OOIR: Observatory of International Research

Papers

(The TQCC of Journal of Patient Safety is 4. 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 2021-04-01 to 2025-04-01.)

Article	Citations
The Impact of a Patient Participating in Evaluating Patient Safety by Using the Patient Measure of Safety in Saudi Arabia: A Cross-Sectional Study	61
A Practical Guide for Building Collaborations Between Clinical Researchers and Engineers: Lessons Learned From a Multidisciplinary Patient Safety Project	57
The Analysis of Hospital Readmission Rates After the Implementation of Hospital Readmissions Reduction Program	50
Widespread Misinterpretation of Advance Directives and Portable Orders for Life-Sustaining Treatments Threatens Patient Safety and Causes Undertreatment and Overtreatment	46
Patient Safety Culture in Dentistry Analysis Using the Safety Attitude Questionnaire in DKI Jakarta, Indonesia: A Cross-Cultural Adaptation and Validation Study	41
Standardization of Pediatric Noncardiac Operating Room to Intensive Care Unit Handoffs Improves Communication and Patient Care	35
Evaluating Independent Double Checks in the Pediatric Intensive Care Unit: A Human Factors Engineering Approach	35
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”	34
Assessment of Culture and Laboratory Practices Related to Patient Safety in Brazilian Laboratories	30
Introduction of an Ambulatory Care Medication Reconciliation Service in Dialysis Patients: Positive Impact on Medication Prescribing and Economic Benefit	26
Using the Generic Analysis Method to Analyze Sentinel Event Reports Across Hospitals: A Retrospective Cross-Sectional Study	25
Cost-effectiveness Analysis of Peripherally Inserted Central Catheters Versus Central Venous Catheters for in-Hospital Parenteral Nutrition	24
Patients Who Decompensate and Trigger Rapid Response Immediately Upon Hospital Admission Have Higher Mortality Than Equivalent Patients Without Rapid Responses	22
Ultrasonic Device Complications in Endodontics: An Analysis of Adverse Events From the Food and Drug Administration Manufacturer and User Facility Device Experience	22
Toward Constructive Change After Making a Medical Error: Recovery From Situations of Error Theory as a Psychosocial Model for Clinician Recovery	21
Allergic Adverse Drug Events After Alert Overrides in Hospitalized Patients	21
A Collaborative Call for Changes in Reimbursement Policies to Achieve Improvements in Hospital Safety Related to Pressure Injuries	21
Patients’ Experiences of Dental Diagnostic Failures: A Qualitative Study Using Social Media	20
Improving Capnography Use for Critically Ill Emergency Patients: An Implementation Study	20
Harms and Contributors of Leaving Against Medical Advice in Patients With Infective Endocarditis	20
Incidence of Hospital-Acquired Conditions During Pediatric Clinical Research Inpatient Hospitalizations: A Matched Cohort Study	18
A Novel Color-Coding Method to Prevent Wrong-Site Surgery in Ophthalmology	17
Are Operating Rooms With Laminar Airflow a Risk for Inadvertent Perioperative Hypothermia During Ureterorenoscopic Lithotripsy Under Spinal Anesthesia? A Prospective Randomized Clinical Trial	17
Optimizing Hospital Electronic Prescribing Systems: A Systematic Scoping Review	16
Translating the Leapfrog Safety Letter Grade to a Percentile: Unlock Your Hospital’s Door to Quality Improvement With This Easy “Quality Hack”	15

Patient Safety Threats in Information Management Using Health Information Technology in Ambulatory Cancer Care: An Exploratory, Prospective Study	14
Uncovering the Risks of Anticancer Therapy Through Incident Report Analysis Using a Newly Developed Medical Oncology Incident Taxonomy	14
Linking Patient Safety Climate With Missed Nursing Care in Labor and Delivery Units: Findings From the LaborRNs Survey	13
Race Differences in Reported “Near Miss” Patient Safety Events in Health Care System High Reliability Organizations	13
Capturing Parents’ Perspectives of Child Wellness to Support Identification of Acutely Unwell Children in the Emergency Department	13
Consequences of Inpatient Falls in Acute Care: A Retrospective Register Study	13
Ten-Year Trend in Polypharmacy in the Lausanne Population	13
Improving Safety and Quality During Interhospital Transfer of Patients With Nontraumatic Intracranial Hemorrhage: A Simulation-Based Pilot Program	13
Occupational Prevention of COVID-19 Among Healthcare Workers in Primary Healthcare Settings: Compliance and Perceived Effectiveness of Personal Protective Equipment	12
Is Elective Nighttime Operation Associated With Adverse Outcomes? Analysis in Immediate Tissue Expander–Based Breast Reconstruction	12
Lessons Learned in Implementing a Chronic Opioid Therapy Management System	12
Body Mass Index Is Not an Independent Factor Associated With Recovery Room Length of Stay for Patients Undergoing Outpatient Surgery	11
Self-assessment and Modulation of Traction During Shoulder Dystocia Simulation Training	11
Understanding Risk Factors for Complaints Against Pharmacists: A Content Analysis	11
Validation of the Second Victim Experience and Support Tool-Revised in the Neonatal Intensive Care Unit	11
Usability and Accessibility of Publicly Available Patient Safety Databases	11
COVID-19 Therapeutics Can Be Safely Administered at Home	10
Supporting Error Management and Safety Climate in Ambulatory Care Practices: The CIRSforte Study	10
Patient Safety and Legal Regulations: A Total-Scale Analysis of the Scientific Literature	10
Patient Falls in the Operating Room: Why Is This Still a Problem in 2024?	10
A Retrospective Review of Serious Surgical Incidents in 5 Large UK Teaching Hospitals: A System-Based Approach	10
Safety of Elderly Fallers: Identifying Associated Risk Factors for 30-Day Unplanned Readmissions Using a Clinical Data Warehouse	10
Patient Safety: Where to Aim When Zero Harm Is Not the Target–A Case for Learning and Resilience	10
Patient Safety Culture Analysis in Dental Hospital Using Dental Office Survey on Patient Safety Culture Questionnaire: A Cross-cultural Adaptation and Validation Study	10
Response to the Letter to the Editor by Cioccari et al	9
Registered Nurses’ and Medical Doctors’ Experiences of Patient Safety in Health Information Exchange During Interorganizational Care Transitions: A Qualitative Review	9
Eight-Year Trends in Direct-Acting Oral Anticoagulant Dosing, Based on Age and Kidney Function, in Patients With Atrial Fibrillation	9
Bedside Clinicians’ Perceptions on the Contributing Role of Diagnostic Errors in Acutely Ill Patient Presentation: A Survey of Academic and Community Practice	9
A Worldwide Bibliometric Analysis of Published Literature on Medication Errors	9
Report of a Multimodal Strategy for Improvement of Hand Hygiene Compliance in a Latin American Hospital. How Far From Excellence?	9
Increasing Hospital Fires During the COVID-19 Pandemic in India: Are the Current Policies and Infrastructure Adequate?	9
Efficiency and Safety of Electronic Health Records in Switzerland—A Comparative Analysis of 2 Commercial Systems in Hospitals	9
Adaptive Capacity Within the Homecare Setting: The Importance and Value of a Shared Perception of Risk	8
The Government as Plaintiff: An Analysis of Medical Litigation Against Healthcare Providers in the Eastern Province of the Kingdom of Saudi Arabia	8
Pharmacovigilance Indicators in Health Services: A Systematic Review. Are There Still Relevant Gaps?	8
Critical Care Clinicians’ Experiences of Patient Safety During the COVID-19 Pandemic	8
Test-Retest Reliability of an Experienced Global Trigger Tool Review Team	7
Understanding the Second Victim Experience Among Multidisciplinary Providers in Obstetrics and Gynecology	7
Enhancing Sepsis Care at an Academic Emergency Department in a Resource-Constrained Setting: A Quality Improvement Initiative	7
The Implementation of Perioperative Geriatric Management Could Decrease the Incidence of Postoperative Delirium in the Elderly Undergoing Major Orthopedic Surgeries	7
Exploring the Relationship Between Hospital Patient Safety Culture and Performance on Measures of Hospital-Acquired Conditions	7
Characteristics of Fall Occurrence in Hospitals and the Factors Influencing Falls That Require Additional Medical Care: Based on an Accident Database	7
Examining the Relationship Between Nurses’ Fear of COVID-19 and Nursing Care Behavior	7
Patient Safety Culture and Home Health Care	7
Outcomes for Hospitalized Aggressive and Violent Patients When Physical Restraints Are Introduced	7
Rapid Response System Components and In-Hospital Cardiac Arrests Rates 21 Years After Introduction Into an Australian Teaching Hospital	7
Open Disclosure Among General Practitioners as Second Victim of a Patient Safety Incident: A Cross-Sectional Study in Flanders (Belgium)	7
Multi-Institutional Stereotactic Body Radiation Therapy Incident Learning: Evaluation of Safety Barriers Using a Human Factors Analysis and Classification System	7
Ambulatory Medication Errors and Adverse Events Involved in Medicine-Related Malpractice Cases From 2011 to 2021	7
A Monte Carlo Simulation to Estimate the Additional Cost Associated With Adverse Medication Events Leading to Intraoperative Hypotension and/or Hypertension in the United States	7

Intelligent Verification Tool for Surgical Information of Ophthalmic Patients: A Study Based on Artificial Intelligence Technology	7
Analyzing and Discussing Human Factors Affecting Surgical Patient Safety Using Innovative Technology: Creating a Safer Operating Culture	7
Validity and Reliability Study of the Turkish Adaptation of the “Medical Office Survey on Patient Safety Culture”	7
Pre-endoscopy Anesthesiology Clinic Evaluation Does Not Reduce Adverse Event Rates for High-risk for Sedation Patients	7
Compensation After Surgical Treatment for Hallux Valgus: A Review of 369 Claims to the Norwegian System of Patient Injury Compensation 2010–2020	6
Cost of Health Care–Associated Infections in the United States	6
Preventing Potential Patient Harm Through Clinical Content Interventions During Oncology Clinical Trial Implementation	6
What Do We Really Know About Crew Resource Management in Healthcare?: An Umbrella Review on Crew Resource Management and Its Effectiveness	6
A Clinical Data Warehouse Analysis of Risk Factors for Inpatient Falls in a Tertiary Hospital: A Case-Control Study	6
The Voice of the Patient: Patient Roles in Antibiotic Management at the Hospital-to-Home Transition	6
Avoidable Adverse Events Related to Ignoring the Do-Not-Do Recommendations: A Retrospective Cohort Study Conducted in the Spanish Primary Care Setting: Erratum	6
Incorporating a Patient Safety and Quality Course Into the Nursing Curriculum: An Assessment of Student Gains	6
A Scoping Review on the Incidence of Nonoperating Room Anesthesia Safety Events	6
Safety Attitude of Operating Room Personnel Associated With Accurate Completion of a Surgical Checklist: A Cross-sectional Observational Study	6
Using Community Detection Techniques to Identify Themes in COVID-19–Related Patient Safety Event Reports	6
Influence of Psychological Safety and Organizational Support on the Impact of Humiliation on Trainee Well-Being	6
The Relationship Between Duration of General Anesthesia and Postoperative Fall Risk During Hospital Stay in Orthopedic Patients	6
Developing and Aligning a Safety Event Taxonomy for Inpatient Psychiatry: Erratum	6
Hospitals That Report Severe Sepsis and Septic Shock Bundle Compliance Have More Structured Sepsis Performance Improvement	6
Frequency and Nature of Communication and Handoff Failures in Medical Malpractice Claims	6
Visitor Restrictions During the COVID-19 Pandemic and Increased Falls With Harm at a Canadian Hospital: An Exploratory Study	6
Teamwork Before and During COVID-19: The Good, the Same, and the Ugly…	6
Development and Psychometric Analysis of a Patient-Reported Measure of Diagnostic Excellence for Emergency and Urgent Care Settings	6
Missed Nursing Care in a Sample of High-Dependency Italian Nursing Home Residents: Description of Nursing Care in Action	6
Enhancing Compliance With Work-Hour Restrictions Through Safety Culture and Leadership in Medical Residencies	5
Enhancing Pressure Injury Surveillance Using Natural Language Processing	5
Inpatient Respiratory Arrest Associated With Sedative and Analgesic Medications: Impact of Continuous Monitoring on Patient Mortality and Severe Morbidity	5
Clinical Characteristics and Outcomes of Patients With COVID-19 Treated in Mayo Clinic’s Advanced Care at Home Program	5
Improving the Quality of Maternity Care: Learning From Malpractice	5
Spinal Cord Stimulator Complications Reported to the Australian Therapeutic Goods Administration	5
Does an Orthopedic Ward Round Pro Forma Improve Inpatient Documentation?	5
Redeployment of Health Care Workers in the COVID-19 Pandemic: A Qualitative Study of Health System Leaders’ Strategies	5
The Power of Positive Reinforcement in Health Care	5
Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care	5
A Novel Role to Manage Capacity and Flow in Hospital Medicine	5
Responding to COVID-19 Through Interhospital Resource Coordination: A Mixed-Methods Evaluation	5
A Comprehensive Analysis of Risk Factors Associated With Inpatient Falls	5
Understanding Hazards for Adverse Drug Events Among Older Adults After Hospital Discharge: Insights From Frontline Care Professionals	5
Medical Students' Speak-Up Barriers: A Randomized Controlled Trial With Written Vignettes	5
Insurance Claims for Wrong-Side, Wrong-Organ, Wrong-Procedure, or Wrong-Person Surgical Errors: A Retrospective Study for 10 Years	5
The Influence of Hospital Physician Integration on Culture of Patient Safety	5
Detection of Adverse Events With the Austrian Inpatient Quality Indicators	5
Interventions Into Reliability-Seeking Health Care Organizations: A Systematic Review of Their Goals and Measuring Methods	5
A 6-Year Thematic Review of Reported Incidents Associated With Cardiopulmonary Resuscitation Calls in a United Kingdom Hospital	5
The Influence of Preoperative Waiting Time on Anxiety and Pain Levels in Outpatient Surgery for Breast Diseases	5
The Korea National Patient Safety Incidents Inquiry Survey: Characteristics of Adverse Events Identified Through Medical Records Review in Regional Public Hospitals	4
Exploration of Ward-Based Nurses’ Perspectives on Their Preparedness to Recognize Clinical Deterioration: A Scoping Review	4
Reason for Exam Imaging Reporting and Data System: Consensus Reached on Quality Assessment of Radiology Requisitions	4
Ranking Quality and Patient Safety Challenges: A Nationwide Survey of Healthcare Quality Experts From General Hospitals in Spain	4
Electronic Health Record Usability Contributions to Patient Safety and Clinician Burnout: A Path Forward	4
What Can We Learn From In-Depth Analysis of Human Errors Resulting in Diagnostic Errors in the Emergency Department: An Analysis of Serious Adverse Event Reports	4
Translation and Comprehensive Validation of the Hebrew Survey on Patient Safety Culture (HSOPS 2.0)	4
Human Error in an Automated Laboratory	4
Discrepancies Between Clinical and Autopsy Diagnoses in Rapid Response Team–Assisted Patients: What Are We Missing?	4
Clinician Satisfaction With Advanced Clinical Decision Support to Reduce the Risk of Torsades de Pointes	4
COVID-19 Readmissions: Main Patient Characteristics	4
Can Routinely Collected, Patient-Reported Wellness Predict National Early Warning Scores? A Multilevel Modeling Approach	4
Patient Safety Indicators During the Initial COVID-19 Pandemic Surge in the United States	4
Accuracy of Spinal Anesthesia Drug Concentrations in Mixtures Prepared by Anesthetists	4
Proactive Patient Safety: Focusing on What Goes Right in the Perioperative Environment	4
Medication Safety in Two Intensive Care Units of a Community Teaching Hospital After Electronic Health Record Implementation: Sociotechnical and Human Factors Engineering Considerations	4
Early Prediction of All-Cause Clinical Deterioration in General Wards Patients: Development and Validation of a Biomarker-Based Machine Learning Model Derived From Rapid Response Team Activations	4
Second Victim Symptoms and Desired Support Strategies Among Italian Health Care Workers in Friuli-Venezia Giulia: Cross-Sectional Survey and Latent Profile Analysis	4
Reducing Falls in Dementia Inpatients Using Vision-Based Technology	4
Systemic Defenses to Prevent Intravenous Medication Errors in Hospitals: A Systematic Review	4
In Situ Simulation for Adoption of New Technology to Improve Sepsis Care in Rural Emergency Departments	4
Development of an Inventory of Dental Harms: Methods and Rationale	4
Safety Analysis of 13 Suspicious Deaths in Intensive Care: Ergonomics and Forensic Approach Compared	4
Comparison of the Outcomes of Patients Starting Mechanical Ventilation in the General Ward Versus the Intensive Care Unit	4
Interventions to Promote Safety Culture in Cancer Care: A Systematic Review	4
Clinical and Cost-Saving Effects of the Drug Utilization Review Modernization Project in Inpatient and Outpatient Settings in Korea	4
Sky-High Safety? A Qualitative Study of Physicians’ Experiences of Patient Safety in Norwegian Helicopter Emergency Services	4
The Nature of Adverse Events in Dentistry	4