BMJ Quality & Safety

Papers
(The median citation count of BMJ Quality & Safety is 2. The table below lists those papers that are above that threshold based on CrossRef citation counts [max. 250 papers]. The publications cover those that have been published in the past four years, i.e., from 2020-11-01 to 2024-11-01.)
ArticleCitations
SEIPS 101 and seven simple SEIPS tools77
Impact of COVID-19 restrictions on diabetes health checks and prescribing for people with type 2 diabetes: a UK-wide cohort study involving 618 161 people in primary care58
Vulnerability of the medical product supply chain: the wake-up call of COVID-1956
The problem with making Safety-II work in healthcare47
Overuse of diagnostic testing in healthcare: a systematic review41
Understanding decisions about antibiotic prescribing in ICU: an application of the Necessity Concerns Framework40
Exploring the actionability of healthcare performance indicators for quality of care: a qualitative analysis of the literature, expert opinion and user experience37
Burden of serious harms from diagnostic error in the USA36
Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review34
Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel33
Effectiveness of a medication adherence management intervention in a community pharmacy setting: a cluster randomised controlled trial33
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 care31
Advancing health equity in patient safety: a reckoning, challenge and opportunity28
Antibiotic overuse: managing uncertainty and mitigating against overtreatment28
Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study27
Adherence to guideline-recommended HbA1c testing frequency and better outcomes in patients with type 2 diabetes: a 5-year retrospective cohort study in Australian general practice27
Is greater patient involvement associated with higher satisfaction? Experimental evidence from a vignette survey27
Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs27
Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices27
Effectiveness of a multifaceted intervention to improve emergency department care of low back pain: a stepped-wedge, cluster-randomised trial26
Interventions targeted at reducing diagnostic error: systematic review25
Socioeconomic deprivation and ethnicity inequalities in disruption to NHS hospital admissions during the COVID-19 pandemic: a national observational study24
Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review24
Complex interplay between moral distress and other risk factors of burnout in ICU professionals: findings from a cross-sectional survey study23
Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity23
Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis23
Improving diagnostic performance through feedback: the Diagnosis Learning Cycle23
Visual mapping of team dynamics and communication patterns on surgical ward rounds: an ethnographic study22
Emotional safetyispatient safety22
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 care21
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals21
Grand rounds in methodology: when are realist reviews useful, and what does a ‘good’ realist review look like?21
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 records20
Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation20
Effectiveness of chest pain centre accreditation on the management of acute coronary syndrome: a retrospective study using a national database20
Association between intrahospital transfer and hospital-acquired infection in the elderly: a retrospective case–control study in a UK hospital network20
Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme19
The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system19
Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study19
To improve quality, leverage design18
Sustaining quality improvement efforts: emerging principles and practice17
Impact of COVID-19 on opioid use in those awaiting hip and knee arthroplasty: a retrospective cohort study17
Patient-level and hospital-level variation and related time trends in COVID-19 case fatality rates during the first pandemic wave in England: multilevel modelling analysis of routine data16
The debrief imperative: building teaming competencies and team effectiveness16
Improving the quality of self-management support in ambulatory cancer care: a mixed-method study of organisational and clinician readiness, barriers and enablers for tailoring of implementation strate16
Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations16
Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study16
Barriers and enablers to the implementation of multidisciplinary team meetings: a qualitative study using the theoretical domains framework16
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 Framework15
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 re15
Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges15
Use of e-triggers to identify diagnostic errors in the paediatric ED15
Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients’ subsequent clinical course and outcomes15
Patient-centred care delivered by general practitioners: a qualitative investigation of the experiences and perceptions of patients and providers15
Virtual learning collaboratives to improve urine culturing and antibiotic prescribing in long-term care: controlled before-and-after study15
Time out! Rethinking surgical safety: more than just a checklist14
Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflections during team debriefings14
Systematic review of clinical debriefing tools: attributes and evidence for use14
Economic evaluations of audit and feedback interventions: a systematic review14
Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey14
How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory14
The problem with ‘My Five Moments for Hand Hygiene’14
Using a dark logic model to explore adverse effects in audit and feedback: a qualitative study of gaming in colonoscopy13
Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies13
Overdiagnosis of urinary tract infection linked to overdiagnosis of pneumonia: a multihospital cohort study13
COVID-19 hospital prevalence as a risk factor for mortality: an observational study of a multistate cohort of 62 hospitals13
Improving responses to safety incidents: we need to talk about justice13
Improving surgical quality in low-income and middle-income countries: why do some health facilities perform better than others?13
Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care13
Primary care physician’s (PCP) perceived value of patient-reported outcomes (PROs) in clinical practice: a mixed methods study13
National improvements in resident physician-reported patient safety after limiting first-year resident physicians’ extended duration work shifts: a pooled analysis of prospective cohort studies13
Reaching 95%: decision support tools are the surest way to improve diagnosis now13
mHOMR: the acceptability of an automated mortality prediction model for timely identification of patients for palliative care12
Measuring what matters: refining our approach to quality indicators12
Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial12
Systematically capturing and acting on insights from front-line staff: the ‘Bedside Learning Coordinator’12
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis12
Can we safely continue to offer surgical treatments during the COVID-19 pandemic?12
A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes12
Cost-effectiveness of a quality improvement project, including simulation-based training, on reducing door-to-needle times in stroke thrombolysis12
Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study12
Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis11
Comparing antibiotic prescribing between clinicians in UK primary care: an analysis in a cohort study of eight different measures of antibiotic prescribing11
Outcomes for surgical procedures funded by the English health service but carried out in public versus independent hospitals: a database study11
Choice architecture in physician–patient communication: a mixed-methods assessments of physicians’ competency11
Choosing Wisely and the climate crisis: a role for clinicians11
Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders11
Indirect effects of the COVID-19 pandemic on people with type 2 diabetes: time to urgently move into a recovery phase11
Patterns, appropriateness and outcomes of peripherally inserted central catheter use in Brazil: a multicentre study of 12 725 catheters10
High reliability organising in healthcare: still a long way left to go10
Association of clinical competence, specialty and physician country of origin with opioid prescribing for chronic pain: a cohort study10
Days alive and at home after hip fracture: a cross-sectional validation of a patient-centred outcome measure using routinely collected data10
Roles and effectiveness of knowledge brokers for translating clinical practice guidelines in health-related settings: a systematic review10
I-PASS handover system: a decade of evidence demands action10
Sustainability of paediatric asthma care quality in community hospitals after ending a national quality improvement collaborative10
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis10
The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour & improve safety10
Patient safety and hospital visiting at the end of life during COVID-19 restrictions in Aotearoa New Zealand: a qualitative study10
How does the effectiveness of strategies to improve healthcare provider practices in low-income and middle-income countries change after implementation? Secondary analysis of a systematic review10
Evaluation of the NHS England evidence-based interventions programme: a difference-in-difference analysis9
Does recruiting patients to diabetes prevention programmes via primary care reinforce existing inequalities in care provision between general practices? A retrospective observational study9
Accreditation in health care: does it make any difference to patient outcomes?9
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis9
Nationwide study on trends in unplanned hospital attendance and deaths during the 7 weeks after the onset of the COVID-19 pandemic in Denmark9
Crisis checklists in emergency medicine: another step forward for cognitive aids9
Effectiveness of a multifaceted quality improvement intervention to improve patient outcomes after total hip and knee arthroplasty: a registry nested cluster randomised controlled trial9
Co-produced capability framework for successful patient and staff partnerships in healthcare quality improvement: results of a scoping review9
Epidemiology of adverse drug events and medication errors in four nursing homes in Japan: the Japan Adverse Drug Events (JADE) Study9
Predictors and population health outcomes of persistent high GP turnover in English general practices: a retrospective observational study9
The need for quality self-management support in cancer care8
Development and pilot testing of survey items to assess the culture of value and efficiency in hospitals and medical offices8
Implications of resource constraints and high workload on speaking up about threats to patient safety: a qualitative study of surgical teams in Ghana8
Impact of the COVID-19 pandemic on the incidence and mortality of hospital-onset bloodstream infection: a cohort study8
Documenting the indication for antimicrobial prescribing: a scoping review8
Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg8
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 i8
Negotiating the polypharmacy paradox: a video-reflexive ethnography study of polypharmacy and its practices in primary care8
Comparing peripherally inserted central catheter-related practices across hospitals with different insertion models: a multisite qualitative study8
How sensitive are avoidable emergency department attendances to primary care quality? Retrospective observational study7
Quality of acute myocardial infarction care in England and Wales during the COVID-19 pandemic: linked nationwide cohort study7
Effect of the surgical safety checklist on provider and patient outcomes: a systematic review7
Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study7
Retrospective evaluation of an intervention based on training sessions to increase the use of control charts in hospitals7
Safety cases for digital health innovations: can they work?7
Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation7
Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings7
What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study7
Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study6
Rethinking standardised infection rates and risk adjustment in the COVID-19 era6
Consent and refusal of procedures during labour and birth: a survey among 11 418 women in the Netherlands6
Surgical implementation gap: an interrupted time series analysis with interviews examining the impact of surgical trials on surgical practice in England6
Examining organisational responses to performance-based financial incentive systems: a case study using NHS staff influenza vaccination rates from 2012/2013 to 2019/20206
Mixed-methods study examining family carers’ perceptions of the relationship between intrahospital transitions and patient readiness for discharge6
Conceptualising interventions to enhance spread in complex systems: a multisite comprehensive medication review case study6
Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review6
Influence of drug safety advisories on drug utilisation: an international interrupted time series and meta-analysis6
Patient-centred outcomes of imaging tests: recommendations for patients, clinicians and researchers6
Polypharmacy and continuity of care: medicines optimisation in the era of multidisciplinary teams6
Mental health services: quality, safety and suicide6
‘My Five Moments’: understanding a user-centred approach to hand hygiene improvement within a broader implementation strategy6
Nurse staffing and patient safety in acute hospitals: Cassandra calls again?6
Grand rounds in methodology: four critical decision points in statistical process control evaluations of quality improvement initiatives6
Sustaining interventions in care homes initiated by quality improvement projects: a qualitative study6
Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis5
A better way: training for direct observations in healthcare5
Top-down and bottom-up approaches to low-value care5
Prioritising Responses Of Nurses To deteriorating patient Observations (PRONTO): a pragmatic cluster randomised controlled trial evaluating the effectiveness of a facilitation intervention on recognit5
Reducing unnecessary diagnostic phlebotomy in intensive care: a prospective quality improvement intervention5
Overcoming the ‘self-limiting’ nature of QI: can we improve the quality of patient care while caring for staff?5
Development and validation of an A3 problem-solving assessment tool and self-instructional package for teachers of quality improvement in healthcare5
Improving health equity through clinical innovation5
Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes5
Safe care on maternity units: a multidimensional balancing act5
Clinical decision-making and algorithmic inequality5
Development and validation of a new ICD-10-based screening colonoscopy overuse measure in a large integrated healthcare system: a retrospective observational study5
Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort5
Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies5
Addressing long-term and repeat antibiotic prescriptions in primary care: considerations for a behavioural approach5
Common contributing factors of diagnostic error: A retrospective analysis of 109 serious adverse event reports from Dutch hospitals5
Disclosing medical errors: prioritising the needs of patients and families5
Handoff improvement and adverse event reduction programme implementation in paediatric intensive care units in Argentina: a stepped-wedge trial5
Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice?4
Beyond the equity project: grounding equity in all quality improvement efforts4
Surgical service monitoring and quality control systems at district hospitals in Malawi, Tanzania and Zambia: a mixed-methods study4
Addressing disparities in patients’ opportunities for and competencies in shared decision making4
Equitable and accessible informed healthcare consent process for people with intellectual disability: a systematic literature review4
Promise and perils of patient decision aids for reducing low-value care4
A realist synthesis of educational outreach visiting and integrated academic detailing to influence prescribing in ambulatory care: why relationships and dialogue matter4
No one left behind: a case for more inclusivity in authorship for quality improvement and implementation research4
Mortality before and after reconfiguration of the Danish hospital-based emergency healthcare system: a nationwide interrupted time series analysis4
Moving beyond the weekend effect: how can we best target interventions to improve patient care?4
Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review4
Channelling the force of audit and feedback: averting the dark side4
Improving timeliness of hepatitis B vaccine administration in an urban safety net level III NICU4
Impact of medical education on patient safety: finding the signal through the noise4
Evaluating patient-reported outcome measures in Peru: a cross-sectional study of satisfaction and net promoter score using the 2016 EnSuSalud survey4
What and when to debrief: a scoping review examining interprofessional clinical debriefing4
Targets: unintended and unanticipated effects4
Reduced rate of postpartum readmissions among homeless compared with non-homeless women in New York: a population-based study using serial, cross-sectional data4
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 identifyin4
Paving the PICC journey: building structures, process and engagement to improve outcomes4
Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures in a day: a retrospective comparative cohort study4
Diagnostic errors and harms in primary care: insights to action4
Nurse-led triage of new sleep referrals is associated with lower risk of potentially contraindicated sleep testing: a retrospective cohort study4
We don’t talk about communication: why technology alone cannot save clinically deteriorating patients4
“It’s probably an STI because you’re gay”: a qualitative study of diagnostic error experiences in sexual and gender minority individuals4
Is it time for greater patient involvement to enhance transitional medication safety?3
How can we champion diversity, equity and inclusion within Lean Six Sigma? Practical suggestions for quality improvement3
Grand rounds in methodology: designing for integration in mixed methods research3
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 with segmented regression3
Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative3
CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity3
National cross-sectional cohort study of the relationship between quality of mental healthcare and death by suicide3
Visual identifiers for people with dementia in hospitals: a qualitative study to unravel mechanisms of action for improving quality of care3
Healthcare-associated infections: where we came from and where we are headed3
Illness severity characteristics and outcomes of patients remaining on an acute ward following medical emergency team review: a latent profile analysis3
Effect of clinical peer review on mortality in patients ventilated for more than 24 hours: a cluster randomised controlled trial3
Transition of care from adult intensive care settings – implementing interventions to improve medication safety and patient outcomes3
Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments3
How to co-design a prototype of a clinical practice tool: a framework with practical guidance and a case study3
Challenge of optimising medication in people with severe mental illness3
Factors that influence the implementation of (inter)nationally endorsed health and social care standards: a systematic review and meta-summary3
Towards comprehensive fidelity evaluations: consideration of enactment measures in quality improvement interventions3
Did the Acute Frailty Network improve outcomes for older people living with frailty? A staggered difference-in-difference panel event study3
Indirect effect of the COVID-19 pandemic on hospital mortality in patients with hip fracture: a competing risk survival analysis using linked administrative data3
We’re all in this together: how COVID-19 revealed the co-construction of mindful organising and organisational reliability3
Inequalities exacerbated: an all-too-familiar story3
Initial opioid prescription characteristics and risk of opioid misuse, poisoning and dependence: retrospective cohort study3
Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD)3
Outsourcing care to the private sector: some reassuring evidence on patient outcomes3
Repurposing the Ordering of Routine Laboratory Tests in Hospitalised Medical Patients (RePORT): results of a cluster randomised stepped-wedge quality improvement study3
Have we forgotten the moral justification for patient-centred care?3
Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the English NHS, 2010–20233
Reconfiguring emergency and acute services: time to pause and reflect3
Informing understanding of coordination of care for patients with heart failure with preserved ejection fraction: a secondary qualitative analysis3
Value of a value culture survey for improving healthcare quality3
Research to improve diagnosis: time to study the real world3
Implementation challenges to patient safety in Guatemala: a mixed methods evaluation3
Competing risks in quality and safety research: a framework to guide choice of analysis and improve reporting3
National adverse event analysis over time: current state and future directions2
How can we finally reduce repetitive routine laboratory tests for hospitalised patients?2
Work addiction and quality of care in healthcare: Working long hours should not be confused with addiction to work2
Learning from successes: designing medication adherence intervention research so that we can learn what works and why2
It’s time to consider national culture when designing team training initiatives in healthcare2
Peripherally inserted central catheters: spreading the MAGIC beyond Michigan2
‘Show me the data!’ Using time series to display performance data for hospital boards2
How safe are paediatric emergency departments? A national prospective cohort study2
You can lead clinicians to water, but you can’t make them drink: the role of tailoring in clinical performance feedback to improve care quality2
Unintended consequences of the 18-week referral to treatment standard in NHS England: a threshold analysis2
Approach to systematically examine the usefulness of quality measures in practice: Minnesota’s nursing home quality indicators and scoring approach2
Locum doctor working and quality and safety: a qualitative study in English primary and secondary care2
Effects of ethical climate in association with tenure on work addiction, quality of care and staff retention: a cross-sectional study2
Evaluating equity in performance of an electronic health record-based 6-month mortality risk model to trigger palliative care consultation: a retrospective model validation analysis2
Interrupting false narratives: applying a racial equity lens to healthcare quality data2
Evaluation of hospital-onset bacteraemia and fungaemia in the USA as a potential healthcare quality measure: a cross-sectional study2
A realist review of medication optimisation of community dwelling service users with serious mental illness2
Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada2
Physician variation in opioid prescribing: the importance of sex and gender2
Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study2
Association between acute psychiatric bed availability in the Veterans Health Administration and veteran suicide risk: a retrospective cohort study2
Learning how and why complex improvement interventions work: insights from implementation science2
Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study2
The problem with … using stories as a source of evidence and learning2
Medication-related Medical Emergency Team activations: a case review study of frequency and preventability2
Interruptive alerts: only one part of the solution for clinical decision support2
Replicating and publishing research in different countries and different settings: advice for authors2
Advancing equity, diversity and inclusion atBMJ Quality and Safety2
Implementation of an enhanced recovery after surgery protocol for colorectal cancer in a regional hospital network supported by audit and feedback: a stepped wedge, cluster randomised trial2
Assuring safety and efficacy of nurse triage for electronic consultation to improve access to specialty care2
Implementing automated prognostic models to inform palliative care: more than just the algorithm2
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