BMJ Quality & Safety

Article	Citations
Can virtual reality simulations improve macrocognition?	113
Prevention in adults of transmission of infection with multidrug-resistant organisms: an updated systematic review from Making Healthcare Safer IV	72
From parallel tracks to integrated practice: advancing the integration of quality improvement and implementation science	67
Effectiveness of computerised alerts to reduce drug–drug interactions (DDIs) and DDI-related harm in hospitalised patients: a quasi-experimental controlled pre–post study	50
Hip fracture in the COVID-19 era: what can we say about care and patient outcomes?	45
We will take some team resilience, please: Evidence-based recommendations for supporting diagnostic teamwork	42
Towards comprehensive fidelity evaluations: consideration of enactment measures in quality improvement interventions	40
It’s time for the field of geriatrics to invest in implementation science	40
COVID-19 hospital prevalence as a risk factor for mortality: an observational study of a multistate cohort of 62 hospitals	38
How can we finally reduce repetitive routine laboratory tests for hospitalised patients?	35
Pragmatic randomised trial assessing the impact of peer comparison and therapeutic recommendations, including repetition, on antibiotic prescribing patterns of family physicians across British Columbi	34
Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg	33
Practice or perfect? Coaching for a growth mindset to improve the quality of healthcare	33
Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study	32
Correction: The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system	31
Call for emergency action to limit global temperature increases, restore biodiversity and protect health	29
Progressing patient safety in the Emergency Medical Services	28
Quality and safety in the literature: January 2023	27
Quality and Safety in the Literature: November 2022	27
Approach to systematically examine the usefulness of quality measures in practice: Minnesota’s nursing home quality indicators and scoring approach	24
Quality of care for secondary cardiovascular disease prevention in 2009–2017: population-wide cohort study of antiplatelet therapy use in Scotland	24
Understanding the challenges and successes of implementing ‘hybrid’ interventions in healthcare settings: findings from a process evaluation of a patient involvement trial	24
Engagement and fidelity of a cardiovascular disease prevention-focused digital health intervention in cardiology outpatient waiting rooms: a mixed-methods study	24
Correction: Comparing peripherally inserted central catheter-related practices across hospitals with different insertion models: a multisite qualitative study	23
Assessing patient work system factors for medication management during transition of care among older adults: an observational study	22

Sustainability of the de-implementation of low-value care in infants with bronchiolitis: 2-year follow-up of a cluster randomised controlled trial	22
An anthropologist’s insight into healthcare data – multiple and rich of contradictions	22
Assessing quality of direct-to-consumer telemedicine in China: a cross-sectional study using unannounced standardised patients	22
Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments	22
Sustaining interventions in care homes initiated by quality improvement projects: a qualitative study	22
How to scale and spread catheter avoidance nationwide	21
Why hospital falls prevention remains a global healthcare priority	21
Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study	20
Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflections during team debriefings	19
Quality and Safety in the Literature: March 2022	19
To improve quality, leverage design	19
Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges	19
Factors associated with proximal femoral fractures in older adults during hospital stay: a cross-sectional study	19
Integration and connection: the key to effectiveness of large-scale pharmacist-led medication reviews?	18
Association of volume and prehospital paediatric care quality in emergency medical services: retrospective analysis of a national sample	18
‘Show me the data!’ Using time series to display performance data for hospital boards	17
Cluster randomised evaluation of a training intervention to increase the use of statistical process control charts for hospitals in England: making data count	17
Communication about sexual orientation and gender between clinicians, LGBT+ people facing serious illness and their significant others: a qualitative interview study of experiences, preferences and re	17
Temporal structures that determine consistency and quality of care: a case study in hyperacute stroke services	17
Top-down and bottom-up approaches to low-value care	16
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis	16
Addressing social determinants of health in primary care: a quasi-experimental study using unannounced standardised patients to evaluate the impact of audit/feedback on physicians' rates of identifyin	16
Unintended consequences of the 18-week referral to treatment standard in NHS England: a threshold analysis	16
Accuracy of telephone triage for predicting adverse outcomes in suspected COVID-19: an observational cohort study	15
Changing the patient safety mindset: can safety cases help?	15
Patient-reported harm from NHS treatment or care, or the lack of access to care: a cross-sectional survey of general population prevalence, impact and responses	15
Scoping review identifying interventions that have been tested to optimise the experience of people from ethnic minority groups receiving systemic anticancer therapy (SACT)	15
Under-reporting of falls in hospitals: a multisite study in South Korea	15
Inequalities exacerbated: an all-too-familiar story	15
General practitioners retiring or relocating and its association with healthcare use and mortality: a cohort study using Norwegian national data	14
Reporting on implementation trials with null findings: the need for concurrent process evaluation reporting	14
The Evolving Economics of Implementation	14
Grand rounds in methodology: when are realist reviews useful, and what does a ‘good’ realist review look like?	14
Beyond improvement skills: what do clinicians, managers, patients and others need to do to make improvement happen?	14
Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort	14
Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel	14
Grand rounds in methodology: improving the design of staggered implementation cluster randomised trials	13
Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis	13
Use of structured handoff protocols for within-hospital unit transitions: a systematic review from Making Healthcare Safer IV	13
Impact of the COVID-19 pandemic on the incidence and mortality of hospital-onset bloodstream infection: a cohort study	13
‘My Five Moments’: understanding a user-centred approach to hand hygiene improvement within a broader implementation strategy	13
Measuring gist-based perceptions of medication benefit-to-harm ratios	13
Embracing carers: when will adult hospitals fully adopt the same practices as children’s hospitals?	12
Understanding patient safety during earthquakes: a phenomenological study of disaster response	12
Is hospital-onset bacteraemia and fungaemia an actionable quality measure?	12
Time to de-implementation of low-value cancer screening practices: a narrative review	12
Is targeting healthcare’s carbon footprint really the best we can do to help address the climate crisis?	12
Clinical decision-making and algorithmic inequality	11
Identifying patients with additional needs isn’t enough to improve care: harnessing the benefits and avoiding the pitfalls of classification	11
Adding value to the diagnostic process	11

Economic analysis of surgical outcome monitoring using control charts: the SHEWHART cluster randomised trial	11
Quality and Safety in the Literature: May 2022	11
Interrupting false narratives: applying a racial equity lens to healthcare quality data	11
More alerts, less harm? Rethinking medication safety with AI	11
Implications of resource constraints and high workload on speaking up about threats to patient safety: a qualitative study of surgical teams in Ghana	11
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis	11
Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative	11
Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions	10
Correction: It’s time for the field of geriatrics to invest in implementation science	10
Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy	10
Correction:Effectiveness of a multifaceted quality improvement intervention to improve patient outcomes after total hip and knee arthroplasty: a registry nested cluster randomised controlled trial<	10
Safety netting: time to stop relying on verbal interventions to manage diagnostic uncertainty?	9
Reducing unnecessary diagnostic phlebotomy in intensive care: a prospective quality improvement intervention	9
Impact of a financial incentive on early rehabilitation and outcomes in ICU patients: a retrospective database study in Japan	9
Quality and safety in the literature: January 2024	9
What and when to debrief: a scoping review examining interprofessional clinical debriefing	9
Targets: unintended and unanticipated effects	9
Work addiction and quality of care in healthcare: Working long hours should not be confused with addiction to work	9
The problem with uptake as a quality metric for population-based screening programmes	9
Comparing secondary prevention for patients with coronary heart disease and stroke attending Australian general practices: a cross-sectional study using nationwide electronic database	9
Evaluating equity in performance of an electronic health record-based 6-month mortality risk model to trigger palliative care consultation: a retrospective model validation analysis	9
Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care	9
Moving the needle: using quality improvement to address gaps in sickle cell care	9
Predictors and population health outcomes of persistent high GP turnover in English general practices: a retrospective observational study	8
Randomised controlled trial of audit-and-feedback strategies to reduce imaging overutilisation in the emergency department	8
Negotiating the polypharmacy paradox: a video-reflexive ethnography study of polypharmacy and its practices in primary care	8
Effective use of interdisciplinary approaches in healthcare quality: drawing on operations and visual management	8
Quantifying the cost savings and health impacts of improving colonoscopy quality: an economic evaluation	8
Ending nuclear weapons, before they end us	8
Locum doctor working and quality and safety: a qualitative study in English primary and secondary care	8
Five golden rules for successful measurement of improvement	8
What do clinical practice guidelines say about deprescribing? A scoping review	8
Effect of implementing a heart failure admission care bundle on hospital readmission and mortality rates: interrupted time series study	8
Quality improvement collaborative to increase access to caesarean sections: lessons from Bihar, India	8
Common contributing factors of diagnostic error: A retrospective analysis of 109 serious adverse event reports from Dutch hospitals	8
Development and validation of the Overall Fidelity Enactment Scale for Complex Interventions (OFES-CI)	8
Art of leading quality improvement	8
Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study	7
Reducing administrative burden by implementing a core set of quality indicators in the ICU: a multicentre longitudinal intervention study	7
Elusive but hopefully not illusive: coordinating care for patients with heart failure with preserved ejection fraction	7
Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies	7
Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study	7
The opioid prescribing problem: an opportunity to embed rigorous evaluation within initiatives to improve population healthcare	7
Grand rounds in methodology: four critical decision points in statistical process control evaluations of quality improvement initiatives	7
Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study	7
Direct-to-consumer telemedicine: navigating the implications for quality and safety of care	7
Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review	7
Monitoring patients’ sexual orientation and gender identity: Can we ask? Should we ask? How do we ask?	7
Effectiveness of a patient-centred complex intervention to improve Initial Medication Adherence to cardiovascular disease and diabetes treatments in primary care (the IMA-cRCT study): a pragmatic clus	6
Association of clinical competence, specialty and physician country of origin with opioid prescribing for chronic pain: a cohort study	6
Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records	6
Why a sociotechnical framework is necessary to address diagnostic error	6
Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study	6
Patterns, appropriateness and outcomes of peripherally inserted central catheter use in Brazil: a multicentre study of 12 725 catheters	6
Unreasonable effectiveness of training AI models locally	6
Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders	6
Initial opioid prescription characteristics and risk of opioid misuse, poisoning and dependence: retrospective cohort study	6
Influence of drug safety advisories on drug utilisation: an international interrupted time series and meta-analysis	6
Using a dark logic model to explore adverse effects in audit and feedback: a qualitative study of gaming in colonoscopy	6
Quality, safety and artificial intelligence	6
We’re all in this together: how COVID-19 revealed the co-construction of mindful organising and organisational reliability	6
Socioeconomic inequalities in adherence to clinical practice guidelines and breast cancer survival: a multicentre population-based study in Spain	6
Role of knowledge and reasoning processes as predictors of resident physicians’ susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment	6
Successful quality improvement project to increase hydroxyurea prescriptions for children with sickle cell anaemia	6
Comparing antibiotic prescribing between clinicians in UK primary care: an analysis in a cohort study of eight different measures of antibiotic prescribing	6
Outcomes for surgical procedures funded by the English health service but carried out in public versus independent hospitals: a database study	6
Beyond mixed case lettering: reducing the risk of wrong drug errors requires a multimodal response	6
Peer review of quality of care: methods and metrics	6
Understanding the evidence for artificial intelligence in healthcare	6
From complaint material to quality improvement: Exploring the use of patient complaints or compensation claims in quality improvement initiatives—a scoping review	5
Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice?	5
Implementing quality and safety regulations in residential disability services: a qualitative interview study	5
Reducing the value/burden ratio: a key to high performance in value-based care	5
Large language models in healthcare information research: making progress in an emerging field	5
Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient?	5
Medication-related Medical Emergency Team activations: a case review study of frequency and preventability	5
Through the patients’ eyes: psychometric evaluation of the 64-item version of the Experienced Patient-Centeredness Questionnaire (EPAT-64)	5
Factors that influence the implementation of (inter)nationally endorsed health and social care standards: a systematic review and meta-summary	5
The good, the bad and the ugly: What do we really do when we identify the best and the worst organisations?	5
Cost-effectiveness of eliminating hospital understaffing by nursing staff: a retrospective longitudinal study and economic evaluation	4

Co-production in maternal health services: creating culturally safe spaces, respecting difference and supporting collaborative solutions	4
QIing your QI: a 13-year experience of a paediatric residency QI programme	4
A realist review of how, why, for whom and in which contexts quality improvement in healthcare impacts inequalities	4
Equity in action: a scoping review and meta-framework for embedding equity in quality improvement	4
Investigating a novel population health management system to increase access to healthcare for children: a nested cross-sectional study within a cluster randomised controlled trial	4
‘This time is different’: physician knowledge in the age of artificial intelligence	4
Improving risk stratification and decision support for deteriorating hospital patients	4
Using patient and carer perspectives to improve medication safety at transitions of care	4
Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis	4
From insight to action: tackling underperformance in health professionals	4
How can we champion diversity, equity and inclusion within Lean Six Sigma? Practical suggestions for quality improvement	4
Transition of care from adult intensive care settings – implementing interventions to improve medication safety and patient outcomes	4
Aiming for equity in children with chronic conditions: introducing a new population health management system	4
Economic evaluations of audit and feedback interventions: a systematic review	4
Pragmatic trials are needed to assess the effectiveness of enhanced recovery after surgery protocols on patient safety	4
Imperfection in adverse event detection: is this the opportunity to mature our focus on preventing harm in paediatrics?	4
Quality and safety in the literature: April 2023	4
Understanding the consequences of GP referral thresholds: taking the instrumental approach	4
Diagnostic error in mental health: a review	4
Sex, drugs and rock ‘n’ roll: the only reasons for regulators to target individuals	4
Effect of clinical peer review on mortality in patients ventilated for more than 24 hours: a cluster randomised controlled trial	4
Psycholinguistic tests predict real-world drug name confusion error rates: a cross-sectional experimental study	3
Why identifying adverse events in paediatric emergency care matters	3
Pay-for-performance incentives for health worker vaccination: looking under the hood	3
Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis	3
Breaking the quality-equity cycle when implementing prevention programmes	3
Do healthcare professionals work around safety standards, and should we be worried? A scoping review	3
Why tackling overuse will not succeed without changing our culture	3
Between-hospital variation in indicators of quality of care: a systematic review	3
Patient-centred outcomes of imaging tests: recommendations for patients, clinicians and researchers	3
Adverse drug events leading to medical emergency team activation in hospitals: what can we learn?	3
False hope of a single generalisable AI sepsis prediction model: bias and proposed mitigation strategies for improving performance based on a retrospective multisite cohort study	3
Metrics used in quality improvement publications addressing environmental sustainability in healthcare: a scoping review	3
Visual identifiers for people with dementia in hospitals: a qualitative study to unravel mechanisms of action for improving quality of care	3
Grand Rounds in Methodology: a new series to contribute to continuous improvement of methodology and scientific rigour in quality and safety	3
Optimising GPs’ communication of advice to facilitate patients’ self-care and prompt follow-up when the diagnosis is uncertain: a realist review of ‘safety-netting’ in primary care	3
Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives	3
Nurse staffing and patient safety in acute hospitals: Cassandra calls again?	3
Research to improve diagnosis: time to study the real world	3
Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis	3
The problem with making Safety-II work in healthcare	3
A better way: training for direct observations in healthcare	3
Choosing ‘Less’ Wisely as a marker of decisional conflict	3
Lost in translation: does measuring ‘adherence’ to the Surgical Safety Checklist indicate true implementation fidelity?	3
Understanding the complexities of collecting and using PRO data in a primary care context	3
Quality and safety in the literature: August 2024	3
Selecting and tailoring implementation strategies for deimplementing fall prevention alarms in US hospitals: a group concept mapping study	3
Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription information in the English NHS	3
Evaluating patient-reported outcome measures in Peru: a cross-sectional study of satisfaction and net promoter score using the 2016 EnSuSalud survey	3
The Ethical Complexity of Restricting Visitors during the COVID-19 Pandemic	3
Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review	3
How safe are paediatric emergency departments? A national prospective cohort study	3
National improvements in resident physician-reported patient safety after limiting first-year resident physicians’ extended duration work shifts: a pooled analysis of prospective cohort studies	3
How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory	3
The problem with ‘never events’	3
Experience of hospital-initiated medication changes in older people with multimorbidity: a multicentre mixed-methods study embedded in the OPtimising thERapy to prevent Avoidable hospital admissions i	2
Time to treat the climate and nature crisis as one indivisible global health emergency	2
Development and validation of a new ICD-10-based screening colonoscopy overuse measure in a large integrated healthcare system: a retrospective observational study	2
Implementation of a patient-centred complex intervention to improve Initial Medication Adherence to cardiovascular disease and diabetes treatments in primary care (the IMA-cRCT study): a mixed-methods	2
Overdiagnosis of urinary tract infection linked to overdiagnosis of pneumonia: a multihospital cohort study	2
High cost of broken relationships	2
Barriers and enablers to monitoring and deprescribing opioid analgesics for chronic non-cancer pain: a systematic review with qualitative evidence synthesis using the Theoretical Domains Framework	2
Preventing urinary tract infection in older people living in care homes: the ‘StOP UTI’ realist synthesis	2
Impact of online patient access to clinical notes on quality of care: a systematic review	2
Translating evidence into policy and practice: what do we know already, and what would further research look like?	2
Quality and Safety in the Literature: January 2022	2
Investigators are human too: outcome bias and perceptions of individual culpability in patient safety incident investigations	2
Evaluation of the accuracy and safety of machine translation of patient-specific discharge instructions: a comparative analysis	2
Mental health services: quality, safety and suicide	2
Applying a systems lens to understand patient safety effectiveness in low-and-middle-income countries	2
Choosing Wisely and the climate crisis: a role for clinicians	2
Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation	2
Did the Acute Frailty Network improve outcomes for older people living with frailty? A staggered difference-in-difference panel event study	2
Consent and refusal of procedures during labour and birth: a survey among 11 418 women in the Netherlands	2
‘You can’t do quality between surgical cases and tea time’: barriers to surgeon engagement in quality improvement	2
Longitudinal cohort study of discrepancies between prescribed and administered polypharmacy rates: implications for National Aged Care Quality Indicator Programs	2
Key partner priorities for measures of safe outpatient paediatric medication use	2
Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care	2
Impact of COVID-19 on opioid use in those awaiting hip and knee arthroplasty: a retrospective cohort study	2
Reaching 95%: decision support tools are the surest way to improve diagnosis now	2
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis	2
Frequency and preventability of adverse drug events in the outpatient setting	2
Beyond the equity project: grounding equity in all quality improvement efforts	2
Optimising antibacterial utilisation in Argentine intensive care units: a quality improvement collaborative	2