OOIR: Observatory of International Research

Papers

(The TQCC of BMJ Quality & Safety is 9. 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 2021-10-01 to 2025-10-01.)

Article	Citations
It’s time for the field of geriatrics to invest in implementation science	119
Hip fracture in the COVID-19 era: what can we say about care and patient outcomes?	72
Towards comprehensive fidelity evaluations: consideration of enactment measures in quality improvement interventions	71
Effectiveness of computerised alerts to reduce drug–drug interactions (DDIs) and DDI-related harm in hospitalised patients: a quasi-experimental controlled pre–post study	52
We will take some team resilience, please: Evidence-based recommendations for supporting diagnostic teamwork	48
Can virtual reality simulations improve macrocognition?	44
Prevention in adults of transmission of infection with multidrug-resistant organisms: an updated systematic review from Making Healthcare Safer IV	43
COVID-19 hospital prevalence as a risk factor for mortality: an observational study of a multistate cohort of 62 hospitals	42
From parallel tracks to integrated practice: advancing the integration of quality improvement and implementation science	39
Practice or perfect? Coaching for a growth mindset to improve the quality of healthcare	38
Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study	34
Quality of care for secondary cardiovascular disease prevention in 2009–2017: population-wide cohort study of antiplatelet therapy use in Scotland	34
Quality and Safety in the Literature: November 2022	33
Quality and safety in the literature: January 2023	32
How can we finally reduce repetitive routine laboratory tests for hospitalised patients?	32
Correction: The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system	31
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	28
Progressing patient safety in the Emergency Medical Services	27
Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg	27
Approach to systematically examine the usefulness of quality measures in practice: Minnesota’s nursing home quality indicators and scoring approach	26
Correction: Comparing peripherally inserted central catheter-related practices across hospitals with different insertion models: a multisite qualitative study	25
Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments	24
Service users’ experiences of maternity care in England informed by the Saving Babies’ Lives Care Bundle Version 2: A reflexive thematic analysis	24
Understanding the challenges and successes of implementing ‘hybrid’ interventions in healthcare settings: findings from a process evaluation of a patient involvement trial	23

Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study	22
Assessing quality of direct-to-consumer telemedicine in China: a cross-sectional study using unannounced standardised patients	22
An anthropologist’s insight into healthcare data – multiple and rich of contradictions	22
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
Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges	20
How to scale and spread catheter avoidance nationwide	20
Why hospital falls prevention remains a global healthcare priority	20
Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflections during team debriefings	20
Factors associated with proximal femoral fractures in older adults during hospital stay: a cross-sectional study	19
Sustaining interventions in care homes initiated by quality improvement projects: a qualitative study	19
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	19
Temporal structures that determine consistency and quality of care: a case study in hyperacute stroke services	19
Quality and Safety in the Literature: March 2022	18
Integration and connection: the key to effectiveness of large-scale pharmacist-led medication reviews?	18
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis	18
‘Show me the data!’ Using time series to display performance data for hospital boards	17
Association of volume and prehospital paediatric care quality in emergency medical services: retrospective analysis of a national sample	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
Accuracy of telephone triage for predicting adverse outcomes in suspected COVID-19: an observational cohort study	16
Unintended consequences of the 18-week referral to treatment standard in NHS England: a threshold analysis	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
General practitioners retiring or relocating and its association with healthcare use and mortality: a cohort study using Norwegian national data	16
Top-down and bottom-up approaches to low-value care	16
Under-reporting of falls in hospitals: a multisite study in South Korea	16
Inequalities exacerbated: an all-too-familiar story	16
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	16
Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort	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
Changing the patient safety mindset: can safety cases help?	14
Beyond improvement skills: what do clinicians, managers, patients and others need to do to make improvement happen?	14
Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis	14
Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel	14
Use of structured handoff protocols for within-hospital unit transitions: a systematic review from Making Healthcare Safer IV	14
Grand rounds in methodology: when are realist reviews useful, and what does a ‘good’ realist review look like?	14
Impact of the COVID-19 pandemic on the incidence and mortality of hospital-onset bloodstream infection: a cohort study	14
Reporting on implementation trials with null findings: the need for concurrent process evaluation reporting	13
Grand rounds in methodology: improving the design of staggered implementation cluster randomised trials	13
Economic analysis of surgical outcome monitoring using control charts: the SHEWHART cluster randomised trial	13
The Evolving Economics of Implementation	13
‘My Five Moments’: understanding a user-centred approach to hand hygiene improvement within a broader implementation strategy	13
Clinical decision-making and algorithmic inequality	13
Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative	13
Measuring gist-based perceptions of medication benefit-to-harm ratios	13
Identifying patients with additional needs isn’t enough to improve care: harnessing the benefits and avoiding the pitfalls of classification	13
More alerts, less harm? Rethinking medication safety with AI	13
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
Implications of resource constraints and high workload on speaking up about threats to patient safety: a qualitative study of surgical teams in Ghana	11
Is hospital-onset bacteraemia and fungaemia an actionable quality measure?	11

Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions	11
Adding value to the diagnostic process	11
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis	11
Interrupting false narratives: applying a racial equity lens to healthcare quality data	11
Targets: unintended and unanticipated effects	11
What and when to debrief: a scoping review examining interprofessional clinical debriefing	11
Embracing carers: when will adult hospitals fully adopt the same practices as children’s hospitals?	11
Quality and Safety in the Literature: May 2022	11
Understanding patient safety during earthquakes: a phenomenological study of disaster response	11
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	11
Work addiction and quality of care in healthcare: Working long hours should not be confused with addiction to work	11
Comparing secondary prevention for patients with coronary heart disease and stroke attending Australian general practices: a cross-sectional study using nationwide electronic database	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
Impact of a financial incentive on early rehabilitation and outcomes in ICU patients: a retrospective database study in Japan	10
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	10
Quality and safety in the literature: January 2024	10
Reducing unnecessary diagnostic phlebotomy in intensive care: a prospective quality improvement intervention	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
Common contributing factors of diagnostic error: A retrospective analysis of 109 serious adverse event reports from Dutch hospitals	9
Quantifying the cost savings and health impacts of improving colonoscopy quality: an economic evaluation	9
Effective use of interdisciplinary approaches in healthcare quality: drawing on operations and visual management	9
Moving the needle: using quality improvement to address gaps in sickle cell care	9
Effect of implementing a heart failure admission care bundle on hospital readmission and mortality rates: interrupted time series study	9
Locum doctor working and quality and safety: a qualitative study in English primary and secondary care	9
Five golden rules for successful measurement of improvement	9
Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies	9
Ending nuclear weapons, before they end us	9
Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study	9
The problem with uptake as a quality metric for population-based screening programmes	9
Randomised controlled trial of audit-and-feedback strategies to reduce imaging overutilisation in the emergency department	9
Predictors and population health outcomes of persistent high GP turnover in English general practices: a retrospective observational study	9
Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review	9
Art of leading quality improvement	9
Quality improvement collaborative to increase access to caesarean sections: lessons from Bihar, India	9
Negotiating the polypharmacy paradox: a video-reflexive ethnography study of polypharmacy and its practices in primary care	9