BMJ Quality & Safety

Article	Citations
Can virtual reality simulations improve macrocognition?	179
Effectiveness of computerised alerts to reduce drug–drug interactions (DDIs) and DDI-related harm in hospitalised patients: a quasi-experimental controlled pre–post study	74
We will take some team resilience, please: Evidence-based recommendations for supporting diagnostic teamwork	67
From parallel tracks to integrated practice: advancing the integration of quality improvement and implementation science	64
Hip fracture in the COVID-19 era: what can we say about care and patient outcomes?	61
Standard Elements in Studies of Adverse Events and Medical Error: the SESAME statement	55
Evidence of availability bias in diagnostic reasoning following real clinical encounters: a cross-sectional survey of physicians	51
It’s time for the field of geriatrics to invest in implementation science	47
Towards comprehensive fidelity evaluations: consideration of enactment measures in quality improvement interventions	46
Thinking and organising in systems: reframing the long problem of learning from incidents	39
Prevention in adults of transmission of infection with multidrug-resistant organisms: an updated systematic review from Making Healthcare Safer IV	34
Quality and Safety in the Literature: November 2022	33
Quality and safety in the literature: January 2023	30
How can we finally reduce repetitive routine laboratory tests for hospitalised patients?	30
Learning from complaints about surgical care: a large language model-assisted sequential methods analysis	30
Engagement and fidelity of a cardiovascular disease prevention-focused digital health intervention in cardiology outpatient waiting rooms: a mixed-methods study	30
Pragmatic randomised trial assessing the impact of peer comparison and therapeutic recommendations, including repetition, on antibiotic prescribing patterns of family physicians across British Columbi	29
Progressing patient safety in the Emergency Medical Services	29
Practice or perfect? Coaching for a growth mindset to improve the quality of healthcare	27
An anthropologist’s insight into healthcare data – multiple and rich of contradictions	27
Quality of care for secondary cardiovascular disease prevention in 2009–2017: population-wide cohort study of antiplatelet therapy use in Scotland	27
How to scale and spread catheter avoidance nationwide	26
Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments	26
Understanding the challenges and successes of implementing ‘hybrid’ interventions in healthcare settings: findings from a process evaluation of a patient involvement trial	25
Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study	25

Approach to systematically examine the usefulness of quality measures in practice: Minnesota’s nursing home quality indicators and scoring approach	25
Why hospital falls prevention remains a global healthcare priority	25
Assessing patient work system factors for medication management during transition of care among older adults: an observational study	23
Impact of COVID-19 on incidence and trends of adverse events among hospitalised patients in Calgary, Canada: a retrospective chart review study	23
Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflections during team debriefings	23
Service users’ experiences of maternity care in England informed by the Saving Babies’ Lives Care Bundle Version 2: A reflexive thematic analysis	21
Sustainability of the de-implementation of low-value care in infants with bronchiolitis: 2-year follow-up of a cluster randomised controlled trial	20
Factors associated with proximal femoral fractures in older adults during hospital stay: a cross-sectional study	19
Tools to engage patients and family members in diagnostic safety: we see the trees, but what about the forest?	19
Professional support is an important lifeboat, but let’s also stop people falling into the water	19
Top-down and bottom-up approaches to low-value care	19
Assessing quality of direct-to-consumer telemedicine in China: a cross-sectional study using unannounced standardised patients	19
Integration and connection: the key to effectiveness of large-scale pharmacist-led medication reviews?	19
Temporal structures that determine consistency and quality of care: a case study in hyperacute stroke services	18
Cluster randomised evaluation of a training intervention to increase the use of statistical process control charts for hospitals in England: making data count	18
‘Show me the data!’ Using time series to display performance data for hospital boards	18
Unintended consequences of the 18-week referral to treatment standard in NHS England: a threshold analysis	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
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis	17
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	16
Association of volume and prehospital paediatric care quality in emergency medical services: retrospective analysis of a national sample	16
Scoping review identifying interventions that have been tested to optimise the experience of people from ethnic minority groups receiving systemic anticancer therapy (SACT)	16
Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort	16
Changing the patient safety mindset: can safety cases help?	15
Under-reporting of falls in hospitals: a multisite study in South Korea	15
General practitioners retiring or relocating and its association with healthcare use and mortality: a cohort study using Norwegian national data	15
Grand rounds in methodology: when are realist reviews useful, and what does a ‘good’ realist review look like?	15
Surgical safety checklist awareness and safety attitudes in the Eastern Mediterranean region: a cross-sectional study	15
Artificial intelligence chain-of-thought reasoning in nuanced medical scenarios: mitigation of cognitive biases through model intransigence	15
Reporting on implementation trials with null findings: the need for concurrent process evaluation reporting	14
Learning to forget: deimplementation and the science of sustainability in healthcare	14
Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis	14
Measuring gist-based perceptions of medication benefit-to-harm ratios	14
Lucian Leape’s legacy for patient safety	14
Use of structured handoff protocols for within-hospital unit transitions: a systematic review from Making Healthcare Safer IV	14
Grand rounds in methodology: improving the design of staggered implementation cluster randomised trials	14
Evaluating the effects of increasing nursing numbers on quality of newborn care in understaffed neonatal units in Kenya: a prospective intervention study	14
Is targeting healthcare’s carbon footprint really the best we can do to help address the climate crisis?	13
Clinical decision-making and algorithmic inequality	13
Understanding patient safety during earthquakes: a phenomenological study of disaster response	13
Economic analysis of surgical outcome monitoring using control charts: the SHEWHART cluster randomised trial	13
Is hospital-onset bacteraemia and fungaemia an actionable quality measure?	12
Identifying patients with additional needs isn’t enough to improve care: harnessing the benefits and avoiding the pitfalls of classification	12
Confidence and certainty in medical diagnoses within acute healthcare: a scoping review	12
Time to de-implementation of low-value cancer screening practices: a narrative review	12
Implementing and evaluating a low-carbon, high-quality perioperative patient warming pathway	12
Embracing carers: when will adult hospitals fully adopt the same practices as children’s hospitals?	11
Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative	11
More alerts, less harm? Rethinking medication safety with AI	10
Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions	10

Targets: unintended and unanticipated effects	10
Inappropriate prescribing for older people with reduced kidney function: can we do better at the primary care level?	10
Reducing unnecessary diagnostic phlebotomy in intensive care: a prospective quality improvement intervention	10
Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy	10
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis	10
Work addiction and quality of care in healthcare: Working long hours should not be confused with addiction to work	10
Interrupting false narratives: applying a racial equity lens to healthcare quality data	10
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
Safety netting: time to stop relying on verbal interventions to manage diagnostic uncertainty?	9
Quality and safety in the literature: January 2024	9
The problem with uptake as a quality metric for population-based screening programmes	9
Effect of implementing a heart failure admission care bundle on hospital readmission and mortality rates: interrupted time series study	9
What and when to debrief: a scoping review examining interprofessional clinical debriefing	9
Quality improvement collaborative to increase access to caesarean sections: lessons from Bihar, India	9
Moving the needle: using quality improvement to address gaps in sickle cell care	9
Correction: Effectiveness of a multifaceted quality improvement intervention to improve patient outcomes after total hip and knee arthroplasty: a registry nested cluster randomi	9
Ending nuclear weapons, before they end us	9
Correction: It’s time for the field of geriatrics to invest in implementation science	9
Predictors and population health outcomes of persistent high GP turnover in English general practices: a retrospective observational study	9
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
Development and validation of the Overall Fidelity Enactment Scale for Complex Interventions (OFES-CI)	8
Expression of concern: Reducing opioid use for chronic non-cancer pain in primary care using an evidence-based, theory-informed, multistrategic, multistakeholder approach: a single-arm time series	8
Five golden rules for successful measurement of improvement	8
How can we promote greater adoption of AI in healthcare?	8
Comparing secondary prevention for patients with coronary heart disease and stroke attending Australian general practices: a cross-sectional study using nationwide electronic database	8
Effective use of interdisciplinary approaches in healthcare quality: drawing on operations and visual management	8
Monitoring patients’ sexual orientation and gender identity: Can we ask? Should we ask? How do we ask?	8
Impact of a financial incentive on early rehabilitation and outcomes in ICU patients: a retrospective database study in Japan	8
Common contributing factors of diagnostic error: A retrospective analysis of 109 serious adverse event reports from Dutch hospitals	8
Locum doctor working and quality and safety: a qualitative study in English primary and secondary care	8
Quantifying the cost savings and health impacts of improving colonoscopy quality: an economic evaluation	8
Elusive but hopefully not illusive: coordinating care for patients with heart failure with preserved ejection fraction	8
Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review	7
Grand rounds in methodology: four critical decision points in statistical process control evaluations of quality improvement initiatives	7
Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study	7
Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study	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
Digital quality measure of potentially avoidable emergency presentations among patients with colorectal cancer	7
Direct-to-consumer telemedicine: navigating the implications for quality and safety of care	7
Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies	7
Art of leading quality improvement	7
What do clinical practice guidelines say about deprescribing? A scoping review	7
The opioid prescribing problem: an opportunity to embed rigorous evaluation within initiatives to improve population healthcare	7
Reducing administrative burden by implementing a core set of quality indicators in the ICU: a multicentre longitudinal intervention study	7
Reducing the value/burden ratio: a key to high performance in value-based care	6
We need a new paradigm to think about generative AI	6
Peer review of quality of care: methods and metrics	6
Why a sociotechnical framework is necessary to address diagnostic error	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
Quality, safety and artificial intelligence	6
Are we careless about continuity of care?	6
Understanding the evidence for artificial intelligence in healthcare	6
Initial opioid prescription characteristics and risk of opioid misuse, poisoning and dependence: retrospective cohort study	6
Physician participation in pre-emptive patient safety huddles	6
From measurement to improvement: new evidence towards reducing emergency diagnosis of cancer	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
Medication-related Medical Emergency Team activations: a case review study of frequency and preventability	6
Factors that influence the implementation of (inter)nationally endorsed health and social care standards: a systematic review and meta-summary	6
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
Factors associated with well-being and burnout among US internal medicine physicians: a cross-sectional survey	6
Beyond mixed case lettering: reducing the risk of wrong drug errors requires a multimodal response	6
Socioeconomic inequalities in adherence to clinical practice guidelines and breast cancer survival: a multicentre population-based study in Spain	6
The good, the bad and the ugly: What do we really do when we identify the best and the worst organisations?	5
QIing your QI: a 13-year experience of a paediatric residency QI programme	5
Understanding the consequences of GP referral thresholds: taking the instrumental approach	5
Equity in action: a scoping review and meta-framework for embedding equity in quality improvement	5
Pragmatic trials are needed to assess the effectiveness of enhanced recovery after surgery protocols on patient safety	5
Using patient and carer perspectives to improve medication safety at transitions of care	5
Quality and safety in the literature: April 2023	5
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
Through the patients’ eyes: psychometric evaluation of the 64-item version of the Experienced Patient-Centeredness Questionnaire (EPAT-64)	5
Economic evaluations of audit and feedback interventions: a systematic review	5
A realist review of how, why, for whom and in which contexts quality improvement in healthcare impacts inequalities	5
Cost-effectiveness of eliminating hospital understaffing by nursing staff: a retrospective longitudinal study and economic evaluation	5
Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient?	5
Imperfection in adverse event detection: is this the opportunity to mature our focus on preventing harm in paediatrics?	5
Barriers and facilitators to reducing overuse of thyroid function testing: a mixed-methods study	5

Implementing quality and safety regulations in residential disability services: a qualitative interview study	5
Large language models in healthcare information research: making progress in an emerging field	5
Co-production in maternal health services: creating culturally safe spaces, respecting difference and supporting collaborative solutions	5
Impact of financial incentive for team-based dementia care on patient outcomes in acute-care hospitals in Japan: a difference-in-differences analysis	5
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	5
Improving risk stratification and decision support for deteriorating hospital patients	5
How can we champion diversity, equity and inclusion within Lean Six Sigma? Practical suggestions for quality improvement	5
Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis	5
Unreasonable effectiveness of training AI models locally	5
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	4
From insight to action: tackling underperformance in health professionals	4
How safe are paediatric emergency departments? A national prospective cohort study	4
Impact of medical safety huddles on patient safety: a stepped-wedge cluster randomised study	4
Between-hospital variation in indicators of quality of care: a systematic review	4
Adverse drug events leading to medical emergency team activation in hospitals: what can we learn?	4
‘This time is different’: physician knowledge in the age of artificial intelligence	4
Aiming for equity in children with chronic conditions: introducing a new population health management system	4
The problem with ‘never events’	4
A better way: training for direct observations in healthcare	4
Breaking the quality-equity cycle when implementing prevention programmes	4
How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory	4
The Ethical Complexity of Restricting Visitors during the COVID-19 Pandemic	4
Sex, drugs and rock ‘n’ roll: the only reasons for regulators to target individuals	4
Choosing ‘Less’ Wisely as a marker of decisional conflict	4
Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription information in the English NHS	4
Partnership makes performance: integration approaches to optimise implementation science and quality improvement collaboration	4
Understanding factors influencing sustainability and sustainment of evidence-based bronchiolitis management of infants in Australian and New Zealand hospital settings: a qualitative process evaluation	4
Metrics used in quality improvement publications addressing environmental sustainability in healthcare: a scoping review	4
Psycholinguistic tests predict real-world drug name confusion error rates: a cross-sectional experimental study	4
Diagnostic error in mental health: a review	4
Do healthcare professionals work around safety standards, and should we be worried? A scoping review	4
Longitudinal cohort study of discrepancies between prescribed and administered polypharmacy rates: implications for National Aged Care Quality Indicator Programs	3
Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic review and narrative synthesis	3
International survey of people living with chronic conditions: development and evaluation of the PaRIS Patient Questionnaire (PaRIS-PQ) in 18 countries	3
Closing the gap on healthcare quality for equity-deserving groups: a scoping review of equity-focused quality improvement interventions in medicine	3
Impact of online patient access to clinical notes on quality of care: a systematic review	3
Economic evaluations of quality improvement interventions: towards simpler analyses and more informative publications	3
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	3
Learning from healthcare complaints: challenges and opportunities	3
How can we prevent clinical deskilling when using AI?	3
Why identifying adverse events in paediatric emergency care matters	3
Development and validation of a new ICD-10-based screening colonoscopy overuse measure in a large integrated healthcare system: a retrospective observational study	3
Optimising antibacterial utilisation in Argentine intensive care units: a quality improvement collaborative	3
Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives	3
Grand Rounds in Methodology: a new series to contribute to continuous improvement of methodology and scientific rigour in quality and safety	3
Quality and safety in the literature: August 2024	3
Preventing urinary tract infection in older people living in care homes: the ‘StOP UTI’ realist synthesis	3
The incidence of avoidable healthcare-associated harm in prisons in England: a retrospective case note review	3
Frequency and preventability of adverse drug events in the outpatient setting	3
Surgeons and systems working together to drive safety and quality	3
High cost of broken relationships	3
Increasing surgical volumes in resource limited-healthcare systems: team-based quality improvement as a novel approach to quantity improvement	3
‘You can’t do quality between surgical cases and tea time’: barriers to surgeon engagement in quality improvement	3
Evaluating the impact of a collaborative quality initiative on surgical disparities: a retrospective analysis of surgical outcomes	3
Investigators are human too: outcome bias and perceptions of individual culpability in patient safety incident investigations	3
How do community advocates address racial inequities in maternity care for Black, African, Caribbean and mixed-Black families? A realist review	3
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis	3
Lost in translation: does measuring ‘adherence’ to the Surgical Safety Checklist indicate true implementation fidelity?	3
Key partner priorities for measures of safe outpatient paediatric medication use	3
Translating evidence into policy and practice: what do we know already, and what would further research look like?	3
Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis	3
Nurse staffing and patient safety in acute hospitals: Cassandra calls again?	3
Beyond the equity project: grounding equity in all quality improvement efforts	3
Patient portal messaging to address delayed follow-up for uncontrolled diabetes: a pragmatic, randomised clinical trial	3
WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study	3
Does bypassing nearby hospitals for high-quality care reduce case fatality among inpatients who had a stroke? A retrospective study of 328 206 cases	3
“It’s probably an STI because you’re gay”: a qualitative study of diagnostic error experiences in sexual and gender minority individuals	3
Selecting and tailoring implementation strategies for deimplementing fall prevention alarms in US hospitals: a group concept mapping study	3
Time to treat the climate and nature crisis as one indivisible global health emergency	3
Retrospective validation study of a large language model approach to screening for intraabdominal surgical site infections for quality and safety reporting	3
Choosing Wisely and the climate crisis: a role for clinicians	3
Evaluation of the accuracy and safety of machine translation of patient-specific discharge instructions: a comparative analysis	3
Did the Acute Frailty Network improve outcomes for older people living with frailty? A staggered difference-in-difference panel event study	3
Diminishing returns: how treatment delays undermine the mortality benefits of high-quality stroke care	3
Visual identifiers for people with dementia in hospitals: a qualitative study to unravel mechanisms of action for improving quality of care	3
Testing and cancer diagnosis in general practice	3
Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis	3
Why tackling overuse will not succeed without changing our culture	3
Consent and refusal of procedures during labour and birth: a survey among 11 418 women in the Netherlands	3
Translation without substitution: the need for responsible AI integration in patient instructions	3