BMJ Quality & Safety

Article	Citations
Can virtual reality simulations improve macrocognition?	194
Effectiveness of computerised alerts to reduce drug–drug interactions (DDIs) and DDI-related harm in hospitalised patients: a quasi-experimental controlled pre–post study	79
We will take some team resilience, please: Evidence-based recommendations for supporting diagnostic teamwork	75
From parallel tracks to integrated practice: advancing the integration of quality improvement and implementation science	72
Hip fracture in the COVID-19 era: what can we say about care and patient outcomes?	65
Standard Elements in Studies of Adverse Events and Medical Error: the SESAME statement	63
Evidence of availability bias in diagnostic reasoning following real clinical encounters: a cross-sectional survey of physicians	58
It’s time for the field of geriatrics to invest in implementation science	53
Towards comprehensive fidelity evaluations: consideration of enactment measures in quality improvement interventions	49
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	38
Quality and Safety in the Literature: November 2022	37
Learning from complaints about surgical care: a large language model-assisted sequential methods analysis	34
Quality and safety in the literature: January 2023	34
How can we finally reduce repetitive routine laboratory tests for hospitalised patients?	33
Progressing patient safety in the Emergency Medical Services	31
Quality of care for secondary cardiovascular disease prevention in 2009–2017: population-wide cohort study of antiplatelet therapy use in Scotland	31
Practice or perfect? Coaching for a growth mindset to improve the quality of healthcare	29
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
Assessing patient work system factors for medication management during transition of care among older adults: an observational study	28
An anthropologist’s insight into healthcare data – multiple and rich of contradictions	28
Service users’ experiences of maternity care in England informed by the Saving Babies’ Lives Care Bundle Version 2: A reflexive thematic analysis	27
How to scale and spread catheter avoidance nationwide	26
Understanding the challenges and successes of implementing ‘hybrid’ interventions in healthcare settings: findings from a process evaluation of a patient involvement trial	25
Why hospital falls prevention remains a global healthcare priority	24

Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study	24
Approach to systematically examine the usefulness of quality measures in practice: Minnesota’s nursing home quality indicators and scoring approach	24
Assessing quality of direct-to-consumer telemedicine in China: a cross-sectional study using unannounced standardised patients	24
Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments	23
Professional support is an important lifeboat, but let’s also stop people falling into the water	21
Impact of COVID-19 on incidence and trends of adverse events among hospitalised patients in Calgary, Canada: a retrospective chart review study	21
Sustainability of the de-implementation of low-value care in infants with bronchiolitis: 2-year follow-up of a cluster randomised controlled trial	21
Cluster randomised evaluation of a training intervention to increase the use of statistical process control charts for hospitals in England: making data count	20
Temporal structures that determine consistency and quality of care: a case study in hyperacute stroke services	20
Integration and connection: the key to effectiveness of large-scale pharmacist-led medication reviews?	20
Association of volume and prehospital paediatric care quality in emergency medical services: retrospective analysis of a national sample	20
‘Show me the data!’ Using time series to display performance data for hospital boards	20
Unintended consequences of the 18-week referral to treatment standard in NHS England: a threshold analysis	19
Tools to engage patients and family members in diagnostic safety: we see the trees, but what about the forest?	18
Factors associated with proximal femoral fractures in older adults during hospital stay: a cross-sectional study	18
Top-down and bottom-up approaches to low-value care	18
Scoping review identifying interventions that have been tested to optimise the experience of people from ethnic minority groups receiving systemic anticancer therapy (SACT)	17
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-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
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	17
Development and pilot evaluation of the implementation of a whole-team training pack to improve the effectiveness, efficiency, safety and equity of remote general practice	17
Artificial intelligence chain-of-thought reasoning in nuanced medical scenarios: mitigation of cognitive biases through model intransigence	16
General practitioners retiring or relocating and its association with healthcare use and mortality: a cohort study using Norwegian national data	16
Changing the patient safety mindset: can safety cases help?	15
Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort	15
Grand rounds in methodology: when are realist reviews useful, and what does a ‘good’ realist review look like?	15
Under-reporting of falls in hospitals: a multisite study in South Korea	15
Surgical safety checklist awareness and safety attitudes in the Eastern Mediterranean region: a cross-sectional study	15
Grand rounds in methodology: improving the design of staggered implementation cluster randomised trials	14
Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis	14
Evaluating the effects of increasing nursing numbers on quality of newborn care in understaffed neonatal units in Kenya: a prospective intervention study	14
Learning to forget: deimplementation and the science of sustainability in healthcare	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
Confidence and certainty in medical diagnoses within acute healthcare: a scoping review	13
Is targeting healthcare’s carbon footprint really the best we can do to help address the climate crisis?	13
Implementing and evaluating a low-carbon, high-quality perioperative patient warming pathway	13
Understanding patient safety during earthquakes: a phenomenological study of disaster response	13
Identifying patients with additional needs isn’t enough to improve care: harnessing the benefits and avoiding the pitfalls of classification	13
Is hospital-onset bacteraemia and fungaemia an actionable quality measure?	12
Embracing carers: when will adult hospitals fully adopt the same practices as children’s hospitals?	12
Economic analysis of surgical outcome monitoring using control charts: the SHEWHART cluster randomised trial	12
More alerts, less harm? Rethinking medication safety with AI	12
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis	12
Beyond the competent champion: reconsidering how champions’ success is defined, measured and supported	11
Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative	11
Reducing unnecessary diagnostic phlebotomy in intensive care: a prospective quality improvement intervention	11
Time to de-implementation of low-value cancer screening practices: a narrative review	11
Inappropriate prescribing for older people with reduced kidney function: can we do better at the primary care level?	11

Clinical decision-making and algorithmic inequality	11
Correction: Effectiveness of a multifaceted quality improvement intervention to improve patient outcomes after total hip and knee arthroplasty: a registry nested cluster randomi	10
What and when to debrief: a scoping review examining interprofessional clinical debriefing	10
Association between mass casualty in-situ simulation format with ongoing operational and patient care metrics in an adult emergency department: a retrospective cohort study	10
Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions	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	10
Targets: unintended and unanticipated effects	10
Interrupting false narratives: applying a racial equity lens to healthcare quality data	10
Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy	10
Correction: It’s time for the field of geriatrics to invest in implementation science	10
Quality and safety in the literature: January 2024	9
Effect of implementing a heart failure admission care bundle on hospital readmission and mortality rates: interrupted time series study	9
Predictors and population health outcomes of persistent high GP turnover in English general practices: a retrospective observational study	9
Locum doctor working and quality and safety: a qualitative study in English primary and secondary care	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
Moving the needle: using quality improvement to address gaps in sickle cell care	9
Ending nuclear weapons, before they end us	9
Randomised controlled trial of audit-and-feedback strategies to reduce imaging overutilisation in the emergency department	9
Negotiating the polypharmacy paradox: a video-reflexive ethnography study of polypharmacy and its practices in primary care	9
Differences in physician task load are associated with gender variance in physician well-being metrics	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
Quality improvement collaborative to increase access to caesarean sections: lessons from Bihar, India	9
Impact of a financial incentive on early rehabilitation and outcomes in ICU patients: a retrospective database study in Japan	9
How can we promote greater adoption of AI in healthcare?	9
Common contributing factors of diagnostic error: A retrospective analysis of 109 serious adverse event reports from Dutch hospitals	8
Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study	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
Effective use of interdisciplinary approaches in healthcare quality: drawing on operations and visual management	8
Five golden rules for successful measurement of improvement	8
Monitoring patients’ sexual orientation and gender identity: Can we ask? Should we ask? How do we ask?	8
Digital quality measure of potentially avoidable emergency presentations among patients with colorectal cancer	8
Safety netting: time to stop relying on verbal interventions to manage diagnostic uncertainty?	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
What do clinical practice guidelines say about deprescribing? A scoping review	7
Why a sociotechnical framework is necessary to address diagnostic error	7
Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies	7
Art of leading quality improvement	7
Development and validation of the Overall Fidelity Enactment Scale for Complex Interventions (OFES-CI)	7
The opioid prescribing problem: an opportunity to embed rigorous evaluation within initiatives to improve population healthcare	7
Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review	7
Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study	7
Direct-to-consumer telemedicine: navigating the implications for quality and safety of care	7
Grand rounds in methodology: four critical decision points in statistical process control evaluations of quality improvement initiatives	7
Initial opioid prescription characteristics and risk of opioid misuse, poisoning and dependence: retrospective cohort study	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
Understanding the evidence for artificial intelligence in healthcare	6
Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study	6
Paradox of engagement: precautionary public health alerts and gender inequality in cancer diagnosis—a quasi-experimental study	6
Through the patients’ eyes: psychometric evaluation of the 64-item version of the Experienced Patient-Centeredness Questionnaire (EPAT-64)	6
Implementing quality and safety regulations in residential disability services: a qualitative interview study	6
From complaint material to quality improvement: Exploring the use of patient complaints or compensation claims in quality improvement initiatives—a scoping review	6
Factors associated with well-being and burnout among US internal medicine physicians: a cross-sectional survey	6
Role of knowledge and reasoning processes as predictors of resident physicians’ susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment	6
From measurement to improvement: new evidence towards reducing emergency diagnosis of cancer	6
Quality, safety and artificial intelligence	6
Reducing the value/burden ratio: a key to high performance in value-based care	6
Large language models in healthcare information research: making progress in an emerging field	6
Factors that influence the implementation of (inter)nationally endorsed health and social care standards: a systematic review and meta-summary	6
Socioeconomic inequalities in adherence to clinical practice guidelines and breast cancer survival: a multicentre population-based study in Spain	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
Physician participation in pre-emptive patient safety huddles	6
Successful quality improvement project to increase hydroxyurea prescriptions for children with sickle cell anaemia	6
Reducing administrative burden by implementing a core set of quality indicators in the ICU: a multicentre longitudinal intervention study	6
Beyond mixed case lettering: reducing the risk of wrong drug errors requires a multimodal response	6
Unreasonable effectiveness of training AI models locally	6
Are we careless about continuity of care?	6
The good, the bad and the ugly: What do we really do when we identify the best and the worst organisations?	6
Equity in action: a scoping review and meta-framework for embedding equity in quality improvement	5
Choosing ‘Less’ Wisely as a marker of decisional conflict	5
Barriers and facilitators to reducing overuse of thyroid function testing: a mixed-methods study	5
Imperfection in adverse event detection: is this the opportunity to mature our focus on preventing harm in paediatrics?	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
A realist review of how, why, for whom and in which contexts quality improvement in healthcare impacts inequalities	5
Diagnostic error in mental health: a review	5
Improving risk stratification and decision support for deteriorating hospital patients	5
Understanding the consequences of GP referral thresholds: taking the instrumental approach	5
Quality and safety in the literature: April 2023	5

QIing your QI: a 13-year experience of a paediatric residency QI programme	5
Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient?	5
How can we champion diversity, equity and inclusion within Lean Six Sigma? Practical suggestions for quality improvement	5
Cost-effectiveness of eliminating hospital understaffing by nursing staff: a retrospective longitudinal study and economic evaluation	5
Adverse drug events leading to medical emergency team activation in hospitals: what can we learn?	5
We need a new paradigm to think about generative AI	5
Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis	5
Co-production in maternal health services: creating culturally safe spaces, respecting difference and supporting collaborative solutions	5
Using patient and carer perspectives to improve medication safety at transitions of care	5
Pragmatic trials are needed to assess the effectiveness of enhanced recovery after surgery protocols on patient safety	5
Why a ‘human-in-the-loop’ is not an adequate safety strategy: the case for vendor accountability in clinical AI safety	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
Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription information in the English NHS	4
Grand Rounds in Methodology: a new series to contribute to continuous improvement of methodology and scientific rigour in quality and safety	4
Lost in translation: does measuring ‘adherence’ to the Surgical Safety Checklist indicate true implementation fidelity?	4
The Ethical Complexity of Restricting Visitors during the COVID-19 Pandemic	4
Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis	4
How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory	4
Sex, drugs and rock ‘n’ roll: the only reasons for regulators to target individuals	4
The problem with ‘never events’	4
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
A better way: training for direct observations in healthcare	4
Nurse staffing and patient safety in acute hospitals: Cassandra calls again?	4
Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives	4
Visual identifiers for people with dementia in hospitals: a qualitative study to unravel mechanisms of action for improving quality of care	4
Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis	4
Metrics used in quality improvement publications addressing environmental sustainability in healthcare: a scoping review	4
Do healthcare professionals work around safety standards, and should we be worried? A scoping review	4
Partnership makes performance: integration approaches to optimise implementation science and quality improvement collaboration	4
Aiming for equity in children with chronic conditions: introducing a new population health management system	4
Breaking the quality-equity cycle when implementing prevention programmes	4
Optimising antibacterial utilisation in Argentine intensive care units: a quality improvement collaborative	4
Quality and safety in the literature: August 2024	4
Impact of medical safety huddles on patient safety: a stepped-wedge cluster randomised study	4
Psycholinguistic tests predict real-world drug name confusion error rates: a cross-sectional experimental study	4
Why tackling overuse will not succeed without changing our culture	4
‘This time is different’: physician knowledge in the age of artificial intelligence	4
Between-hospital variation in indicators of quality of care: a systematic review	4
When emergency physicians meet patients displaying irritable behaviours: a randomised vignette-based experiment investigating physicians’ emotions and clinical reasoning	4
From insight to action: tackling underperformance in health professionals	4
Error disclosure in neonatal intensive care: a multicentre, prospective, observational study	3
WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study	3
Factors affecting implementation of a National Clinical Programme for self-harm in hospital emergency departments: a qualitative study	3
“It’s probably an STI because you’re gay”: a qualitative study of diagnostic error experiences in sexual and gender minority individuals	3
Diminishing returns: how treatment delays undermine the mortality benefits of high-quality stroke care	3
Time to treat the climate and nature crisis as one indivisible global health emergency	3
Frequency and preventability of adverse drug events in the outpatient setting	3
Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic review and narrative synthesis	3
Interprofessional learning as a mechanism for quality improvement and patient safety	3
Evaluation of the accuracy and safety of machine translation of patient-specific discharge instructions: a comparative analysis	3
Translating evidence into policy and practice: what do we know already, and what would further research look like?	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
Preventing urinary tract infection in older people living in care homes: the ‘StOP UTI’ realist synthesis	3
Translation without substitution: the need for responsible AI integration in patient instructions	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
Longitudinal cohort study of discrepancies between prescribed and administered polypharmacy rates: implications for National Aged Care Quality Indicator Programs	3
Surgeons and systems working together to drive safety and quality	3
Healthcare provision in prisons: an ongoing challenge	3
Generative artificial intelligence, patient safety and healthcare quality: a review	3
Key partner priorities for measures of safe outpatient paediatric medication use	3
Economic evaluations of quality improvement interventions: towards simpler analyses and more informative publications	3
Choosing Wisely and the climate crisis: a role for clinicians	3
Retrospective validation study of a large language model approach to screening for intraabdominal surgical site infections for quality and safety reporting	3
Learning from healthcare complaints: challenges and opportunities	3
Evaluating the impact of a collaborative quality initiative on surgical disparities: a retrospective analysis of surgical outcomes	3
Did the Acute Frailty Network improve outcomes for older people living with frailty? A staggered difference-in-difference panel event study	3
International survey of people living with chronic conditions: development and evaluation of the PaRIS Patient Questionnaire (PaRIS-PQ) in 18 countries	3
‘You can’t do quality between surgical cases and tea time’: barriers to surgeon engagement in quality improvement	3
Consent and refusal of procedures during labour and birth: a survey among 11 418 women in the Netherlands	3
Investigators are human too: outcome bias and perceptions of individual culpability in patient safety incident investigations	3
Closing the gap on healthcare quality for equity-deserving groups: a scoping review of equity-focused quality improvement interventions in medicine	3
Patient portal messaging to address delayed follow-up for uncontrolled diabetes: a pragmatic, randomised clinical trial	3
The incidence of avoidable healthcare-associated harm in prisons in England: a retrospective case note review	3
Increasing surgical volumes in resource limited-healthcare systems: team-based quality improvement as a novel approach to quantity improvement	3
Selecting and tailoring implementation strategies for deimplementing fall prevention alarms in US hospitals: a group concept mapping study	3
Testing and cancer diagnosis in general practice	3
Impact of online patient access to clinical notes on quality of care: a systematic review	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
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis	3
Beyond the equity project: grounding equity in all quality improvement efforts	3
High cost of broken relationships	3
How do community advocates address racial inequities in maternity care for Black, African, Caribbean and mixed-Black families? A realist review	3
How can we prevent clinical deskilling when using AI?	3