OOIR: Observatory of International Research

Papers

(The TQCC of Journal of Patient Safety is 4. 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 2021-01-01 to 2025-01-01.)

Article	Citations
The Impact of a Patient Participating in Evaluating Patient Safety by Using the Patient Measure of Safety in Saudi Arabia: A Cross-Sectional Study	48
A Practical Guide for Building Collaborations Between Clinical Researchers and Engineers: Lessons Learned From a Multidisciplinary Patient Safety Project	41
Influence of Psychological Safety and Organizational Support on the Impact of Humiliation on Trainee Well-Being	40
The Analysis of Hospital Readmission Rates After the Implementation of Hospital Readmissions Reduction Program	39
Widespread Misinterpretation of Advance Directives and Portable Orders for Life-Sustaining Treatments Threatens Patient Safety and Causes Undertreatment and Overtreatment	38
The Development of a Surgical Oncology Center During the COVID-19 Pandemic	35
Patient Safety Culture in Dentistry Analysis Using the Safety Attitude Questionnaire in DKI Jakarta, Indonesia: A Cross-Cultural Adaptation and Validation Study	30
Hospital Admissions Associated With Medication-Related Problems in Thai Older Patients: A Multicenter Prospective Observational Study	30
Evaluating Independent Double Checks in the Pediatric Intensive Care Unit: A Human Factors Engineering Approach	28
Standardization of Pediatric Noncardiac Operating Room to Intensive Care Unit Handoffs Improves Communication and Patient Care	25
What Contributes to Diagnostic Error or Delay? A Qualitative Exploration Across Diverse Acute Care Settings in the United States	22
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”	21
Introduction of an Ambulatory Care Medication Reconciliation Service in Dialysis Patients: Positive Impact on Medication Prescribing and Economic Benefit	21
Assessment of Culture and Laboratory Practices Related to Patient Safety in Brazilian Laboratories	21
Ultrasonic Device Complications in Endodontics: An Analysis of Adverse Events From the Food and Drug Administration Manufacturer and User Facility Device Experience	19
Cost-effectiveness Analysis of Peripherally Inserted Central Catheters Versus Central Venous Catheters for in-Hospital Parenteral Nutrition	19
Using the Generic Analysis Method to Analyze Sentinel Event Reports Across Hospitals: A Retrospective Cross-Sectional Study	19
Test-Retest Reliability of an Experienced Global Trigger Tool Review Team	18
Patients Who Decompensate and Trigger Rapid Response Immediately Upon Hospital Admission Have Higher Mortality Than Equivalent Patients Without Rapid Responses	18
Allergic Adverse Drug Events After Alert Overrides in Hospitalized Patients	17
A Collaborative Call for Changes in Reimbursement Policies to Achieve Improvements in Hospital Safety Related to Pressure Injuries	17
Variation in Paracentesis Practice in the United Kingdom Could Endanger Patient Safety	17
Toward Constructive Change After Making a Medical Error: Recovery From Situations of Error Theory as a Psychosocial Model for Clinician Recovery	16
Harms and Contributors of Leaving Against Medical Advice in Patients With Infective Endocarditis	15
Improving Capnography Use for Critically Ill Emergency Patients: An Implementation Study	15

Patients’ Experiences of Dental Diagnostic Failures: A Qualitative Study Using Social Media	15
Incidence of Hospital-Acquired Conditions During Pediatric Clinical Research Inpatient Hospitalizations: A Matched Cohort Study	14
Are Operating Rooms With Laminar Airflow a Risk for Inadvertent Perioperative Hypothermia During Ureterorenoscopic Lithotripsy Under Spinal Anesthesia? A Prospective Randomized Clinical Trial	13
Translating the Leapfrog Safety Letter Grade to a Percentile: Unlock Your Hospital’s Door to Quality Improvement With This Easy “Quality Hack”	13
Optimizing Hospital Electronic Prescribing Systems: A Systematic Scoping Review	13
A Novel Color-Coding Method to Prevent Wrong-Site Surgery in Ophthalmology	13
Uncovering the Risks of Anticancer Therapy Through Incident Report Analysis Using a Newly Developed Medical Oncology Incident Taxonomy	12
Patient Safety Threats in Information Management Using Health Information Technology in Ambulatory Cancer Care: An Exploratory, Prospective Study	12
Outcomes for Hospitalized Aggressive and Violent Patients When Physical Restraints Are Introduced	12
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	12
Consequences of Inpatient Falls in Acute Care: A Retrospective Register Study	11
Using Community Detection Techniques to Identify Themes in COVID-19–Related Patient Safety Event Reports	11
Race Differences in Reported “Near Miss” Patient Safety Events in Health Care System High Reliability Organizations	11
Improving Safety and Quality During Interhospital Transfer of Patients With Nontraumatic Intracranial Hemorrhage: A Simulation-Based Pilot Program	10
Analyzing and Discussing Human Factors Affecting Surgical Patient Safety Using Innovative Technology: Creating a Safer Operating Culture	10
Is Elective Nighttime Operation Associated With Adverse Outcomes? Analysis in Immediate Tissue Expander–Based Breast Reconstruction	10
Critical Care Clinicians’ Experiences of Patient Safety During the COVID-19 Pandemic	10
Occupational Prevention of COVID-19 Among Healthcare Workers in Primary Healthcare Settings: Compliance and Perceived Effectiveness of Personal Protective Equipment	10
Ten-Year Trend in Polypharmacy in the Lausanne Population	10
Linking Patient Safety Climate With Missed Nursing Care in Labor and Delivery Units: Findings From the LaborRNs Survey	10
Capturing Parents’ Perspectives of Child Wellness to Support Identification of Acutely Unwell Children in the Emergency Department	10
Lessons Learned in Implementing a Chronic Opioid Therapy Management System	10
Self-assessment and Modulation of Traction During Shoulder Dystocia Simulation Training	9
Visitor Restrictions During the COVID-19 Pandemic and Increased Falls With Harm at a Canadian Hospital: An Exploratory Study	9
A Clinical Data Warehouse Analysis of Risk Factors for Inpatient Falls in a Tertiary Hospital: A Case-Control Study	9
Usability and Accessibility of Publicly Available Patient Safety Databases	9
Safety Attitude of Operating Room Personnel Associated With Accurate Completion of a Surgical Checklist: A Cross-sectional Observational Study	9
Validation of the Second Victim Experience and Support Tool-Revised in the Neonatal Intensive Care Unit	9
Body Mass Index Is Not an Independent Factor Associated With Recovery Room Length of Stay for Patients Undergoing Outpatient Surgery	9
Investigating Hospital Supervision: A Case Study of Regulatory Inspectors’ Roles as Potential Co-creators of Resilience	9
Understanding Risk Factors for Complaints Against Pharmacists: A Content Analysis	9
COVID-19 Therapeutics Can Be Safely Administered at Home	9
Hospitals That Report Severe Sepsis and Septic Shock Bundle Compliance Have More Structured Sepsis Performance Improvement	8
A Retrospective Review of Serious Surgical Incidents in 5 Large UK Teaching Hospitals: A System-Based Approach	8
Patient Falls in the Operating Room: Why Is This Still a Problem in 2024?	8
Preventing Potential Patient Harm Through Clinical Content Interventions During Oncology Clinical Trial Implementation	8
Patient Safety: Where to Aim When Zero Harm Is Not the Target–A Case for Learning and Resilience	8
Supporting Error Management and Safety Climate in Ambulatory Care Practices: The CIRSforte Study	8
Response to the Letter to the Editor by Cioccari et al	7
Patient Safety and Legal Regulations: A Total-Scale Analysis of the Scientific Literature	7
Report of a Multimodal Strategy for Improvement of Hand Hygiene Compliance in a Latin American Hospital. How Far From Excellence?	7
Bedside Clinicians’ Perceptions on the Contributing Role of Diagnostic Errors in Acutely Ill Patient Presentation: A Survey of Academic and Community Practice	7
Rapid Response System Components and In-Hospital Cardiac Arrests Rates 21 Years After Introduction Into an Australian Teaching Hospital	7
Open Disclosure Among General Practitioners as Second Victim of a Patient Safety Incident: A Cross-Sectional Study in Flanders (Belgium)	7
Safety of Elderly Fallers: Identifying Associated Risk Factors for 30-Day Unplanned Readmissions Using a Clinical Data Warehouse	7
Eight-Year Trends in Direct-Acting Oral Anticoagulant Dosing, Based on Age and Kidney Function, in Patients With Atrial Fibrillation	7
Increasing Hospital Fires During the COVID-19 Pandemic in India: Are the Current Policies and Infrastructure Adequate?	7
A Worldwide Bibliometric Analysis of Published Literature on Medication Errors	7
Enhancing Sepsis Care at an Academic Emergency Department in a Resource-Constrained Setting: A Quality Improvement Initiative	7
The Implementation of Perioperative Geriatric Management Could Decrease the Incidence of Postoperative Delirium in the Elderly Undergoing Major Orthopedic Surgeries	7

Patient Safety Culture Analysis in Dental Hospital Using Dental Office Survey on Patient Safety Culture Questionnaire: A Cross-cultural Adaptation and Validation Study	7
The Voice of the Patient: Patient Roles in Antibiotic Management at the Hospital-to-Home Transition	7
Efficiency and Safety of Electronic Health Records in Switzerland—A Comparative Analysis of 2 Commercial Systems in Hospitals	7
The Government as Plaintiff: An Analysis of Medical Litigation Against Healthcare Providers in the Eastern Province of the Kingdom of Saudi Arabia	7
Registered Nurses’ and Medical Doctors’ Experiences of Patient Safety in Health Information Exchange During Interorganizational Care Transitions: A Qualitative Review	7
Exploring the Relationship Between Hospital Patient Safety Culture and Performance on Measures of Hospital-Acquired Conditions	7
The Relationship Between Duration of General Anesthesia and Postoperative Fall Risk During Hospital Stay in Orthopedic Patients	6
Examining the Relationship Between Nurses’ Fear of COVID-19 and Nursing Care Behavior	6
Developing and Aligning a Safety Event Taxonomy for Inpatient Psychiatry: Erratum	6
The Korea National Patient Safety Incidents Inquiry Survey: Characteristics of Adverse Events Identified Through Medical Records Review in Regional Public Hospitals	6
Systemic Defenses to Prevent Intravenous Medication Errors in Hospitals: A Systematic Review	6
What Do We Really Know About Crew Resource Management in Healthcare?: An Umbrella Review on Crew Resource Management and Its Effectiveness	6
Cost of Health Care–Associated Infections in the United States	6
Avoidable Adverse Events Related to Ignoring the Do-Not-Do Recommendations: A Retrospective Cohort Study Conducted in the Spanish Primary Care Setting: Erratum	6
Teamwork Before and During COVID-19: The Good, the Same, and the Ugly…	6
Frequency and Nature of Communication and Handoff Failures in Medical Malpractice Claims	6
Compensation After Surgical Treatment for Hallux Valgus: A Review of 369 Claims to the Norwegian System of Patient Injury Compensation 2010–2020	6
Ambulatory Medication Errors and Adverse Events Involved in Medicine-Related Malpractice Cases From 2011 to 2021	6
Discrepancies Between Clinical and Autopsy Diagnoses in Rapid Response Team–Assisted Patients: What Are We Missing?	6
Understanding the Second Victim Experience Among Multidisciplinary Providers in Obstetrics and Gynecology	6
Missed Nursing Care in a Sample of High-Dependency Italian Nursing Home Residents: Description of Nursing Care in Action	6
Intelligent Verification Tool for Surgical Information of Ophthalmic Patients—A Study Based on Artificial Intelligence Technology	6
Multi-Institutional Stereotactic Body Radiation Therapy Incident Learning: Evaluation of Safety Barriers Using a Human Factors Analysis and Classification System	6
Reducing Falls in Dementia Inpatients Using Vision-Based Technology	6
Incorporating a Patient Safety and Quality Course Into the Nursing Curriculum: An Assessment of Student Gains	6
Medication Safety in Two Intensive Care Units of a Community Teaching Hospital After Electronic Health Record Implementation: Sociotechnical and Human Factors Engineering Considerations	6
Clinician Satisfaction With Advanced Clinical Decision Support to Reduce the Risk of Torsades de Pointes	6
Development and Psychometric Analysis of a Patient-Reported Measure of Diagnostic Excellence for Emergency and Urgent Care Settings	6
National Surgical Quality Improvement Program Adverse Events Combined With Clavien-Dindo Scores Can Direct Quality Improvement Processes in Surgical Patients	5
Observation and Patients’ Perceptions of Incorporating Their Photograph Into the Electronic Health Record	5
Longitudinal Association of a Medication Risk Score With Mortality Among Ambulatory Patients Acquired Through Electronic Health Record Data	5
Insurance Claims for Wrong-Side, Wrong-Organ, Wrong-Procedure, or Wrong-Person Surgical Errors: A Retrospective Study for 10 Years	5
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	5
Patient Safety Training Programs for Health Care Professionals: A Scoping Review	5
Critical Incident Reports Related to Ventilator Use: Analysis of the Japan Quality Council National Database	5
COVID-19 and Patient Safety: Time to Tap Into Our Investment in High Reliability	5
Clinical Characteristics and Outcomes of Patients With COVID-19 Treated in Mayo Clinic’s Advanced Care at Home Program	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
The Nature of Adverse Events in Dentistry	5
Patient and Family Involvement in Serious Incident Investigations From the Perspectives of Key Stakeholders: A Review of the Qualitative Evidence	5
Evaluation of the Culture of Safety and Quality in Pediatric Primary Care Practices	5
Older Adult Misuse of Over-the-Counter Medications: Effectiveness of a Novel Pharmacy-Based Intervention to Improve Patient Safety	5
Translation and Comprehensive Validation of the Hebrew Survey on Patient Safety Culture (HSOPS 2.0)	5
Handing Off Electronic Prescription Data From Prescribers to Community Pharmacies: A Qualitative Analysis of Pharmacy Staff Perspectives	5
From Theory to Policy in Resilient Health Care: Policy Recommendations and Lessons Learnt From the Resilience in Health Care Research Program	5
The Influence of Preoperative Waiting Time on Anxiety and Pain Levels in Outpatient Surgery for Breast Diseases	4
Sky-High Safety? A Qualitative Study of Physicians’ Experiences of Patient Safety in Norwegian Helicopter Emergency Services	4
Second Victim Symptoms and Desired Support Strategies Among Italian Health Care Workers in Friuli-Venezia Giulia: Cross-Sectional Survey and Latent Profile Analysis	4
Detection of Adverse Events With the Austrian Inpatient Quality Indicators	4
Safety of High-Intensity, Low-Volume Interval Training or Continuous Aerobic Training in Adults With Metabolic Syndrome	4
Can Emergency Department Wait Times Predict Rates of Hospital-Acquired Clostridioides difficile Infection? A Study of Acute Care Facilities in New York State	4
Catching Fire: Are Operating Room Fires a Concern in Orthopedics?	4
Hospital-Acquired Conditions Reduction Program, Racial and Ethnic Diversity, and Magnet Designation in the United States	4
We Are Not There Yet: A Qualitative System Probing Study of a Hospital Rapid Response System	4
A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration	4
The Impacts of Disclosure and a Proactive Compensation Offer on Chinese Patients’ Actions After Medical Errors	4
Early Prediction of All-Cause Clinical Deterioration in General Wards Patients: Development and Validation of a Biomarker-Based Machine Learning Model Derived From Rapid Response Team Activations	4
Cancer Patients in the Era of Coronavirus: What to Fear Most?	4
Human Error in an Automated Laboratory	4
The Effects of Safety Climate on Psychosocial Factors: An Empirical Study in Healthcare Workplaces	4
Standardization and Visualization of the Surgical Time-Out	4
Patient Perceptions of Hospital Experiences: Implications for Innovations in Patient Safety	4
Impact on Patient Safety Culture by the Intervention of Multidisciplinary Medical Teams	4
Occupational Therapy Utilization in Veterans With Dementia: A Retrospective Review of Root Cause Analyses of Falls Leading to Adverse Events	4
An Analysis of Judicial Cases Concerning Analgesic-Related Medication Errors in the Republic of Korea	4
Validation of a Reduced Set of High-Performance Triggers for Identifying Patient Safety Incidents with Harm in Primary Care: TriggerPrim Project	4
Obstetrical Outcomes After Implementation of Laborist Model During the COVID-19 Pandemic	4
A Novel Role to Manage Capacity and Flow in Hospital Medicine	4
Observational Study of Drug Formulation Manipulation in Pediatric Versus Adult Inpatients	4
Psychometric Properties of the Safety Climate Survey in Austrian Acute Care: Factor Structure, Reliability, and Usability	4
Hospital Mortality and Trainee Experiences: How General Medical Council Survey Findings Correlate With Summary Hospital-Level Mortality Indicator	4
Effects of an Intranet-Based Call-for-Help System on Teamwork, Work Efficiency, Job Satisfaction, and Job Stress in Nurses	4
Comparisons of Fall Prevention Activities Using Electronic Nursing Records: A Case-Control Study	4
Understanding Patient and Clinician Reported Nonroutine Events in Ambulatory Surgery	4
Characterization of Medication Errors in a Medical Intensive Care Unit of a University Teaching Hospital in South Korea	4