OOIR: Observatory of International Research

Papers

(The TQCC of BMJ Quality & Safety is 7. 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 2021-01-01 to 2025-01-01.)

Article	Citations
Is targeting healthcare’s carbon footprint really the best we can do to help address the climate crisis?	77
Rethinking standardised infection rates and risk adjustment in the COVID-19 era	58
Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study	53
Quality and safety in the literature: September 2021	51
Quality and Safety in the Literature: January 2022	47
COVID-19 hospital prevalence as a risk factor for mortality: an observational study of a multistate cohort of 62 hospitals	40
Deconstructing improvements and hospital variation in COVID-19 mortality rates during the early pandemic wave: the effects of wave evolution and advances in testing, treatment, and hospital care quali	37
Hip fracture in the COVID-19 era: what can we say about care and patient outcomes?	34
Applying a systems lens to understand patient safety effectiveness in low-and-middle-income countries	33
Quality and Safety in the Literature: July 2021	31
Mental health services: quality, safety and suicide	31
Towards comprehensive fidelity evaluations: consideration of enactment measures in quality improvement interventions	28
Interruptive alerts: only one part of the solution for clinical decision support	27
Evaluation of hospital-onset bacteraemia and fungaemia in the USA as a potential healthcare quality measure: a cross-sectional study	27
Peripherally inserted central catheters: spreading the MAGIC beyond Michigan	27
Economic analysis of surgical outcome monitoring using control charts: the SHEWHART cluster randomised trial	27
Development and validation of a new ICD-10-based screening colonoscopy overuse measure in a large integrated healthcare system: a retrospective observational study	27
Prevention in adults of transmission of infection with multidrug-resistant organisms: an updated systematic review from Making Healthcare Safer IV	27
Mortality before and after reconfiguration of the Danish hospital-based emergency healthcare system: a nationwide interrupted time series analysis	26
Moving upstream to address diagnostic disparities	25
Embracing carers: when will adult hospitals fully adopt the same practices as children’s hospitals?	24
CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity	24
Timely testing: who needs to do what differently to improve adherence to guideline-recommended glycaemic monitoring?	24
Through the patients’ eyes: psychometric evaluation of the 64-item version of the Experienced Patient-Centeredness Questionnaire (EPAT-64)	23
Large language models in healthcare information research: making progress in an emerging field	23

Reducing the value/burden ratio: a key to high performance in value-based care	23
Implications of resource constraints and high workload on speaking up about threats to patient safety: a qualitative study of surgical teams in Ghana	22
Reaching 95%: decision support tools are the surest way to improve diagnosis now	21
Quality and Safety in the Literature: May 2022	21
Decoding behaviour change techniques in opioid deprescribing strategies following major surgery: a systematic review of interventions to reduce postoperative opioid use	20
Reconfiguring emergency and acute services: time to pause and reflect	20
Conceptualising interventions to enhance spread in complex systems: a multisite comprehensive medication review case study	20
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis	20
Overcoming the ‘self-limiting’ nature of QI: can we improve the quality of patient care while caring for staff?	19
Is hospital-onset bacteraemia and fungaemia an actionable quality measure?	19
Effectiveness of a multifaceted intervention to improve emergency department care of low back pain: a stepped-wedge, cluster-randomised trial	19
Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices	19
Handoff improvement and adverse event reduction programme implementation in paediatric intensive care units in Argentina: a stepped-wedge trial	18
Days alive and at home after hip fracture: a cross-sectional validation of a patient-centred outcome measure using routinely collected data	18
Can virtual reality simulations improve macrocognition?	17
Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative	17
Examining telehealth through the Institute of Medicine quality domains: unanswered questions and research agenda	16
Is greater patient involvement associated with higher satisfaction? Experimental evidence from a vignette survey	16
Surgical informed consent practices and influencing factors in sub-Saharan Africa: a scoping review of the literature	16
Medication-related Medical Emergency Team activations: a case review study of frequency and preventability	16
How safe is the diagnostic process in healthcare?	16
Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice?	16
Effectiveness of a medication adherence management intervention in a community pharmacy setting: a cluster randomised controlled trial	15
The problem with ‘My Five Moments for Hand Hygiene’	15
The good, the bad and the ugly: What do we really do when we identify the best and the worst organisations?	15
Identifying patients with additional needs isn’t enough to improve care: harnessing the benefits and avoiding the pitfalls of classification	15
Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the English NHS, 2010–2023	15
Quality & safety in the literature: May 2021	15
Impact of COVID-19 on opioid use in those awaiting hip and knee arthroplasty: a retrospective cohort study	14
Factors that influence the implementation of (inter)nationally endorsed health and social care standards: a systematic review and meta-summary	14
Overdiagnosis of urinary tract infection linked to overdiagnosis of pneumonia: a multihospital cohort study	14
Clinical decision-making and algorithmic inequality	14
Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care	14
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	14
It’s time for the field of geriatrics to invest in implementation science	14
Quality and safety in the literature: July 2023	13
Medical safety huddles to engage frontline physicians in patient safety: calling physicians back to the table	13
Challenge of optimising medication in people with severe mental illness	13
Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial	13
Smart agent system for insulin infusion protocol management: a simulation-based human factors evaluation study	13
It’s time to consider national culture when designing team training initiatives in healthcare	13
Effect of the surgical safety checklist on provider and patient outcomes: a systematic review	12
Quality and safety in the literature: January 2023	12
Reducing unnecessary diagnostic phlebotomy in intensive care: a prospective quality improvement intervention	12
Meeting external demands to improve quality and safety of care: learning systematically from the literature	12
Quality and safety in the literature: April 2023	12
“It’s probably an STI because you’re gay”: a qualitative study of diagnostic error experiences in sexual and gender minority individuals	12
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 regression	12
Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg	12
Closing the gap on healthcare quality for equity-deserving groups: a scoping review of equity-focused quality improvement interventions in medicine	11

Learning from successes: designing medication adherence intervention research so that we can learn what works and why	11
Have we forgotten the moral justification for patient-centred care?	11
How to co-design a prototype of a clinical practice tool: a framework with practical guidance and a case study	11
Medication safety in nursing home patients	11
Engagement and fidelity of a cardiovascular disease prevention-focused digital health intervention in cardiology outpatient waiting rooms: a mixed-methods study	11
Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic review and narrative synthesis	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
Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study	10
Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient?	10
The problem with … using stories as a source of evidence and learning	10
Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study	10
Time to treat the climate and nature crisis as one indivisible global health emergency	10
Longitudinal cohort study of discrepancies between prescribed and administered polypharmacy rates: implications for National Aged Care Quality Indicator Programs	10
Overuse of diagnostic testing in healthcare: a systematic review	10
Adding value to the diagnostic process	10
Addressing quality in surgical services in sub-Saharan Africa: hospital context and data standardisation matter	10
Talking about falls: a qualitative exploration of spoken communication of patients’ fall risks in hospitals and implications for multifactorial approaches to fall prevention	9
Targets: unintended and unanticipated effects	9
Understanding linguistic inequities in healthcare: moving from the technical to the social	9
Quality and Safety in the Literature: November 2022	9
Economic evaluations of audit and feedback interventions: a systematic review	9
Imperfection in adverse event detection: is this the opportunity to mature our focus on preventing harm in paediatrics?	9
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	9
Practice or perfect? Coaching for a growth mindset to improve the quality of healthcare	9
Progressing patient safety in the Emergency Medical Services	9
Work addiction and quality of care in healthcare: Working long hours should not be confused with addiction to work	9
Effects of ethical climate in association with tenure on work addiction, quality of care and staff retention: a cross-sectional study	8
What and when to debrief: a scoping review examining interprofessional clinical debriefing	8
Patient safety for clinical practice	8
Learning how and why complex improvement interventions work: insights from implementation science	8
Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy	8
Accreditation in health care: does it make any difference to patient outcomes?	8
WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study	8
Disclosing medical errors: prioritising the needs of patients and families	8
Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety	8
Speaking up in resource-constrained settings: how to secure safe surgical care in the moment and in the future?	7
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals	7
Interrupting false narratives: applying a racial equity lens to healthcare quality data	7
How can we finally reduce repetitive routine laboratory tests for hospitalised patients?	7
Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study	7
No one left behind: a case for more inclusivity in authorship for quality improvement and implementation research	7
Factors affecting implementation of a National Clinical Programme for self-harm in hospital emergency departments: a qualitative study	7
Surgeons and systems working together to drive safety and quality	7
What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study	7