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 2021-12-01 to 2025-12-01.)

Article	Citations
Prevention in adults of transmission of infection with multidrug-resistant organisms: an updated systematic review from Making Healthcare Safer IV	136
Hip fracture in the COVID-19 era: what can we say about care and patient outcomes?	76
We will take some team resilience, please: Evidence-based recommendations for supporting diagnostic teamwork	57
Can virtual reality simulations improve macrocognition?	50
Effectiveness of computerised alerts to reduce drug–drug interactions (DDIs) and DDI-related harm in hospitalised patients: a quasi-experimental controlled pre–post study	48
Towards comprehensive fidelity evaluations: consideration of enactment measures in quality improvement interventions	46
It’s time for the field of geriatrics to invest in implementation science	43
From parallel tracks to integrated practice: advancing the integration of quality improvement and implementation science	42
Quality and Safety in the Literature: November 2022	39
Quality and safety in the literature: January 2023	36
Pragmatic randomised trial assessing the impact of peer comparison and therapeutic recommendations, including repetition, on antibiotic prescribing patterns of family physicians across British Columbi	35
Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg	34
Progressing patient safety in the Emergency Medical Services	33
Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study	33
How can we finally reduce repetitive routine laboratory tests for hospitalised patients?	29
Engagement and fidelity of a cardiovascular disease prevention-focused digital health intervention in cardiology outpatient waiting rooms: a mixed-methods study	27
Practice or perfect? Coaching for a growth mindset to improve the quality of healthcare	26
Quality of care for secondary cardiovascular disease prevention in 2009–2017: population-wide cohort study of antiplatelet therapy use in Scotland	25
Approach to systematically examine the usefulness of quality measures in practice: Minnesota’s nursing home quality indicators and scoring approach	24
Understanding the challenges and successes of implementing ‘hybrid’ interventions in healthcare settings: findings from a process evaluation of a patient involvement trial	24
Service users’ experiences of maternity care in England informed by the Saving Babies’ Lives Care Bundle Version 2: A reflexive thematic analysis	24
An anthropologist’s insight into healthcare data – multiple and rich of contradictions	23
Assessing quality of direct-to-consumer telemedicine in China: a cross-sectional study using unannounced standardised patients	23
Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study	23
Sustainability of the de-implementation of low-value care in infants with bronchiolitis: 2-year follow-up of a cluster randomised controlled trial	23

Assessing patient work system factors for medication management during transition of care among older adults: an observational study	23
Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments	22
Why hospital falls prevention remains a global healthcare priority	22
Sustaining interventions in care homes initiated by quality improvement projects: a qualitative study	22
How to scale and spread catheter avoidance nationwide	22
Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflections during team debriefings	22
Factors associated with proximal femoral fractures in older adults during hospital stay: a cross-sectional study	21
Temporal structures that determine consistency and quality of care: a case study in hyperacute stroke services	21
Quality and Safety in the Literature: March 2022	20
‘Show me the data!’ Using time series to display performance data for hospital boards	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	18
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis	18
Integration and connection: the key to effectiveness of large-scale pharmacist-led medication reviews?	18
Top-down and bottom-up approaches to low-value care	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
Inequalities exacerbated: an all-too-familiar story	17
Unintended consequences of the 18-week referral to treatment standard in NHS England: a threshold analysis	17
Association of volume and prehospital paediatric care quality in emergency medical services: retrospective analysis of a national sample	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
Under-reporting of falls in hospitals: a multisite study in South Korea	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
Changing the patient safety mindset: can safety cases help?	16
Grand rounds in methodology: when are realist reviews useful, and what does a ‘good’ realist review look like?	15
Accuracy of telephone triage for predicting adverse outcomes in suspected COVID-19: an observational cohort study	15
Artificial intelligence chain-of-thought reasoning in nuanced medical scenarios: mitigation of cognitive biases through model intransigence	15
Use of structured handoff protocols for within-hospital unit transitions: a systematic review from Making Healthcare Safer IV	14
‘My Five Moments’: understanding a user-centred approach to hand hygiene improvement within a broader implementation strategy	14
Measuring gist-based perceptions of medication benefit-to-harm ratios	14
Grand rounds in methodology: improving the design of staggered implementation cluster randomised trials	14
Reporting on implementation trials with null findings: the need for concurrent process evaluation reporting	14
Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort	14
The Evolving Economics of Implementation	14
Evaluating the effects of increasing nursing numbers on quality of newborn care in understaffed neonatal units in Kenya: a prospective intervention study	14
Quality and Safety in the Literature: May 2022	13
Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis	13
Is hospital-onset bacteraemia and fungaemia an actionable quality measure?	13
Understanding patient safety during earthquakes: a phenomenological study of disaster response	13
Impact of the COVID-19 pandemic on the incidence and mortality of hospital-onset bloodstream infection: a cohort study	13
Clinical decision-making and algorithmic inequality	13
Identifying patients with additional needs isn’t enough to improve care: harnessing the benefits and avoiding the pitfalls of classification	13
Time to de-implementation of low-value cancer screening practices: a narrative review	12
Implications of resource constraints and high workload on speaking up about threats to patient safety: a qualitative study of surgical teams in Ghana	12
Economic analysis of surgical outcome monitoring using control charts: the SHEWHART cluster randomised trial	12
Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative	12
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis	12
Is targeting healthcare’s carbon footprint really the best we can do to help address the climate crisis?	12
Embracing carers: when will adult hospitals fully adopt the same practices as children’s hospitals?	12
More alerts, less harm? Rethinking medication safety with AI	12

Targets: unintended and unanticipated effects	12
Reducing unnecessary diagnostic phlebotomy in intensive care: a prospective quality improvement intervention	11
Correction: It’s time for the field of geriatrics to invest in implementation science	11
Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions	11
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	11
Adding value to the diagnostic process	11
Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy	11
Work addiction and quality of care in healthcare: Working long hours should not be confused with addiction to work	11
What and when to debrief: a scoping review examining interprofessional clinical debriefing	10
Interrupting false narratives: applying a racial equity lens to healthcare quality data	10
Impact of a financial incentive on early rehabilitation and outcomes in ICU patients: a retrospective database study in Japan	10
Inappropriate prescribing for older people with reduced kidney function: can we do better at the primary care level?	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
Quality and safety in the literature: January 2024	10
Effect of implementing a heart failure admission care bundle on hospital readmission and mortality rates: interrupted time series study	9
Moving the needle: using quality improvement to address gaps in sickle cell care	9
Randomised controlled trial of audit-and-feedback strategies to reduce imaging overutilisation in the emergency department	9
How can we promote greater adoption of AI in healthcare?	9
Ending nuclear weapons, before they end us	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
The problem with uptake as a quality metric for population-based screening programmes	9
Negotiating the polypharmacy paradox: a video-reflexive ethnography study of polypharmacy and its practices in primary care	9
Locum doctor working and quality and safety: a qualitative study in English primary and secondary care	9
Quality improvement collaborative to increase access to caesarean sections: lessons from Bihar, India	9
Safety netting: time to stop relying on verbal interventions to manage diagnostic uncertainty?	9
Predictors and population health outcomes of persistent high GP turnover in English general practices: a retrospective observational study	9
Common contributing factors of diagnostic error: A retrospective analysis of 109 serious adverse event reports from Dutch hospitals	9
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
Development and validation of the Overall Fidelity Enactment Scale for Complex Interventions (OFES-CI)	8
Digital quality measure of potentially avoidable emergency presentations among patients with colorectal cancer	8
Effective use of interdisciplinary approaches in healthcare quality: drawing on operations and visual management	8
Art of leading quality improvement	8
Quantifying the cost savings and health impacts of improving colonoscopy quality: an economic evaluation	8
Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review	8
Elusive but hopefully not illusive: coordinating care for patients with heart failure with preserved ejection fraction	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 wit	8
What do clinical practice guidelines say about deprescribing? A scoping review	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