Journal of Patient Safety

Article	Citations
Impact of Teamwork and Communication Training Interventions on Safety Culture and Patient Safety in Emergency Departments: A Systematic Review	47
Cost of Health Care–Associated Infections in the United States	40
Reflexive Spaces: Leveraging Resilience Into Healthcare Regulation and Management	38
Understanding the “Swiss Cheese Model” and Its Application to Patient Safety	37
Redeployment of Health Care Workers in the COVID-19 Pandemic: A Qualitative Study of Health System Leaders’ Strategies	34
The Association Between Health Care Staff Engagement and Patient Safety Outcomes: A Systematic Review and Meta-Analysis	34
Patient Safety Issues From Information Overload in Electronic Medical Records	31
The Use of Rapid Response Teams to Reduce Failure to Rescue Events: A Systematic Review	28
Systemic Causes of In-Hospital Intravenous Medication Errors: A Systematic Review	27
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	25
Liability of Health Care Professionals and Institutions During COVID-19 Pandemic in Italy: Symposium Proceedings and Position Statement	24
Evaluating the Costs of Nurse Burnout-Attributed Turnover: A Markov Modeling Approach	23
Identifying Health Information Technology Usability Issues Contributing to Medication Errors Across Medication Process Stages	21
What Do We Really Know About Crew Resource Management in Healthcare?: An Umbrella Review on Crew Resource Management and Its Effectiveness	21
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)	21
Implementing High-Reliability Organization Principles Into Practice: A Rapid Evidence Review	20
Longitudinal Association of a Medication Risk Score With Mortality Among Ambulatory Patients Acquired Through Electronic Health Record Data	19
The Effect of Opioid Stewardship Interventions on Key Outcomes: A Systematic Review	19
Evolving Factors in Hospital Safety: A Systematic Review and Meta-Analysis of Hospital Adverse Events	19
Validation of the Second Victim Experience and Support Tool-Revised in the Neonatal Intensive Care Unit	18
Frequency and Nature of Communication and Handoff Failures in Medical Malpractice Claims	18
Improving Team Performance and Patient Safety on the Job Through Team Training and Performance Support Tools: A Systematic Review	16
Use of Hospital Capacity Command Centers to Improve Patient Flow and Safety: A Scoping Review	16
Next-of-Kin Involvement in Regulatory Investigations of Adverse Events That Caused Patient Death: A Process Evaluation (Part II: The Inspectors’ Perspective)	16
Addressing Patient Safety Hazards Using Critical Incident Reporting in Hospitals: A Systematic Review	16

The Impact of Malpractice Claims on Physicians’ Well-Being and Practice	15
Medication Safety in Two Intensive Care Units of a Community Teaching Hospital After Electronic Health Record Implementation: Sociotechnical and Human Factors Engineering Considerations	15
Inpatient Respiratory Arrest Associated With Sedative and Analgesic Medications: Impact of Continuous Monitoring on Patient Mortality and Severe Morbidity	15
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	14
Analysis of Risk Factors for Patient Safety Events Occurring in the Emergency Department	14
Implementing Patient and Family Involvement Interventions for Promoting Patient Safety: A Systematic Review and Meta-Analysis	14
Burnout, Engagement, and Dental Errors Among U.S. Dentists	13
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
An Operational Framework to Study Diagnostic Errors in Emergency Departments: Findings From A Consensus Panel	13
Validation of the German Version of the Second Victim Experience and Support Tool—Revised	13
Avoidable Adverse Events Related to Ignoring the Do-Not-Do Recommendations: A Retrospective Cohort Study Conducted in the Spanish Primary Care Setting	12
Ultrasound-Guided Peripheral Intravenous Catheter Insertion Training Reduces Use of Midline Catheters in Hospitalized Patients With Difficult Intravenous Access	12
A Systematic Review of Methods for Medical Record Analysis to Detect Adverse Events in Hospitalized Patients	12
A Machine Learning Approach to Reclassifying Miscellaneous Patient Safety Event Reports	11
What Can We Learn From the Past? Pandemic Health Care Workers’ Fears, Concerns, and Needs: A Review	11
Patient Safety Strategies in Psychiatry and How They Construct the Notion of Preventable Harm: A Scoping Review	11
System-Level Patient Safety Practices That Aim to Reduce Medication Errors Associated With Infusion Pumps: An Evidence Review	11
Psychometric Properties of the Latin American Spanish Version of the Hospital Survey on Patient Safety Culture Questionnaire in the Surgical Setting	11
What Contributes to Diagnostic Error or Delay? A Qualitative Exploration Across Diverse Acute Care Settings in the United States	11
Spinal Cord Stimulators: An Analysis of the Adverse Events Reported to the Australian Therapeutic Goods Administration	10
Teamwork Before and During COVID-19: The Good, the Same, and the Ugly…	10
The Effect of Health Care Professional Disruptive Behavior on Patient Care: A Systematic Review	10
The Barriers and Enhancers to Trust in a Just Culture in Hospital Settings: A Systematic Review	10
Fall Prevention Practices and Implementation Strategies: Examining Consistency Across Hospital Units	10
Pressure Injury Prediction Model Using Advanced Analytics for At-Risk Hospitalized Patients	10
What Severe Medication Errors Reported to Health Care Supervisory Authority Tell About Medication Safety?	9
Understanding the Second Victim Experience Among Multidisciplinary Providers in Obstetrics and Gynecology	9
How Much and What Local Adaptation Is Acceptable? A Comparison of 24 Surgical Safety Checklists in Switzerland	9
Improving Pediatric Drug Safety in Prehospital Emergency Care—10 Years on	9
COVID-19 and Patient Safety: Time to Tap Into Our Investment in High Reliability	9
Patient Misidentification Events in the Veterans Health Administration: A Comprehensive Review in the Context of High-Reliability Health Care	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
Training Situational Awareness for Patient Safety in a Room of Horrors: An Evaluation of a Low-Fidelity Simulation Method	9
Adverse Drug Events Detected by Clinical Pharmacists in an Emergency Department: A Prospective Monocentric Observational Study	8
Medication Safety in Mental Health Hospitals: A Mixed-Methods Analysis of Incidents Reported to the National Reporting and Learning System	8
Responding to COVID-19 Through Interhospital Resource Coordination: A Mixed-Methods Evaluation	8
Association Between Physicians’ Workload and Prescribing Quality in One Tertiary Hospital in China	8
The Impact of Smart Pump Interoperability on Errors in Intravenous Infusion Administrations: A Multihospital Before and After Study	8
Challenges and Barriers to Adverse Event Reporting in Clinical Trials: A Children’s Oncology Group Report	8
Harms and Contributors of Leaving Against Medical Advice in Patients With Infective Endocarditis	8
A National Study of Patient Safety Culture and Patient Safety Goal in Chinese Hospitals	8
Electronic Health Record Use Issues and Diagnostic Error: A Scoping Review and Framework	8
Reducing Falls in Dementia Inpatients Using Vision-Based Technology	8
The Morbidity and Mortality Conference: Opportunities for Enhancing Patient Safety	8
Perceptions of Stakeholders Toward “Hospital at Home” Program in Singapore: A Descriptive Qualitative Study	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
Missed Nursing Care in a Sample of High-Dependency Italian Nursing Home Residents: Description of Nursing Care in Action	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
Investigating Hospital Supervision: A Case Study of Regulatory Inspectors’ Roles as Potential Co-creators of Resilience	7
Emergency Physician Perceptions of Electronic Health Record Usability and Safety	7
Analyzing and Discussing Human Factors Affecting Surgical Patient Safety Using Innovative Technology: Creating a Safer Operating Culture	7
Influence of Organizational Climate and Clinician Morale on Seclusion and Physical Restraint Use in Inpatient Psychiatric Units	7
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	7
Patients’ Perspectives of Diagnostic Error: A Qualitative Study	7
Multi-Institutional Stereotactic Body Radiation Therapy Incident Learning: Evaluation of Safety Barriers Using a Human Factors Analysis and Classification System	7
Healing Our Own: A Randomized Trial to Assess Benefits of Peer Support	7
Optimizing Hospital Electronic Prescribing Systems: A Systematic Scoping Review	7
Impact of Patient Safety Incidents Reported by the General Public in Korea	7
National and Institutional Trends in Adverse Events Over Time: A Systematic Review and Meta-analysis of Longitudinal Retrospective Patient Record Review Studies	7
Implementation of an Electronic Health Record–Based Messaging System in the Emergency Department: Effects on Physician Workflow and Resident Burnout	7
We Are Not There Yet: A Qualitative System Probing Study of a Hospital Rapid Response 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
The Second Victim Experience and Support Tool: A Cross-Cultural Adaptation and Psychometric Evaluation in Italy (IT-SVEST)	7
A Worldwide Bibliometric Analysis of Published Literature on Medication Errors	7
Communication During Interhospital Transfers of Emergency General Surgery Patients: A Qualitative Study of Challenges and Opportunities	6
Patient Safety Training Programs for Health Care Professionals: A Scoping Review	6
Cancer Patients in the Era of Coronavirus: What to Fear Most?	6
Critical Care Clinicians’ Experiences of Patient Safety During the COVID-19 Pandemic	6
A Study on the Status and Contributory Factors of Adverse Events Due to Negligence in Nursing Care	6
Multispecialty Physician Online Survey Reveals That Burnout Related to Adverse Event Involvement May Be Mitigated by Peer Support	6
Realizing the Power of Text Mining and Natural Language Processing for Analyzing Patient Safety Event Narratives: The Challenges and Path Forward	6
Transmitting Device Identifiers of Implants From the Point of Care to Insurers: A Demonstration Project	6
Content Analysis of Patient Safety Incident Reports for Older Adult Patient Transfers, Handovers, and Discharges: Do They Serve Organizations, Staff, or Patients?	6
Communication Patterns During Routine Patient Care in a Pediatric Intensive Care Unit: The Behavioral Impact of In Situ Simulation	6
In Situ Simulation for Adoption of New Technology to Improve Sepsis Care in Rural Emergency Departments	6
Characterization of Medication Errors in a Medical Intensive Care Unit of a University Teaching Hospital in South Korea	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
Decreasing Foot Traffic in the Orthopedic Operating Room: A Narrative Review of the Literature	6
Use of Obstetric and Gynecologic Hospitalists Is Associated With Decreased Severe Maternal Morbidity in the United States	6
Factors Associated With Diagnostic Error: An Analysis of Closed Medical Malpractice Claims	6
Chlorhexidine Bathing Strategies for Multidrug-Resistant Organisms: A Summary of Recent Evidence	6
Training Effectiveness and Impact on Safety, Treatment Quality, and Communication in Prehospital Emergency Care: The Prospective Longitudinal Mixed-Methods EPPTC Trial	6
Understanding Hazards for Adverse Drug Events Among Older Adults After Hospital Discharge: Insights From Frontline Care Professionals	6
Occupational Prevention of COVID-19 Among Healthcare Workers in Primary Healthcare Settings: Compliance and Perceived Effectiveness of Personal Protective Equipment	6
An Implementation Science Approach to Promote Optimal Implementation, Adoption, Use, and Spread of Continuous Clinical Monitoring System Technology	6
Rates of Adverse Events in Hospitalized Patients After Summer-Time Resident Changeover in the United States: Is There a July Effect?	6
Effect of a Pharmacy-based Centralized Intravenous Admixture Service on the Prevalence of Medication Errors: A Before-and-After Study	6
Evaluation of Automated Video Monitoring to Decrease the Risk of Unattended Bed Exits in Small Rural Hospitals	6
Proactive Evaluation of an Operating Room Prototype: A Simulation-Based Modeling Approach	6
Central Venous Catheter Guidewire Retention: Lessons From England’s Never Event Database	6
Perception Gaps of Disclosure of Patient Safety Incidents Between Nurses and the General Public in Korea	5
Returning to Elective Orthopedic Surgery During the COVID-19 Pandemic: A Multidisciplinary and Pragmatic Strategy for Initial Patient Selection	5
Reducing Medication Errors in Children’s Hospitals	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
Patient Perceptions of Hospital Experiences: Implications for Innovations in Patient Safety	5
Race Differences in Reported “Near Miss” Patient Safety Events in Health Care System High Reliability Organizations	5
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	5
Validation and Psychometric Properties of the Spanish Version of the Second Victim Experience and Support Tool Questionnaire	5
Root Cause Analysis Using the Prevention and Recovery Information System for Monitoring and Analysis Method in Healthcare Facilities: A Systematic Literature Review	5
Disparities in Adverse Event Reporting for Hospitalized Children	5
Expert Consensus on Currently Accepted Measures of Harm	5
Registered Nurses’ and Medical Doctors’ Experiences of Patient Safety in Health Information Exchange During Interorganizational Care Transitions: A Qualitative Review	5
The Patient Safety Adoption Framework: A Practical Framework to Bridge the Know-Do Gap	5
Second Victim Experience and Support Tool: An Assessment of Psychometric Properties of Italian Version	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
Optimizing Discharge Summaries: A Multispecialty, Multicenter Survey of Primary Care Clinicians	5
Test-Retest Reliability of an Experienced Global Trigger Tool Review Team	5
Hospital Cultural Competency and Attributes of Patient Safety Culture: A Study of U.S. Hospitals	4
Machine Learning–Based Mortality Prediction of Patients at Risk During Hospital Admission	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
The Use of Patient Monitoring Systems to Improve Sepsis Recognition and Outcomes: A Systematic Review	4
The Korea National Patient Safety Incidents Inquiry Survey: Characteristics of Adverse Events Identified Through Medical Records Review in Regional Public Hospitals	4
Impact on Patient Safety Culture by the Intervention of Multidisciplinary Medical Teams	4
Comparisons of Fall Prevention Activities Using Electronic Nursing Records: A Case-Control Study	4
Hospitals That Report Severe Sepsis and Septic Shock Bundle Compliance Have More Structured Sepsis Performance Improvement	4
Catastrophic Human Error in Assisted Reproductive Technologies: A Systematic Review	4
Safety of Elderly Fallers: Identifying Associated Risk Factors for 30-Day Unplanned Readmissions Using a Clinical Data Warehouse	4
Why Is Patient Safety a Challenge? Insights From the Professionalism Opinions of Medical Students’ Research	4
Body Mass Index Is Not an Independent Factor Associated With Recovery Room Length of Stay for Patients Undergoing Outpatient Surgery	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
Development and Validation of a Fall Prevention Efficiency Scale	4
Routine Bedside Use of Obstetric Early Warning System in the Postnatal Ward to Identify Maternal Morbidity Among High-Risk Women	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

High-Risk Medication in Home Care Nursing: A Delphi Study	4
National Surgical Quality Improvement Program Adverse Events Combined With Clavien-Dindo Scores Can Direct Quality Improvement Processes in Surgical Patients	4
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	4
Reason for Exam Imaging Reporting and Data System: Consensus Reached on Quality Assessment of Radiology Requisitions	4
Patient Safety Education in Entry to Practice Pharmacy Programs: A Systematic Review	4
Potentially Severe Incidents During Interhospital Transport of Critically Ill Patients, Frequently Occurring But Rarely Reported: A Prospective Study	4
Higher Fall Rate of Admitted Patients During the Ongoing COVID-19 Epidemic: Is It Coincidence or Not?	4
Bedside Clinicians’ Perceptions on the Contributing Role of Diagnostic Errors in Acutely Ill Patient Presentation: A Survey of Academic and Community Practice	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
Exploring Uniformity of Clinical Judgment: A Vignette Approach to Understanding Healthcare Professionals’ Suicide Risk Assessment Practices	4
Concordance Among 10 Different Anticholinergic Burden Scales in At-Risk Older Populations	4
The Potential Role of Smart Infusion Devices in Preventing or Contributing to Medication Administration Errors: A Descriptive Study of 2 Data Sets	4
The Korea National Patient Safety Incidents Inquiry Survey: Feasibility of Medical Record Review for Detecting Adverse Events in Regional Public Hospitals	4
Development of an Inventory of Dental Harms: Methods and Rationale	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
Factors Associated With Drug Consumption Without Scientific Evidence in Patients With Mild COVID-19 in Peru	4
A Practical Guide for Building Collaborations Between Clinical Researchers and Engineers: Lessons Learned From a Multidisciplinary Patient Safety Project	4
Monitoring Preventable Adverse Events and Near Misses: Number and Type Identified Differ Depending on Method Used	4
Influence of Psychological Safety and Organizational Support on the Impact of Humiliation on Trainee Well-Being	4