17
A Clinical Data Warehouse Analysis of Risk Factors for Inpatient Falls in a Tertiary Hospital: A Case-Control Study	16
Safeguarding Against Falls From the Operating Room Table During Emergence From Anesthesia: A Simple Strategy	15
Using the Generic Analysis Method to Analyze Sentinel Event Reports Across Hospitals: A Retrospective Cross-Sectional Study	15
Beyond Remission: The Need for Transparent Communication About CAR-T Adverse Effects	14
Enhancing Patient Safety Event Analysis Using Artificial Intelligence: A Pilot Study of an Artificial Intelligence–Powered Report Analysis Tool	14
Patient Safety Culture and Its Associated Factors Among Health Care Professionals in Ethiopia: A Systematic Review and Meta-Analysis	14
Incidence of Hospital-Acquired Conditions During Pediatric Clinical Research Inpatient Hospitalizations: A Matched Cohort Study	13
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	13
Consequences of Inpatient Falls in Acute Care: A Retrospective Register Study	13
Enhancing Compliance With Work-Hour Restrictions Through Safety Culture and Leadership in Medical Residencies	13
Development of a Psychological Scale for Measuring Disruptive Clinician Behavior: Erratum	12
Independent Double Checks in the ICU: A Word of Caution	12
Cross-disciplinary Insights for Overcoming Speak-up Barriers in Medical Education	12
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	12
Examining Patient Safety and Barriers for Older Adults and People With Disabilities in Health Care: A Scoping Review	12
Understanding Patient and Clinician Reported Nonroutine Events in Ambulatory Surgery	12

Patient Safety Engagement in Practice: Determinants, Relational Mechanisms, and System-level Influences—A Scoping Review	11
The Prevention and Treatment of Postoperative Delirium in the Elderly: A Narrative Systematic Review of Reviews	11
Development of an Evidence-Based Instrument to Justify the Use of Physical Restraint in General Adult Ward Settings: A Systematic Review	11
Trauma in Health Care Settings: A Twelve-year Medico-legal Case Series and Comparative Analysis of Out-of-court Versus In-court Litigation	11
Proactive Patient Safety: Focusing on What Goes Right in the Perioperative Environment	10
Analysis of Patient Safety Event Report to Understand the Contribution of Health IT to Diagnostic Error	10
Evaluating Patient Identification Practices During Intrahospital Transfers: A Human Factors Approach	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
Screening for Latent Infections Among Users of High-Risk Immunosuppressants: A Cross-Sectional Analysis From the Veterans Health Administration Healthcare System	10
Reframing ED Boarding Through a Human Factors Sociotechnical Systems Lens	10
Response to “Taking Up the Challenge to Improve Name and Role Recognition in the Operating Room”	10
Operating Room Traffic, Door Opening and Closing: A Clinical Observational Study	10
Patient and Family Involvement in Serious Incident Investigations From the Perspectives of Key Stakeholders: A Review of the Qualitative Evidence	10
Patient Safety, One Health Approach, and Linking With Sustainable Development Goals (SDGs): An Indian Perspective	10
“The Patient Was Faster than I Could Think” Errors in Acute Care Physiotherapy: A Mixed-methods Survey	9
Using a Patient Portal to Screen Patients for Symptoms After Starting New Medications	9
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	9
Scott Three-tiered Interventional Model for Second Victim Support: Critical Analysis and Scoping Review	9
Incidence of and Risk Factors for Repeat Adverse Drug Events: A Systematic Review	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	8
Divergent 5-Year Trajectories of Emotional Exhaustion in Internal Medicine and Surgery: Longitudinal Associations With Patient Safety Culture	8
Adverse Events in Patients Transitioning From the Emergency Department to the Inpatient Setting	8
Perceptions of U.S. and U.K. Incident Reporting Systems: A Scoping Review	8
Impact of Repeated Reimbursement Penalties on Hospital Total Quality Scores	8
Patient Outcomes Compared Between Admissions Coordinated by the Transfer Center and Emergency Department at a U.S. Tertiary Care Hospital	8
Saturday Elective Operations: Untapped Opportunity or Dangerous Fool’s Errand	8
Exploring the “Black Box” of Recommendation Generation in Local Health Care Incident Investigations: A Scoping Review	8
Unexpected Mechanical Ventilation Dysfunction in a Coronavirus Disease Patient With Severe Pneumonia Due to the Oxygen Flowsensor Failure	8
Enhancing Patient Safety in Prehospital Environment: Analyzing Patient Perspectives on Non-Transport Decisions With Natural Language Processing and Machine Learning	8
From Missed Appointments to Missed Opportunities: The Patient Safety Challenge	7
Inpatient Mobility and the Relative Incidence of Falls With Injury Versus Hospital-Acquired Pressure Ulcers	7
Patient Safety Climate, Quality of Care, and Intention of Nursing Professionals to Remain in Their Job During the COVID-19 Pandemic	7
Evaluation of Interruptions During IV Smart Pump Medication Administration in Intensive Care Units	7
Second Victims in Mental Health Care	7
Dental Anesthesia Guidelines and Regulations of US States and Major Professional Organizations: A Review	6
The Impact of a 22-Month Multistep Implementation Program on Speaking-Up Behavior in an Academic Anesthesia Department	6
Application of the IMB Model in the Vision of Zero Harm Caused by Magnetic Resonance Ferromagnetic Projection Accidents	6
SCALPEL: A Structured Handoff Protocol for Scrub Nurses in the Operating Room for Patient Safety	6
Identifying Contributing Factors Associated With Dental Adverse Events Through a Pragmatic Electronic Health Record–Based Root Cause Analysis	6
Development and Psychometric Evaluation of the Wright Normalization of Deviance (NOD) Scale	6
The Impact of Nursing Work Environment, Ethical Leadership, and Organizational Communication on General Hospital Nurses’ Perception of Just Culture: A Cross-Sectional Study	6
A Cohort Study of Nonfood Choking Incidents in the Hospital	6
Temporal Trends in Adverse Effects of Medical Treatment Among Chinese Children and Adolescents, 1990-2021: Evidence From the Global Burden of Disease 2021 Study	6
Evaluation of National Patient Safety Implementation Framework in Selected Public Healthcare Facilities of Tamil Nadu: An Operational Research	6
Impact of Respiratory Protective Equipment on Verbal Communication in the Anesthetic Environment	6
Patient Trust in AI-generated Medication Information and the Role of Clinical Pharmacists in Preventing Medication-related Safety Risks: A Cross-sectional Survey	6
Value of Incident Reporting to Address Real-time Safety Opportunities During the COVID-19 Pandemic	6
Effect of a Financial Incentive Scheme for Medication Review on Polypharmacy in Elderly Inpatients With Dementia: A Retrospective Before-and-After Study	6
Impact of Visitor Restrictions Due to the COVID-19 Pandemic on the Occurrence of In-Hospital Delirium	5
Defects in Value Associated With Hospital-Acquired Conditions: How Improving Quality Could Save U.S. Healthcare $50 Billion	5

Digital Darkness in Cardiovascular Care: Ransomware, System Outages, and the Emerging Threat to Cardiac Patient Safety	5
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?	5
Care Home Safety Incidents and Safeguarding Reports Relating to Hospital to Care Home Transitions: A Retrospective Content Analysis	5
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	5
Uncovering the Risks of Anticancer Therapy Through Incident Report Analysis Using a Newly Developed Medical Oncology Incident Taxonomy	5
Knowledge and Practices Regarding Prevention of Central Venous Catheter Removal-Associated Air Embolism: A Survey of Nonintensive Care Unit Medical and Nursing Staff	5
Starting a High-Fidelity Simulation-Based Hospital Quality and Safety Program: Ten Tips for Success	5
Evaluating the Effects of a General Anesthesia and Prone Position Nursing Checklist and Training Course on Posterior Lumbar Surgery: A Randomized Controlled Trial	5
Implementation of a Checklist for Surgical Inpatient Rounds: An Observational Cohort Study	5
Safety Investigation Incident Reports in Social and Health Care: Analysis of Contributing Factors in Finland	5
The Patient Safety Adoption Framework: A Practical Framework to Bridge the Know-Do Gap	5
Overstaffing and Understaffing Are Associated With Adverse Events In a Level III Neonatal Intensive Care Unit	5
Preanalytical Errors in Clinical Biochemistry Laboratory and Relationship With Hospital Departments and Staff: A Record-Based Study	5
Mobile Phones in the Operating Room: A Call for Strict Regulation to Ensure Patient Safety	4
Implementation of an Enterprise Data Analytics Solution: A Quality Improvement Project to Enhance Infusion Safety Through Smart Pump Technology Compliance	4
Outcomes for Hospitalized Aggressive and Violent Patients When Physical Restraints Are Introduced	4
Pakistan’s Silent Killer: How Fake and Substandard Medicines Are Destroying Patient Safety	4
Why Is Patient Safety a Challenge? Insights From the Professionalism Opinions of Medical Students’ Research	4
Psychosocial Safety Is Patient Safety: Gender-affirming Care as an Exemplar for Health Equity	4
Ambulatory Medication Errors and Adverse Events Involved in Medicine-Related Malpractice Cases From 2011 to 2021	4
Application of System-Theoretic Process Analysis for Enhancing Safety in a Ventilator System	4
Decreasing Hospital-acquired Pressure Injuries During the COVID-19 Pandemic: A 5-step Quality Improvement Approach	4
Incorporating a Patient Safety and Quality Course Into the Nursing Curriculum: An Assessment of Student Gains	4
Self-assessment and Modulation of Traction During Shoulder Dystocia Simulation Training	4
Response to the Letter to the Editor by Cioccari et al	4
Trends in Patient Safety Management Systems by Hospital Size in Japanese Acute Care Hospitals	4
Characteristics of Fall Occurrence in Hospitals and the Factors Influencing Falls That Require Additional Medical Care: Based on an Accident Database	4
Teamwork Before and During COVID-19: The Good, the Same, and the Ugly…	4
The Value of a Cross-Disciplinary Approach to Human and System Performance Research in Obstetrics and Neonatology: AHRQ’s Patient Safety Learning Laboratory	4
The Influence of Preoperative Waiting Time on Anxiety and Pain Levels in Outpatient Surgery for Breast Diseases	4
Effect of Safety Management Program on Critical Incidents During Patient Transport: Experience From Single Critical Care Transport System	4
Critical Care Clinicians’ Experiences of Patient Safety During the COVID-19 Pandemic	4
The Government as Plaintiff: An Analysis of Medical Litigation Against Healthcare Providers in the Eastern Province of the Kingdom of Saudi Arabia	4
Developing and Aligning a Safety Event Taxonomy for Inpatient Psychiatry: Erratum	4
A HFMEA-driven Standardized Mobilization Protocol Reduces Adverse Events During Early Out-of-bed Activity in Neuro-ICU Patients: A Prospective Implementation Study	4
The Implementation of Perioperative Geriatric Management Could Decrease the Incidence of Postoperative Delirium in the Elderly Undergoing Major Orthopedic Surgeries	4
Redesigning From Work-as-Imagined to Work-as-Done: A Systems Safety Approach to Bedside Medication Storage	3
Medication Safety Gaps in English Pediatric Inpatient Units: An Exploration Using Work Domain Analysis	3
Healthcare Violence and the Potential Promises and Harms of Artificial Intelligence	3
Convergent Validity of 2 Widely Used Methodologies for Calculating the Hospital Standardized Mortality Ratio in Flanders, Belgium	3
Patient Safety Education in the Undergraduate Dental Curriculum: Evidence Base and Current Practice in UK Dental Schools	3
Communication of Incidental Imaging Findings on Inpatient Discharge Summaries After Implementation of Electronic Health Record Notification System	3
Applying High-reliability Principles to Infusion Pump Safety: A Case Study at a Multisite Health System	3
Skin Pigmentation Effects on Pulse Oximetry Accuracy Need a Prospective Study	3
Introduction of a Novel Patient Safety Advisory: Evaluation of Perceived Information With a Modified QPP Questionnaire—A Case-Control Study	3
Clinician Communication and Patient Safety in Pediatrics: A Practical Application of Human-Centered Design for Problem Identification and Analysis	3
The Impact of Robotics on Procedural Flow and Surgeon Strain in Total Knee Arthroplasty	3
Implementation of a Standardized Tool for Root Cause Analysis Selection	3
Involving Patients and/or Their Next of Kin in Serious Adverse Event Investigations: A Qualitative Study on Hospital Perspectives	3
A Critical Threat to Patient Safety: A Bibliometric Analysis of Wrong-Site, Wrong-Side, and Wrong-Organ Surgery	3
Optimizing Surgical Time-outs in Orthopaedic Surgery: History, Challenges, and Strategies for Improvement	3
Mobile Applications for Educating Patients, Caregivers, and Health Personnel on Patient Safety: A Scoping Review	3
Wrong-Site Surgery in Spain and Professional Liability Claims	3
Implementation and Evaluation of Clinical Decision Support for Apixaban Dosing in a Community Teaching Hospital	3
Exploring the Accuracy of Near-miss Reporting: A Mixed-methods Study	3
Major Clinical Adverse Events of Breast Implant in the Manufacturer and User Facility Device Experience Database	3
Integrating Multifaceted Strategies to Prevent Patient Falls: Insights and Implementations at Taoyuan Psychiatric Center	3
Safety of First Dose Remdesivir in the Hospital-at-Home Setting for Patients With COVID-19	3
Validation of a Reduced Set of High-Performance Triggers for Identifying Patient Safety Incidents with Harm in Primary Care: TriggerPrim Project	3
Understanding Hazards for Adverse Drug Events Among Older Adults After Hospital Discharge: Insights From Frontline Care Professionals	3
Implementation and Evaluation of the OWLL Intervention to Improve the Quality and Safety of Pediatric Dental Sedation: A Mixed-Methods Approach	3
Incorporating Machine Learning Driven Factors in the Design of Electronic-triggers to Detect Diagnostic Errors in the Emergency Department	3
The Value of Sentinel Indicators for Detecting Serious Adverse Events in Hospital Care	3
Implementation of an Institutional Physician and Advanced Practicing Provider Peer Support Program	3
Considerations and Challenges When Using Clinical and Vital Record Review for Suicide Research	3
Redefining Interruptions: Events, Causes, and Impacts in Trauma Rooms	3
Development and Implementation of an Inpatient Mortality Review: a Feasibility Study	3
Making Sense of Patient Safety Through Cultural-Historical Activity Theory and Complexity Modeling	3
A Prospective Quasi-Experimental Study of Multifaceted Interventions Including Computerized Drug Utilization Evaluation to Improve an Antibiotic Stewardship Program	3
Comparative Outcomes of a Patient Safety and Quality Improvement Curriculum Between Medical and Nursing Students	3
A 1000-Fold Fentanyl Dosing Error Across Five Editions of the Grossman Baim Cardiac Catheterization Literature	3
Assessing Organizational Readiness for Just Culture in Health Care	3
Translation and Comprehensive Validation of the Hebrew Survey on Patient Safety Culture (HSOPS 2.0)	3
Reducing High-risk Meal Tray Delivery Errors in Inpatient Rehabilitation Through Wristband Scanning and Interdisciplinary Workflow Optimization	3