Journal of Patient Safety

Article	Citations
Registered Nurses’ and Medical Doctors’ Experiences of Patient Safety in Health Information Exchange During Interorganizational Care Transitions: A Qualitative Review	68
Consequences of Inpatient Falls in Acute Care: A Retrospective Register Study	55
A Clinical Data Warehouse Analysis of Risk Factors for Inpatient Falls in a Tertiary Hospital: A Case-Control Study	49
How Were Patient Safety Incidents Responded to, Investigated, and Learned From Within the English National Health Service Before the Implementation of the Patient Safety Incident Response Framework? A	41
Capturing Parents’ Perspectives of Child Wellness to Support Identification of Acutely Unwell Children in the Emergency Department	40
Allergic Adverse Drug Events After Alert Overrides in Hospitalized Patients	32
Cost-effectiveness Analysis of Peripherally Inserted Central Catheters Versus Central Venous Catheters for in-Hospital Parenteral Nutrition	31
Patient Safety and Legal Regulations: A Total-Scale Analysis of the Scientific Literature	29
Harms and Contributors of Leaving Against Medical Advice in Patients With Infective Endocarditis	28
Supporting Error Management and Safety Climate in Ambulatory Care Practices: The CIRSforte Study	28
Ultrasonic Device Complications in Endodontics: An Analysis of Adverse Events From the Food and Drug Administration Manufacturer and User Facility Device Experience	25
Patient Safety Culture Analysis in Dental Hospital Using Dental Office Survey on Patient Safety Culture Questionnaire: A Cross-cultural Adaptation and Validation Study	25
Incidence of Hospital-Acquired Conditions During Pediatric Clinical Research Inpatient Hospitalizations: A Matched Cohort Study	24
Preventing Potential Patient Harm Through Clinical Content Interventions During Oncology Clinical Trial Implementation	24
COVID-19 Therapeutics Can Be Safely Administered at Home	24
Patient Falls in the Operating Room: Why Is This Still a Problem in 2024?	23
Improving Capnography Use for Critically Ill Emergency Patients: An Implementation Study	22
Hospitals That Report Severe Sepsis and Septic Shock Bundle Compliance Have More Structured Sepsis Performance Improvement	21
Validation of the Second Victim Experience and Support Tool-Revised in the Neonatal Intensive Care Unit	21
Patient Safety Threats in Information Management Using Health Information Technology in Ambulatory Cancer Care: An Exploratory, Prospective Study	19
The Prevention and Treatment of Postoperative Delirium in the Elderly: A Narrative Systematic Review of Reviews	18
Cross-disciplinary Insights for Overcoming Speak-up Barriers in Medical Education	18
Development of an Evidence-Based Instrument to Justify the Use of Physical Restraint in General Adult Ward Settings: A Systematic Review	18
Using the Generic Analysis Method to Analyze Sentinel Event Reports Across Hospitals: A Retrospective Cross-Sectional Study	18
Aspects of Patient Safety Culture Most Associated With Employees’ Overall Rating of Patient Safety and Whether Employees Reported Safety Events: Overall and for hospitals Predominantly Serving Black P	17

Proactive Patient Safety: Focusing on What Goes Right in the Perioperative Environment	17
Does an Orthopedic Ward Round Pro Forma Improve Inpatient Documentation?	16
Understanding Patient and Clinician Reported Nonroutine Events in Ambulatory Surgery	16
Independent Double Checks in the ICU: A Word of Caution	16
Development of a Psychological Scale for Measuring Disruptive Clinician Behavior: Erratum	15
Enhancing Compliance With Work-Hour Restrictions Through Safety Culture and Leadership in Medical Residencies	15
In Situ Simulation for Adoption of New Technology to Improve Sepsis Care in Rural Emergency Departments	14
Pressure Injury Prediction Model Using Advanced Analytics for At-Risk Hospitalized Patients	14
Psychometric Properties of the Safety Climate Survey in Austrian Acute Care: Factor Structure, Reliability, and Usability	14
Applying Healthcare Failure Mode and Effect Analysis and the Development of a Real-Time Mobile Application for Modified Early Warning Score Notification to Improve Patient Safety During Hemodialysis	14
Comparisons of Fall Prevention Activities Using Electronic Nursing Records: A Case-Control Study	13
Patient and Family Involvement in Serious Incident Investigations From the Perspectives of Key Stakeholders: A Review of the Qualitative Evidence	13
Exploring the “Black Box” of Recommendation Generation in Local Health Care Incident Investigations: A Scoping Review	13
Screening for Latent Infections Among Users of High-Risk Immunosuppressants: A Cross-Sectional Analysis From the Veterans Health Administration Healthcare System	13
What Severe Medication Errors Reported to Health Care Supervisory Authority Tell About Medication Safety?	12
Patient Deterioration in Australian Regional and Rural Hospitals: Is the Queensland Adult Deterioration Detection System the Criterion Standard?	12
It’s Called “Informed Consent,” But How “Informed” Are Patients? A Patient Perspective on Informed Consent in a Tertiary Care Hospital in Saudi Arabia	12
Evaluating Patient Identification Practices During Intrahospital Transfers: A Human Factors Approach	12
Patient Safety, One Health Approach, and Linking With Sustainable Development Goals (SDGs): An Indian Perspective	12
Development of the Leapfrog Group’s Bar Code Medication Administration Standard to Address Hospital Inpatient Medication Safety	11
Room of Hazards: A Comparison of Differences in Safety Hazard Recognition Among Various Hospital-Based Healthcare Professionals and Trainees in a Simulated Patient Room	11
Response to “Taking Up the Challenge to Improve Name and Role Recognition in the Operating Room”	10
High-Risk Medication in Home Care Nursing: A Delphi Study	10
Evaluation of Policies Limiting Opioid Exposure on Opioid Prescribing and Patient Pain in Opioid-Naive Patients Undergoing Elective Surgery in a Large American Health System	10
Comparison of a Voluntary Safety Reporting System to a Global Trigger Tool for Identifying Adverse Events in an Oncology Population	10
Transforming the Culture of Peer Review: Implementation Across Three Departments in an Academic Health Center	10
Psychological Impact and Risk of Suicide in Hospitalized COVID-19 Patients, During the Initial Stage of the Pandemic: A Cross-Sectional Study	10
Using a Patient Portal to Screen Patients for Symptoms After Starting New Medications	10
The Association Between Time to First Dose of Venous Thromboembolism Prophylaxis and the Incidence of Hospital-Acquired Venous Thromboembolism	10
Improving Pediatric Drug Safety in Prehospital Emergency Care—10 Years on	9
Unexpected Mechanical Ventilation Dysfunction in a Coronavirus Disease Patient With Severe Pneumonia Due to the Oxygen Flowsensor Failure	9
Working Experience of Managers Who Are Responsible for Promoting and Monitoring Patient Safety in South Korea: Focusing on Small- and Medium-Sized Hospitals	9
Communication During Interhospital Transfers of Emergency General Surgery Patients: A Qualitative Study of Challenges and Opportunities	9
Perceptions of U.S. and U.K. Incident Reporting Systems: A Scoping Review	9
Enhancing Patient Safety in Prehospital Environment: Analyzing Patient Perspectives on Non-Transport Decisions With Natural Language Processing and Machine Learning	9
Comparing Guidelines to Daily Practice When Screening Older Patients for the Risk of Functional Decline in Hospitals: Outcomes of a Functional Resonance Analysis Method (FRAM) Study	9
Spinal Cord Stimulators: An Analysis of the Adverse Events Reported to the Australian Therapeutic Goods Administration	9
Relationships Between Pediatric Safety Indicators Across a National Sample of Pediatric Hospitals: Dispelling the Myth of the “Safest” Hospital	9
Patient Safety Climate, Quality of Care, and Intention of Nursing Professionals to Remain in Their Job During the COVID-19 Pandemic	8
Power Failures During Surgery: A 2000–2019 Review of Reported Events in the Veterans Health Administration	8
Adverse Events in Patients Transitioning From the Emergency Department to the Inpatient Setting	8
Exploring Changes in Patient Safety Incidents During the COVID-19 Pandemic in a Canadian Regional Hospital System: A Retrospective Time Series Analysis	8
Identifying Contributing Factors Associated With Dental Adverse Events Through a Pragmatic Electronic Health Record–Based Root Cause Analysis	8
Monitoring Preventable Adverse Events and Near Misses: Number and Type Identified Differ Depending on Method Used	8
Why Is Patient Safety a Challenge? Insights From the Professionalism Opinions of Medical Students’ Research	8
Evaluation of National Patient Safety Implementation Framework in Selected Public Healthcare Facilities of Tamil Nadu: An Operational Research	8
Patient Outcomes Compared Between Admissions Coordinated by the Transfer Center and Emergency Department at a U.S. Tertiary Care Hospital	8
Impact of Repeated Reimbursement Penalties on Hospital Total Quality Scores	8
Characteristics of Cumulative Annual Radiation Exposure in Young Intensive Care Unit Survivors	8
The Impact of a 22-Month Multistep Implementation Program on Speaking-Up Behavior in an Academic Anesthesia Department	8

Second Victims in Mental Health Care	8
From Missed Appointments to Missed Opportunities: The Patient Safety Challenge	8
Saturday Elective Operations: Untapped Opportunity or Dangerous Fool’s Errand	8
Incorporating Patient Safety and Quality Into the Medical School Curriculum: An Assessment of Student Gains	8
Review of Reported Adverse Events Occurring Among the Homeless Veteran Population in the Veterans Health Administration	8
Effects of Generic Exchange of Levodopa Medication in Patients With Parkinson Disease	8
Evaluating the Effects of a General Anesthesia and Prone Position Nursing Checklist and Training Course on Posterior Lumbar Surgery: A Randomized Controlled Trial	7
Development of a Quality Improvement Dental Chart Review Training Program	7
What Drives Patients’ Complaints About Adverse Events in Their Hospital Care? A Data Linkage Study of Australian Adults 45 Years and Older	7
A Cohort Study of Nonfood Choking Incidents in the Hospital	7
Development and Psychometric Evaluation of the Wright Normalization of Deviance (NOD) Scale	7
Preventing Surgical Site Infections: Are Safety Climate Level and Its Strength Associated With Self-reported Commitment To, Subjective Norms Toward, and Knowledge About Preventive Measures?	7
Development and Validation of an Evaluation Tool of Consumers’ Knowledge and Confidence to Report Patient Deterioration in Hospitals	7
Evaluation of In-Hospital Venous Thromboembolism Prevention and Management System Using Hospital-Level Metrics: A Nationwide Cross-Sectional Survey in China	7
The Impact of Electronic Communication of Medication Discontinuation (CancelRx) on Medication Safety: A Pilot Study	7
Effect of a Financial Incentive Scheme for Medication Review on Polypharmacy in Elderly Inpatients With Dementia: A Retrospective Before-and-After Study	7
Preanalytical Errors in Clinical Biochemistry Laboratory and Relationship With Hospital Departments and Staff: A Record-Based Study	7
Implementation of a Checklist for Surgical Inpatient Rounds: An Observational Cohort Study	7
The Patient Safety Adoption Framework: A Practical Framework to Bridge the Know-Do Gap	7
Cross-cultural Adaptation of the Safety Attitudes Questionnaire Short Form in Spanish and Italian Operating Rooms: Psychometric Properties	7
Dental Anesthesia Guidelines and Regulations of US States and Major Professional Organizations: A Review	7
Neonatal Adverse Events’ Trigger Tool Setup With Random Forest	7
Application of the IMB Model in the Vision of Zero Harm Caused by Magnetic Resonance Ferromagnetic Projection Accidents	7
Alcohol-Based Hand Rub Consumption and World Health Organization Hand Hygiene Self-Assessment Framework: A Comparison Between the 2 Surveillances in a 4-Year Region-Wide Experience	7
Defects in Value Associated With Hospital-Acquired Conditions: How Improving Quality Could Save U.S. Healthcare $50 Billion	7
The Government as Plaintiff: An Analysis of Medical Litigation Against Healthcare Providers in the Eastern Province of the Kingdom of Saudi Arabia	6
Incorporating a Patient Safety and Quality Course Into the Nursing Curriculum: An Assessment of Student Gains	6
The Voice of the Patient: Patient Roles in Antibiotic Management at the Hospital-to-Home Transition	6
Developing and Aligning a Safety Event Taxonomy for Inpatient Psychiatry: Erratum	6
Self-assessment and Modulation of Traction During Shoulder Dystocia Simulation Training	6
A Novel Color-Coding Method to Prevent Wrong-Site Surgery in Ophthalmology	6
The Relationship Between Duration of General Anesthesia and Postoperative Fall Risk During Hospital Stay in Orthopedic Patients	6
Patient Preferences for Rituximab Additional Risk Minimization Measures: Results From an International Online Survey	6
Care Home Safety Incidents and Safeguarding Reports Relating to Hospital to Care Home Transitions: A Retrospective Content Analysis	6
A Retrospective Review of Serious Surgical Incidents in 5 Large UK Teaching Hospitals: A System-Based Approach	6
Letter to the Editor—Response to “A Qualitative Analysis of Outpatient Medication Use in Community Settings: Observed Safety Vulnerabilities and Recommendations for Improved Patient Safety”	6
Characteristics of Fall Occurrence in Hospitals and the Factors Influencing Falls That Require Additional Medical Care: Based on an Accident Database	6
Teamwork Before and During COVID-19: The Good, the Same, and the Ugly…	6
Outcomes for Hospitalized Aggressive and Violent Patients When Physical Restraints Are Introduced	6
Critical Care Clinicians’ Experiences of Patient Safety During the COVID-19 Pandemic	6
The Implementation of Perioperative Geriatric Management Could Decrease the Incidence of Postoperative Delirium in the Elderly Undergoing Major Orthopedic Surgeries	6
Temporal Trends in Adverse Effects of Medical Treatment Among Chinese Children and Adolescents, 1990-2021: Evidence From the Global Burden of Disease 2021 Study	6
Translating the Leapfrog Safety Letter Grade to a Percentile: Unlock Your Hospital’s Door to Quality Improvement With This Easy “Quality Hack”	6
Ambulatory Medication Errors and Adverse Events Involved in Medicine-Related Malpractice Cases From 2011 to 2021	6
Mobile Phones in the Operating Room: A Call for Strict Regulation to Ensure Patient Safety	6
Safety of Elderly Fallers: Identifying Associated Risk Factors for 30-Day Unplanned Readmissions Using a Clinical Data Warehouse	6
Response to the Letter to the Editor by Cioccari et al	6
Uncovering the Risks of Anticancer Therapy Through Incident Report Analysis Using a Newly Developed Medical Oncology Incident Taxonomy	6
Influence of Psychological Safety and Organizational Support on the Impact of Humiliation on Trainee Well-Being	6
SCALPEL: A Structured Handoff Protocol for Scrub Nurses in the Operating Room for Patient Safety	6
Knowledge and Practices Regarding Prevention of Central Venous Catheter Removal-Associated Air Embolism: A Survey of Nonintensive Care Unit Medical and Nursing Staff	6
Value of Incident Reporting to Address Real-time Safety Opportunities During the COVID-19 Pandemic	6
Safety of High-Intensity, Low-Volume Interval Training or Continuous Aerobic Training in Adults With Metabolic Syndrome	5
A 6-Year Thematic Review of Reported Incidents Associated With Cardiopulmonary Resuscitation Calls in a United Kingdom Hospital	5
Validation and Psychometric Properties of the Spanish Version of the Second Victim Experience and Support Tool Questionnaire	5
Content Analysis of Patient Safety Incident Reports for Older Adult Patient Transfers, Handovers, and Discharges: Do They Serve Organizations, Staff, or Patients?	5
Factors Related to Medication Administration Incidents in England and Wales Between 2007 and 2016: A Retrospective Trend Analysis	5
Wrong-Site Surgery in Spain and Professional Liability Claims	5
Veterans Health Administration Response to the COVID-19 Crisis: Surveillance to Action	5
The Barriers and Enhancers to Trust in a Just Culture in Hospital Settings: A Systematic Review	5
Introduction of a Novel Patient Safety Advisory: Evaluation of Perceived Information With a Modified QPP Questionnaire—A Case-Control Study	5
Decreasing Hospital-acquired Pressure Injuries During the COVID-19 Pandemic: A 5-step Quality Improvement Approach	5
Translation and Comprehensive Validation of the Hebrew Survey on Patient Safety Culture (HSOPS 2.0)	5
Making Sense of Patient Safety Through Cultural-Historical Activity Theory and Complexity Modeling	5
Considerations and Challenges When Using Clinical and Vital Record Review for Suicide Research	5
Critical Care Simulation Education Program During the COVID-19 Pandemic	5
Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events	5
Integrating Multifaceted Strategies to Prevent Patient Falls: Insights and Implementations at Taoyuan Psychiatric Center	5
Implementation of a Standardized Tool for Root Cause Analysis Selection	5
Reducing Falls in Dementia Inpatients Using Vision-Based Technology	5
Responding to COVID-19 Through Interhospital Resource Coordination: A Mixed-Methods Evaluation	5
Evaluation of the Culture of Safety and Quality in Pediatric Primary Care Practices	5
The Potential Role of Smart Infusion Devices in Preventing or Contributing to Medication Administration Errors: A Descriptive Study of 2 Data Sets	5
Delays in Diagnosis, Treatment, and Surgery: Root Causes, Actions Taken, and Recommendations for Healthcare Improvement	5
Closed-Loop Communication in Interprofessional Emergency Teams: A Cross-Sectional Observation Study on the Use of Closed-Loop Communication Among Anesthesia Personnel	5
Factors Causing Variation in World Health Organization Surgical Safety Checklist Effectiveness—A Rapid Scoping Review	5
Patient Safety Education in the Undergraduate Dental Curriculum: Evidence Base and Current Practice in UK Dental Schools	5
Overview of Patient Safety Culture in Bosnia and Herzegovina With Improvement Recommendations for Hospitals	5
Understanding Hazards for Adverse Drug Events Among Older Adults After Hospital Discharge: Insights From Frontline Care Professionals	5
The Influence of Preoperative Waiting Time on Anxiety and Pain Levels in Outpatient Surgery for Breast Diseases	5

Validation of a Reduced Set of High-Performance Triggers for Identifying Patient Safety Incidents with Harm in Primary Care: TriggerPrim Project	5
Discrepancies Between Clinical and Autopsy Diagnoses in Rapid Response Team–Assisted Patients: What Are We Missing?	5