OOIR: Observatory of International Research

Papers

(The TQCC of BMJ Quality & Safety is 8. 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.)

Article	Citations
SEIPS 101 and seven simple SEIPS tools	77
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 care	58
Vulnerability of the medical product supply chain: the wake-up call of COVID-19	56
The problem with making Safety-II work in healthcare	47
Overuse of diagnostic testing in healthcare: a systematic review	41
Understanding decisions about antibiotic prescribing in ICU: an application of the Necessity Concerns Framework	40
Exploring the actionability of healthcare performance indicators for quality of care: a qualitative analysis of the literature, expert opinion and user experience	37
Burden of serious harms from diagnostic error in the USA	36
Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review	34
Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel	33
Effectiveness of a medication adherence management intervention in a community pharmacy setting: a cluster randomised controlled trial	33
Optimising GPs’ communication of advice to facilitate patients’ self-care and prompt follow-up when the diagnosis is uncertain: a realist review of ‘safety-netting’ in primary care	31
Antibiotic overuse: managing uncertainty and mitigating against overtreatment	28
Advancing health equity in patient safety: a reckoning, challenge and opportunity	28
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 practice	27
Is greater patient involvement associated with higher satisfaction? Experimental evidence from a vignette survey	27
Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs	27
Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices	27
Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study	27
Effectiveness of a multifaceted intervention to improve emergency department care of low back pain: a stepped-wedge, cluster-randomised trial	26
Interventions targeted at reducing diagnostic error: systematic review	25
Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review	24
Socioeconomic deprivation and ethnicity inequalities in disruption to NHS hospital admissions during the COVID-19 pandemic: a national observational study	24
Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity	23
Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis	23

Improving diagnostic performance through feedback: the Diagnosis Learning Cycle	23
Complex interplay between moral distress and other risk factors of burnout in ICU professionals: findings from a cross-sectional survey study	23
Emotional safetyispatient safety	22
Visual mapping of team dynamics and communication patterns on surgical ward rounds: an ethnographic study	22
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	21
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals	21
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 records	20
Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation	20
Effectiveness of chest pain centre accreditation on the management of acute coronary syndrome: a retrospective study using a national database	20
Association between intrahospital transfer and hospital-acquired infection in the elderly: a retrospective case–control study in a UK hospital network	20
Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme	19
The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system	19
Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study	19
To improve quality, leverage design	18
Sustaining quality improvement efforts: emerging principles and practice	17
Impact of COVID-19 on opioid use in those awaiting hip and knee arthroplasty: a retrospective cohort study	17
The debrief imperative: building teaming competencies and team effectiveness	16
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 strate	16
Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations	16
Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study	16
Barriers and enablers to the implementation of multidisciplinary team meetings: a qualitative study using the theoretical domains framework	16
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 data	16
Use of e-triggers to identify diagnostic errors in the paediatric ED	15
Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients’ subsequent clinical course and outcomes	15
Patient-centred care delivered by general practitioners: a qualitative investigation of the experiences and perceptions of patients and providers	15
Virtual learning collaboratives to improve urine culturing and antibiotic prescribing in long-term care: controlled before-and-after study	15
Barriers and enablers to monitoring and deprescribing opioid analgesics for chronic non-cancer pain: a systematic review with qualitative evidence synthesis using the Theoretical Domains Framework	15
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	15
Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges	15
Systematic review of clinical debriefing tools: attributes and evidence for use	14
Economic evaluations of audit and feedback interventions: a systematic review	14
Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey	14
How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory	14
The problem with ‘My Five Moments for Hand Hygiene’	14
Time out! Rethinking surgical safety: more than just a checklist	14
Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflections during team debriefings	14
Using a dark logic model to explore adverse effects in audit and feedback: a qualitative study of gaming in colonoscopy	13
Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies	13
Overdiagnosis of urinary tract infection linked to overdiagnosis of pneumonia: a multihospital cohort study	13
COVID-19 hospital prevalence as a risk factor for mortality: an observational study of a multistate cohort of 62 hospitals	13
Improving responses to safety incidents: we need to talk about justice	13
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 care	13
Primary care physician’s (PCP) perceived value of patient-reported outcomes (PROs) in clinical practice: a mixed methods study	13
National improvements in resident physician-reported patient safety after limiting first-year resident physicians’ extended duration work shifts: a pooled analysis of prospective cohort studies	13
Reaching 95%: decision support tools are the surest way to improve diagnosis now	13
Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial	12
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-analysis	12

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 outcomes	12
Cost-effectiveness of a quality improvement project, including simulation-based training, on reducing door-to-needle times in stroke thrombolysis	12
Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study	12
mHOMR: the acceptability of an automated mortality prediction model for timely identification of patients for palliative care	12
Measuring what matters: refining our approach to quality indicators	12
Outcomes for surgical procedures funded by the English health service but carried out in public versus independent hospitals: a database study	11
Choice architecture in physician–patient communication: a mixed-methods assessments of physicians’ competency	11
Choosing Wisely and the climate crisis: a role for clinicians	11
Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders	11
Indirect effects of the COVID-19 pandemic on people with type 2 diabetes: time to urgently move into a recovery phase	11
Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis	11
Comparing antibiotic prescribing between clinicians in UK primary care: an analysis in a cohort study of eight different measures of antibiotic prescribing	11
The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour & improve safety	10
Patient safety and hospital visiting at the end of life during COVID-19 restrictions in Aotearoa New Zealand: a qualitative study	10
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 review	10
Patterns, appropriateness and outcomes of peripherally inserted central catheter use in Brazil: a multicentre study of 12 725 catheters	10
High reliability organising in healthcare: still a long way left to go	10
Association of clinical competence, specialty and physician country of origin with opioid prescribing for chronic pain: a cohort study	10
Days alive and at home after hip fracture: a cross-sectional validation of a patient-centred outcome measure using routinely collected data	10
Roles and effectiveness of knowledge brokers for translating clinical practice guidelines in health-related settings: a systematic review	10
I-PASS handover system: a decade of evidence demands action	10
Sustainability of paediatric asthma care quality in community hospitals after ending a national quality improvement collaborative	10
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis	10
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis	9
Nationwide study on trends in unplanned hospital attendance and deaths during the 7 weeks after the onset of the COVID-19 pandemic in Denmark	9
Crisis checklists in emergency medicine: another step forward for cognitive aids	9
Effectiveness of a multifaceted quality improvement intervention to improve patient outcomes after total hip and knee arthroplasty: a registry nested cluster randomised controlled trial	9
Co-produced capability framework for successful patient and staff partnerships in healthcare quality improvement: results of a scoping review	9
Epidemiology of adverse drug events and medication errors in four nursing homes in Japan: the Japan Adverse Drug Events (JADE) Study	9
Predictors and population health outcomes of persistent high GP turnover in English general practices: a retrospective observational study	9
Evaluation of the NHS England evidence-based interventions programme: a difference-in-difference analysis	9
Does recruiting patients to diabetes prevention programmes via primary care reinforce existing inequalities in care provision between general practices? A retrospective observational study	9
Accreditation in health care: does it make any difference to patient outcomes?	9
Documenting the indication for antimicrobial prescribing: a scoping review	8
Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg	8
Experience of hospital-initiated medication changes in older people with multimorbidity: a multicentre mixed-methods study embedded in the OPtimising thERapy to prevent Avoidable hospital admissions i	8
Negotiating the polypharmacy paradox: a video-reflexive ethnography study of polypharmacy and its practices in primary care	8
Comparing peripherally inserted central catheter-related practices across hospitals with different insertion models: a multisite qualitative study	8
The need for quality self-management support in cancer care	8
Development and pilot testing of survey items to assess the culture of value and efficiency in hospitals and medical offices	8
Implications of resource constraints and high workload on speaking up about threats to patient safety: a qualitative study of surgical teams in Ghana	8
Impact of the COVID-19 pandemic on the incidence and mortality of hospital-onset bloodstream infection: a cohort study	8