BMJ Quality & Safety

Article	Citations
Towards comprehensive fidelity evaluations: consideration of enactment measures in quality improvement interventions	90
Can virtual reality simulations improve macrocognition?	69
It’s time for the field of geriatrics to invest in implementation science	61
Prevention in adults of transmission of infection with multidrug-resistant organisms: an updated systematic review from Making Healthcare Safer IV	53
We will take some team resilience, please: Evidence-based recommendations for supporting diagnostic teamwork	44
COVID-19 hospital prevalence as a risk factor for mortality: an observational study of a multistate cohort of 62 hospitals	41
Effectiveness of computerised alerts to reduce drug–drug interactions (DDIs) and DDI-related harm in hospitalised patients: a quasi-experimental controlled pre–post study	40
Interruptive alerts: only one part of the solution for clinical decision support	39
Pragmatic randomised trial assessing the impact of peer comparison and therapeutic recommendations, including repetition, on antibiotic prescribing patterns of family physicians across British Columbi	38
Hip fracture in the COVID-19 era: what can we say about care and patient outcomes?	38
How can we finally reduce repetitive routine laboratory tests for hospitalised patients?	36
Practice or perfect? Coaching for a growth mindset to improve the quality of healthcare	32
Have we forgotten the moral justification for patient-centred care?	32
Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg	31
Correction: The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system	30
Call for emergency action to limit global temperature increases, restore biodiversity and protect health	30
Progressing patient safety in the Emergency Medical Services	29
Quality and safety in the literature: January 2023	29
Quality and Safety in the Literature: November 2022	29
Quality of care for secondary cardiovascular disease prevention in 2009–2017: population-wide cohort study of antiplatelet therapy use in Scotland	28
Engagement and fidelity of a cardiovascular disease prevention-focused digital health intervention in cardiology outpatient waiting rooms: a mixed-methods study	27
Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study	25
Quality of acute myocardial infarction care in England and Wales during the COVID-19 pandemic: linked nationwide cohort study	24
To improve quality, leverage design	24
Why hospital falls prevention remains a global healthcare priority	24

Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments	23
Correction: Comparing peripherally inserted central catheter-related practices across hospitals with different insertion models: a multisite qualitative study	23
Assessing patient work system factors for medication management during transition of care among older adults: an observational study	22
An anthropologist’s insight into healthcare data – multiple and rich of contradictions	22
Sustaining interventions in care homes initiated by quality improvement projects: a qualitative study	21
Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations	21
Assessing quality of direct-to-consumer telemedicine in China: a cross-sectional study using unannounced standardised patients	21
Approach to systematically examine the usefulness of quality measures in practice: Minnesota’s nursing home quality indicators and scoring approach	21
Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study	21
Understanding the challenges and successes of implementing ‘hybrid’ interventions in healthcare settings: findings from a process evaluation of a patient involvement trial	20
Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges	20
Temporal structures that determine consistency and quality of care: a case study in hyperacute stroke services	19
Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflections during team debriefings	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	19
Quality and Safety in the Literature: March 2022	19
Association of volume and prehospital paediatric care quality in emergency medical services: retrospective analysis of a national sample	18
Factors associated with proximal femoral fractures in older adults during hospital stay: a cross-sectional study	18
Cluster randomised evaluation of a training intervention to increase the use of statistical process control charts for hospitals in England: making data count	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
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis	17
Integration and connection: the key to effectiveness of large-scale pharmacist-led medication reviews?	17
Interventions targeted at reducing diagnostic error: systematic review	16
General practitioners retiring or relocating and its association with healthcare use and mortality: a cohort study using Norwegian national data	16
Unintended consequences of the 18-week referral to treatment standard in NHS England: a threshold analysis	16
Top-down and bottom-up approaches to low-value care	16
‘Show me the data!’ Using time series to display performance data for hospital boards	16
Scoping review identifying interventions that have been tested to optimise the experience of people from ethnic minority groups receiving systemic anticancer therapy (SACT)	15
Accuracy of telephone triage for predicting adverse outcomes in suspected COVID-19: an observational cohort study	15
Inequalities exacerbated: an all-too-familiar story	15
Under-reporting of falls in hospitals: a multisite study in South Korea	15
Changing the patient safety mindset: can safety cases help?	15
Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort	14
Reporting on implementation trials with null findings: the need for concurrent process evaluation reporting	14
Beyond improvement skills: what do clinicians, managers, patients and others need to do to make improvement happen?	14
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	14
National cross-sectional cohort study of the relationship between quality of mental healthcare and death by suicide	14
Grand rounds in methodology: when are realist reviews useful, and what does a ‘good’ realist review look like?	14
The Evolving Economics of Implementation	14
Measuring gist-based perceptions of medication benefit-to-harm ratios	13
‘My Five Moments’: understanding a user-centred approach to hand hygiene improvement within a broader implementation strategy	13
Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis	13
Use of structured handoff protocols for within-hospital unit transitions: a systematic review from Making Healthcare Safer IV	13
Quality and Safety in the Literature: May 2022	12
Co-produced capability framework for successful patient and staff partnerships in healthcare quality improvement: results of a scoping review	12
Understanding patient safety during earthquakes: a phenomenological study of disaster response	12
Impact of the COVID-19 pandemic on the incidence and mortality of hospital-onset bloodstream infection: a cohort study	12
Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel	12
Clinical decision-making and algorithmic inequality	11
Embracing carers: when will adult hospitals fully adopt the same practices as children’s hospitals?	11
Is targeting healthcare’s carbon footprint really the best we can do to help address the climate crisis?	11

Economic analysis of surgical outcome monitoring using control charts: the SHEWHART cluster randomised trial	11
Is hospital-onset bacteraemia and fungaemia an actionable quality measure?	11
Implications of resource constraints and high workload on speaking up about threats to patient safety: a qualitative study of surgical teams in Ghana	11
Identifying patients with additional needs isn’t enough to improve care: harnessing the benefits and avoiding the pitfalls of classification	10
Interrupting false narratives: applying a racial equity lens to healthcare quality data	10
Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative	10
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis	10
Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy	10
Time to de-implementation of low-value cancer screening practices: a narrative review	10
Learning from successes: designing medication adherence intervention research so that we can learn what works and why	10
Adding value to the diagnostic process	10
Impact of a financial incentive on early rehabilitation and outcomes in ICU patients: a retrospective database study in Japan	9
Correction: It’s time for the field of geriatrics to invest in implementation science	9
Work addiction and quality of care in healthcare: Working long hours should not be confused with addiction to work	9
Reducing unnecessary diagnostic phlebotomy in intensive care: a prospective quality improvement intervention	9
Moving the needle: using quality improvement to address gaps in sickle cell care	9
The problem with uptake as a quality metric for population-based screening programmes	9
Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions	9
Targets: unintended and unanticipated effects	9
What and when to debrief: a scoping review examining interprofessional clinical debriefing	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
Randomised controlled trial of audit-and-feedback strategies to reduce imaging overutilisation in the emergency department	9
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<	9
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	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
Safety netting: time to stop relying on verbal interventions to manage diagnostic uncertainty?	9
Quality and safety in the literature: January 2024	9
Common contributing factors of diagnostic error: A retrospective analysis of 109 serious adverse event reports from Dutch hospitals	8
Locum doctor working and quality and safety: a qualitative study in English primary and secondary care	8
Five golden rules for successful measurement of improvement	8
Elusive but hopefully not illusive: coordinating care for patients with heart failure with preserved ejection fraction	8
Ending nuclear weapons, before they end us	8
Quality improvement collaborative to increase access to caesarean sections: lessons from Bihar, India	8
Development and validation of the Overall Fidelity Enactment Scale for Complex Interventions (OFES-CI)	8
The need for quality self-management support in cancer care	8
Negotiating the polypharmacy paradox: a video-reflexive ethnography study of polypharmacy and its practices in primary care	8
Predictors and population health outcomes of persistent high GP turnover in English general practices: a retrospective observational study	8
Effect of implementing a heart failure admission care bundle on hospital readmission and mortality rates: interrupted time series study	8
Effective use of interdisciplinary approaches in healthcare quality: drawing on operations and visual management	8
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	7
Art of leading quality improvement	7
Monitoring patients’ sexual orientation and gender identity: Can we ask? Should we ask? How do we ask?	7
The opioid prescribing problem: an opportunity to embed rigorous evaluation within initiatives to improve population healthcare	7
Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies	7
Grand rounds in methodology: four critical decision points in statistical process control evaluations of quality improvement initiatives	7
Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review	7
Initial opioid prescription characteristics and risk of opioid misuse, poisoning and dependence: retrospective cohort study	7
Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders	7
Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study	7
Quantifying the cost savings and health impacts of improving colonoscopy quality: an economic evaluation	7
What do clinical practice guidelines say about deprescribing? A scoping review	7
Comparing antibiotic prescribing between clinicians in UK primary care: an analysis in a cohort study of eight different measures of antibiotic prescribing	7
Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study	7
Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study	6
Outcomes for surgical procedures funded by the English health service but carried out in public versus independent hospitals: a database study	6
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	6
Beyond mixed case lettering: reducing the risk of wrong drug errors requires a multimodal response	6
Reducing administrative burden by implementing a core set of quality indicators in the ICU: a multicentre longitudinal intervention study	6
Association of clinical competence, specialty and physician country of origin with opioid prescribing for chronic pain: a cohort study	6
Successful quality improvement project to increase hydroxyurea prescriptions for children with sickle cell anaemia	6
Why a sociotechnical framework is necessary to address diagnostic error	6
Direct-to-consumer telemedicine: navigating the implications for quality and safety of care	6
Role of knowledge and reasoning processes as predictors of resident physicians’ susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment	6
Influence of drug safety advisories on drug utilisation: an international interrupted time series and meta-analysis	6
Socioeconomic inequalities in adherence to clinical practice guidelines and breast cancer survival: a multicentre population-based study in Spain	6
Unreasonable effectiveness of training AI models locally	5
Implementing quality and safety regulations in residential disability services: a qualitative interview study	5
Quality, safety and artificial intelligence	5
Using a dark logic model to explore adverse effects in audit and feedback: a qualitative study of gaming in colonoscopy	5
Quality and safety in the literature: September 2021	5
Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice?	5
Factors that influence the implementation of (inter)nationally endorsed health and social care standards: a systematic review and meta-summary	5
Reducing the value/burden ratio: a key to high performance in value-based care	5
Understanding the evidence for artificial intelligence in healthcare	5
We’re all in this together: how COVID-19 revealed the co-construction of mindful organising and organisational reliability	5
Patterns, appropriateness and outcomes of peripherally inserted central catheter use in Brazil: a multicentre study of 12 725 catheters	5
Peripherally inserted central catheters: spreading the MAGIC beyond Michigan	5
Through the patients’ eyes: psychometric evaluation of the 64-item version of the Experienced Patient-Centeredness Questionnaire (EPAT-64)	5
The good, the bad and the ugly: What do we really do when we identify the best and the worst organisations?	5
Peer review of quality of care: methods and metrics	5

Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study	5
Large language models in healthcare information research: making progress in an emerging field	5
Co-production in maternal health services: creating culturally safe spaces, respecting difference and supporting collaborative solutions	4
Quality and safety in the literature: April 2023	4
Diagnostic error in mental health: a review	4
Equity in action: a scoping review and meta-framework for embedding equity in quality improvement	4
Cost-effectiveness of eliminating hospital understaffing by nursing staff: a retrospective longitudinal study and economic evaluation	4
Development and pilot testing of survey items to assess the culture of value and efficiency in hospitals and medical offices	4
Transition of care from adult intensive care settings – implementing interventions to improve medication safety and patient outcomes	4
Addressing quality in surgical services in sub-Saharan Africa: hospital context and data standardisation matter	4
Imperfection in adverse event detection: is this the opportunity to mature our focus on preventing harm in paediatrics?	4
Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis	4
Pragmatic trials are needed to assess the effectiveness of enhanced recovery after surgery protocols on patient safety	4
How can we champion diversity, equity and inclusion within Lean Six Sigma? Practical suggestions for quality improvement	4
Improving risk stratification and decision support for deteriorating hospital patients	4
Medication-related Medical Emergency Team activations: a case review study of frequency and preventability	4
A realist review of how, why, for whom and in which contexts quality improvement in healthcare impacts inequalities	4
Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient?	4
Economic evaluations of audit and feedback interventions: a systematic review	4
Investigating a novel population health management system to increase access to healthcare for children: a nested cross-sectional study within a cluster randomised controlled trial	4
Using patient and carer perspectives to improve medication safety at transitions of care	4
Understanding the consequences of GP referral thresholds: taking the instrumental approach	4
Is it time for greater patient involvement to enhance transitional medication safety?	4
Days alive and at home after hip fracture: a cross-sectional validation of a patient-centred outcome measure using routinely collected data	4
How safe are paediatric emergency departments? A national prospective cohort study	3
Research to improve diagnosis: time to study the real world	3
How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory	3
Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis	3
Evaluating patient-reported outcome measures in Peru: a cross-sectional study of satisfaction and net promoter score using the 2016 EnSuSalud survey	3
Lost in translation: does measuring ‘adherence’ to the Surgical Safety Checklist indicate true implementation fidelity?	3
Patient-centred outcomes of imaging tests: recommendations for patients, clinicians and researchers	3
False hope of a single generalisable AI sepsis prediction model: bias and proposed mitigation strategies for improving performance based on a retrospective multisite cohort study	3
Do healthcare professionals work around safety standards, and should we be worried? A scoping review	3
Sex, drugs and rock ‘n’ roll: the only reasons for regulators to target individuals	3
Effect of clinical peer review on mortality in patients ventilated for more than 24 hours: a cluster randomised controlled trial	3
Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review	3
Grand Rounds in Methodology: a new series to contribute to continuous improvement of methodology and scientific rigour in quality and safety	3
Why tackling overuse will not succeed without changing our culture	3
Understanding the complexities of collecting and using PRO data in a primary care context	3
The problem with making Safety-II work in healthcare	3
A better way: training for direct observations in healthcare	3
Adverse drug events leading to medical emergency team activation in hospitals: what can we learn?	3
The problem with ‘never events’	3
Between-hospital variation in indicators of quality of care: a systematic review	3
From insight to action: tackling underperformance in health professionals	3
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	3
Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives	3
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	3
Psycholinguistic tests predict real-world drug name confusion error rates: a cross-sectional experimental study	3
The Ethical Complexity of Restricting Visitors during the COVID-19 Pandemic	3
Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription information in the English NHS	3
Metrics used in quality improvement publications addressing environmental sustainability in healthcare: a scoping review	3
Choosing ‘Less’ Wisely as a marker of decisional conflict	3
Aiming for equity in children with chronic conditions: introducing a new population health management system	3
‘This time is different’: physician knowledge in the age of artificial intelligence	3
Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation	2
Time to treat the climate and nature crisis as one indivisible global health emergency	2
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	2
The problem with ‘My Five Moments for Hand Hygiene’	2
Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care	2
Complex interplay between moral distress and other risk factors of burnout in ICU professionals: findings from a cross-sectional survey study	2
Did the Acute Frailty Network improve outcomes for older people living with frailty? A staggered difference-in-difference panel event study	2
Preventing urinary tract infection in older people living in care homes: the ‘StOP UTI’ realist synthesis	2
Overdiagnosis of urinary tract infection linked to overdiagnosis of pneumonia: a multihospital cohort study	2
Quality and safety in the literature: August 2024	2
Visual identifiers for people with dementia in hospitals: a qualitative study to unravel mechanisms of action for improving quality of care	2
Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis	2
‘You can’t do quality between surgical cases and tea time’: barriers to surgeon engagement in quality improvement	2
Choosing Wisely and the climate crisis: a role for clinicians	2
Reaching 95%: decision support tools are the surest way to improve diagnosis now	2
Mental health services: quality, safety and suicide	2
WHO research agenda on the role of the institutional safety climate for hand hygiene improvement: a Delphi consensus-building study	2
Applying a systems lens to understand patient safety effectiveness in low-and-middle-income countries	2
Translating evidence into policy and practice: what do we know already, and what would further research look like?	2
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	2
Consent and refusal of procedures during labour and birth: a survey among 11 418 women in the Netherlands	2
Breaking the quality-equity cycle when implementing prevention programmes	2
Selecting and tailoring implementation strategies for deimplementing fall prevention alarms in US hospitals: a group concept mapping study	2
Nurse staffing and patient safety in acute hospitals: Cassandra calls again?	2
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	2
Longitudinal cohort study of discrepancies between prescribed and administered polypharmacy rates: implications for National Aged Care Quality Indicator Programs	2
Development and validation of a new ICD-10-based screening colonoscopy overuse measure in a large integrated healthcare system: a retrospective observational study	2
Impact of COVID-19 on opioid use in those awaiting hip and knee arthroplasty: a retrospective cohort study	2
Quality and Safety in the Literature: January 2022	2
Optimising antibacterial utilisation in Argentine intensive care units: a quality improvement collaborative	2
Investigators are human too: outcome bias and perceptions of individual culpability in patient safety incident investigations	2
Beyond the equity project: grounding equity in all quality improvement efforts	2
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis	2
Frequency and preventability of adverse drug events in the outpatient setting	2
Why identifying adverse events in paediatric emergency care matters	2
Pay-for-performance incentives for health worker vaccination: looking under the hood	2
High cost of broken relationships	2