Journal of Patient Safety

Article	Citations
Patient Safety and Legal Regulations: A Total-Scale Analysis of the Scientific Literature	34
Consequences of Inpatient Falls in Acute Care: A Retrospective Register Study	31
Implementing a Behavioral Escalation Response Team to Promote Patient and Staff Safety: A Descriptive Qualitative Study	30
Supporting Error Management and Safety Climate in Ambulatory Care Practices: The CIRSforte Study	27
Patient Safety Culture Analysis in Dental Hospital Using Dental Office Survey on Patient Safety Culture Questionnaire: A Cross-cultural Adaptation and Validation Study	26
From Experiment to Excellence: The Impact of Patient Safety Learning Laboratories	20
COVID-19 Therapeutics Can Be Safely Administered at Home	20
Enhancing Patient Safety Event Analysis Using Artificial Intelligence: A Pilot Study of an Artificial Intelligence–Powered Report Analysis Tool	19
Incidence of Hospital-Acquired Conditions During Pediatric Clinical Research Inpatient Hospitalizations: A Matched Cohort Study	18
Patient Falls in the Operating Room: Why Is This Still a Problem in 2024?	17
Cost-effectiveness Analysis of Peripherally Inserted Central Catheters Versus Central Venous Catheters for in-Hospital Parenteral Nutrition	17
Allergic Adverse Drug Events After Alert Overrides in Hospitalized Patients	16
Using the Generic Analysis Method to Analyze Sentinel Event Reports Across Hospitals: A Retrospective Cross-Sectional Study	15
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	14
Safeguarding Against Falls From the Operating Room Table During Emergence From Anesthesia: A Simple Strategy	13
Harms and Contributors of Leaving Against Medical Advice in Patients With Infective Endocarditis	13
Safety of Venous Thromboembolism Pharmacological Prophylaxis in Hospitalized Patients With Inflammatory Bowel Disease (VISCOUS Study)	12
A Clinical Data Warehouse Analysis of Risk Factors for Inpatient Falls in a Tertiary Hospital: A Case-Control Study	12
Enhancing Compliance With Work-Hour Restrictions Through Safety Culture and Leadership in Medical Residencies	11
Patient Safety Culture and Its Associated Factors Among Health Care Professionals in Ethiopia: A Systematic Review and Meta-Analysis	11
Development of an Evidence-Based Instrument to Justify the Use of Physical Restraint in General Adult Ward Settings: A Systematic Review	11
Hospitals That Report Severe Sepsis and Septic Shock Bundle Compliance Have More Structured Sepsis Performance Improvement	11
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	11
Cross-disciplinary Insights for Overcoming Speak-up Barriers in Medical Education	11
Preventing Potential Patient Harm Through Clinical Content Interventions During Oncology Clinical Trial Implementation	11

Screening for Latent Infections Among Users of High-Risk Immunosuppressants: A Cross-Sectional Analysis From the Veterans Health Administration Healthcare System	10
Proactive Patient Safety: Focusing on What Goes Right in the Perioperative Environment	10
Understanding Patient and Clinician Reported Nonroutine Events in Ambulatory Surgery	10
Exploring the “Black Box” of Recommendation Generation in Local Health Care Incident Investigations: A Scoping Review	10
Independent Double Checks in the ICU: A Word of Caution	10
Development of a Psychological Scale for Measuring Disruptive Clinician Behavior: Erratum	10
The Prevention and Treatment of Postoperative Delirium in the Elderly: A Narrative Systematic Review of Reviews	10
Patient and Family Involvement in Serious Incident Investigations From the Perspectives of Key Stakeholders: A Review of the Qualitative Evidence	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
Pressure Injury Prediction Model Using Advanced Analytics for At-Risk Hospitalized Patients	10
Examining Patient Safety and Barriers for Older Adults and People With Disabilities in Health Care: A Scoping Review	10
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	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	10
Operating Room Traffic, Door Opening and Closing: A Clinical Observational Study	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	9
Evaluating Patient Identification Practices During Intrahospital Transfers: A Human Factors Approach	9
Patient Safety, One Health Approach, and Linking With Sustainable Development Goals (SDGs): An Indian Perspective	9
Using a Patient Portal to Screen Patients for Symptoms After Starting New Medications	9
Development of the Leapfrog Group’s Bar Code Medication Administration Standard to Address Hospital Inpatient Medication Safety	9
Incidence of and Risk Factors for Repeat Adverse Drug Events: A Systematic Review	9
Response to “Taking Up the Challenge to Improve Name and Role Recognition in the Operating Room”	9
Comparison of a Voluntary Safety Reporting System to a Global Trigger Tool for Identifying Adverse Events in an Oncology Population	9
Reframing ED Boarding Through a Human Factors Sociotechnical Systems Lens	8
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
Evaluation of Interruptions During IV Smart Pump Medication Administration in Intensive Care Units	8
High-Risk Medication in Home Care Nursing: A Delphi Study	8
Impact of Repeated Reimbursement Penalties on Hospital Total Quality Scores	8
Perceptions of U.S. and U.K. Incident Reporting Systems: A Scoping Review	8
Saturday Elective Operations: Untapped Opportunity or Dangerous Fool’s Errand	8
Analysis of Patient Safety Event Report to Understand the Contribution of Health IT to Diagnostic Error	8
Unexpected Mechanical Ventilation Dysfunction in a Coronavirus Disease Patient With Severe Pneumonia Due to the Oxygen Flowsensor Failure	8
Incorporating Patient Safety and Quality Into the Medical School Curriculum: An Assessment of Student Gains	8
Characteristics of Cumulative Annual Radiation Exposure in Young Intensive Care Unit Survivors	8
Patient Outcomes Compared Between Admissions Coordinated by the Transfer Center and Emergency Department at a U.S. Tertiary Care Hospital	7
Effects of Generic Exchange of Levodopa Medication in Patients With Parkinson Disease	7
Second Victims in Mental Health Care	7
Development and Psychometric Evaluation of the Wright Normalization of Deviance (NOD) Scale	7
Adverse Events in Patients Transitioning From the Emergency Department to the Inpatient Setting	7
Impact of Respiratory Protective Equipment on Verbal Communication in the Anesthetic Environment	7
From Missed Appointments to Missed Opportunities: The Patient Safety Challenge	7
Patient Safety Climate, Quality of Care, and Intention of Nursing Professionals to Remain in Their Job During the COVID-19 Pandemic	7
Enhancing Patient Safety in Prehospital Environment: Analyzing Patient Perspectives on Non-Transport Decisions With Natural Language Processing and Machine Learning	7
Identifying Contributing Factors Associated With Dental Adverse Events Through a Pragmatic Electronic Health Record–Based Root Cause Analysis	7
The Impact of a 22-Month Multistep Implementation Program on Speaking-Up Behavior in an Academic Anesthesia Department	7
Why Is Patient Safety a Challenge? Insights From the Professionalism Opinions of Medical Students’ Research	6
Effect of a Financial Incentive Scheme for Medication Review on Polypharmacy in Elderly Inpatients With Dementia: A Retrospective Before-and-After Study	6
Value of Incident Reporting to Address Real-time Safety Opportunities During the COVID-19 Pandemic	6
Knowledge and Practices Regarding Prevention of Central Venous Catheter Removal-Associated Air Embolism: A Survey of Nonintensive Care Unit Medical and Nursing Staff	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
Dental Anesthesia Guidelines and Regulations of US States and Major Professional Organizations: A Review	6

Application of the IMB Model in the Vision of Zero Harm Caused by Magnetic Resonance Ferromagnetic Projection Accidents	6
Evaluating the Effects of a General Anesthesia and Prone Position Nursing Checklist and Training Course on Posterior Lumbar Surgery: A Randomized Controlled Trial	6
Starting a High-Fidelity Simulation-Based Hospital Quality and Safety Program: Ten Tips for Success	6
The Patient Safety Adoption Framework: A Practical Framework to Bridge the Know-Do Gap	6
Implementation of a Checklist for Surgical Inpatient Rounds: An Observational Cohort Study	6
Evaluation of National Patient Safety Implementation Framework in Selected Public Healthcare Facilities of Tamil Nadu: An Operational Research	6
A Cohort Study of Nonfood Choking Incidents in the Hospital	6
Care Home Safety Incidents and Safeguarding Reports Relating to Hospital to Care Home Transitions: A Retrospective Content Analysis	6
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?	6
Preanalytical Errors in Clinical Biochemistry Laboratory and Relationship With Hospital Departments and Staff: A Record-Based Study	6
Trends in Patient Safety Management Systems by Hospital Size in Japanese Acute Care Hospitals	5
SCALPEL: A Structured Handoff Protocol for Scrub Nurses in the Operating Room for Patient Safety	5
Pakistan’s Silent Killer: How Fake and Substandard Medicines Are Destroying Patient Safety	5
Uncovering the Risks of Anticancer Therapy Through Incident Report Analysis Using a Newly Developed Medical Oncology Incident Taxonomy	5
Impact of Visitor Restrictions Due to the COVID-19 Pandemic on the Occurrence of In-Hospital Delirium	5
The Government as Plaintiff: An Analysis of Medical Litigation Against Healthcare Providers in the Eastern Province of the Kingdom of Saudi Arabia	5
Ambulatory Medication Errors and Adverse Events Involved in Medicine-Related Malpractice Cases From 2011 to 2021	5
Response to the Letter to the Editor by Cioccari et al	5
Psychosocial Safety Is Patient Safety: Gender-affirming Care as an Exemplar for Health Equity	5
Self-assessment and Modulation of Traction During Shoulder Dystocia Simulation Training	5
Temporal Trends in Adverse Effects of Medical Treatment Among Chinese Children and Adolescents, 1990-2021: Evidence From the Global Burden of Disease 2021 Study	5
Characteristics of Fall Occurrence in Hospitals and the Factors Influencing Falls That Require Additional Medical Care: Based on an Accident Database	5
Teamwork Before and During COVID-19: The Good, the Same, and the Ugly…	5
Defects in Value Associated With Hospital-Acquired Conditions: How Improving Quality Could Save U.S. Healthcare $50 Billion	5
The Influence of Preoperative Waiting Time on Anxiety and Pain Levels in Outpatient Surgery for Breast Diseases	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 Relationship Between Duration of General Anesthesia and Postoperative Fall Risk During Hospital Stay in Orthopedic Patients	4
Why Is Patient Safety a Challenge? Insights From the Professionalism Opinions of Medical Students’ Research	4
The Implementation of Perioperative Geriatric Management Could Decrease the Incidence of Postoperative Delirium in the Elderly Undergoing Major Orthopedic Surgeries	4
Validation of a Reduced Set of High-Performance Triggers for Identifying Patient Safety Incidents with Harm in Primary Care: TriggerPrim Project	4
Incorporating Machine Learning Driven Factors in the Design of Electronic-triggers to Detect Diagnostic Errors in the Emergency Department	4
Implementation of a Standardized Tool for Root Cause Analysis Selection	4
Safety of First Dose Remdesivir in the Hospital-at-Home Setting for Patients With COVID-19	4
The Impact of Robotics on Procedural Flow and Surgeon Strain in Total Knee Arthroplasty	4
Mobile Phones in the Operating Room: A Call for Strict Regulation to Ensure Patient Safety	4
Outcomes for Hospitalized Aggressive and Violent Patients When Physical Restraints Are Introduced	4
Incorporating a Patient Safety and Quality Course Into the Nursing Curriculum: An Assessment of Student Gains	4
Developing and Aligning a Safety Event Taxonomy for Inpatient Psychiatry: Erratum	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
Application of System-Theoretic Process Analysis for Enhancing Safety in a Ventilator System	4
Exploring the Accuracy of Near-miss Reporting: A Mixed-methods Study	4
Redefining Interruptions: Events, Causes, and Impacts in Trauma Rooms	4
Translation and Comprehensive Validation of the Hebrew Survey on Patient Safety Culture (HSOPS 2.0)	4
Decreasing Hospital-acquired Pressure Injuries During the COVID-19 Pandemic: A 5-step Quality Improvement Approach	4
Critical Care Clinicians’ Experiences of Patient Safety During the COVID-19 Pandemic	4
Safety Investigation Incident Reports in Social and Health Care: Analysis of Contributing Factors in Finland	4
Evaluation of the Culture of Safety and Quality in Pediatric Primary Care Practices	4
Integrating Multifaceted Strategies to Prevent Patient Falls: Insights and Implementations at Taoyuan Psychiatric Center	4
Implementation and Evaluation of the OWLL Intervention to Improve the Quality and Safety of Pediatric Dental Sedation: A Mixed-Methods Approach	4
Wrong-Site Surgery in Spain and Professional Liability Claims	4
Understanding Hazards for Adverse Drug Events Among Older Adults After Hospital Discharge: Insights From Frontline Care Professionals	4
The Barriers and Enhancers to Trust in a Just Culture in Hospital Settings: A Systematic Review	4
Medication Safety Gaps in English Pediatric Inpatient Units: An Exploration Using Work Domain Analysis	3
A Prospective Quasi-Experimental Study of Multifaceted Interventions Including Computerized Drug Utilization Evaluation to Improve an Antibiotic Stewardship Program	3
Factors Causing Variation in World Health Organization Surgical Safety Checklist Effectiveness—A Rapid Scoping Review	3
Patient Safety Education in the Undergraduate Dental Curriculum: Evidence Base and Current Practice in UK Dental Schools	3
Involving Patients and/or Their Next of Kin in Serious Adverse Event Investigations: A Qualitative Study on Hospital Perspectives	3
The Value of Sentinel Indicators for Detecting Serious Adverse Events in Hospital Care	3
Patient Harm Events and Associated Cost Outcomes Reported to a Patient Safety Organization	3
Implementation of Opioid Safety Dashboards and Associated Primary Care Clinicians’ Attitudes and Usage	3
Experiences and Perceptions of Healthcare Stakeholders in Disclosing Errors and Adverse Events to Historically Marginalized Patients	3
Closed-Loop Communication in Interprofessional Emergency Teams: A Cross-Sectional Observation Study on the Use of Closed-Loop Communication Among Anesthesia Personnel	3
Major Clinical Adverse Events of Breast Implant in the Manufacturer and User Facility Device Experience Database	3
Mobile Applications for Educating Patients, Caregivers, and Health Personnel on Patient Safety: A Scoping Review	3
Implementation and Evaluation of Clinical Decision Support for Apixaban Dosing in a Community Teaching Hospital	3
Comparative Outcomes of a Patient Safety and Quality Improvement Curriculum Between Medical and Nursing Students	3
Applying High-reliability Principles to Infusion Pump Safety: A Case Study at a Multisite Health System	3
Multifaceted Intervention to Improve Patient Safety Incident Reporting in Intensive Care Units	3
A Critical Threat to Patient Safety: A Bibliometric Analysis of Wrong-site, Wrong-side, and Wrong-organ Surgery	3
Skin Pigmentation Effects on Pulse Oximetry Accuracy Need a Prospective Study	3
Impact of a Decision Support System on Fall-Prevention Nursing Practices	3
Social Distancing to Avoid SARS-CoV-2 Infection in Cancer and Noncancer Patients	3
Development and Validation of the Veterans Health Administration Patient Safety Culture Survey	3
Convergent Validity of 2 Widely Used Methodologies for Calculating the Hospital Standardized Mortality Ratio in Flanders, Belgium	3
Development and Implementation of an Inpatient Mortality Review: a Feasibility Study	3
Redesigning From Work-as-imagined to Work-as-done: A Systems Safety Approach to Bedside Medication Storage	3
A Modified Trigger Tool for Identification of Patient Harm in Palliative Care Patients. A Pilot Study From Norway	3
Assessing the Reproducibility of Research Based on the Food and Drug Administration Manufacturer and User Facility Device Experience Data	3
Clinician Communication and Patient Safety in Pediatrics: A Practical Application of Human-Centered Design for Problem Identification and Analysis	3
Making Sense of Patient Safety Through Cultural-Historical Activity Theory and Complexity Modeling	3

Introduction of a Novel Patient Safety Advisory: Evaluation of Perceived Information With a Modified QPP Questionnaire—A Case-Control Study	3
Communication of Incidental Imaging Findings on Inpatient Discharge Summaries After Implementation of Electronic Health Record Notification System	3
The Predictors of Patient Safety Culture in Hospital Setting: A Systematic Review	3
Effect of a Pharmacy-based Centralized Intravenous Admixture Service on the Prevalence of Medication Errors: A Before-and-After Study	3
Scientific View of the Global Literature on Medical Error Reporting and Reporting Systems From 1977 to 2021: A Bibliometric Analysis	3
Healthcare Violence and the Potential Promises and Harms of Artificial Intelligence	3
Considerations and Challenges When Using Clinical and Vital Record Review for Suicide Research	3
Evaluating the Severity of Reported Potassium-Related Errors and Developing Safeguards to Improve Potassium Safety in Critical Care–a Modified Expert Panel Study	3