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 2022-04-01 to 2026-04-01.)

Article	Citations
Can virtual reality simulations improve macrocognition?	167
Towards comprehensive fidelity evaluations: consideration of enactment measures in quality improvement interventions	64
Effectiveness of computerised alerts to reduce drug–drug interactions (DDIs) and DDI-related harm in hospitalised patients: a quasi-experimental controlled pre–post study	64
From parallel tracks to integrated practice: advancing the integration of quality improvement and implementation science	60
It’s time for the field of geriatrics to invest in implementation science	53
Evidence of availability bias in diagnostic reasoning following real clinical encounters: a cross-sectional survey of physicians	48
Prevention in adults of transmission of infection with multidrug-resistant organisms: an updated systematic review from Making Healthcare Safer IV	47
We will take some team resilience, please: Evidence-based recommendations for supporting diagnostic teamwork	43
Hip fracture in the COVID-19 era: what can we say about care and patient outcomes?	39
Standard Elements in Studies of Adverse Events and Medical Error: the SESAME statement	38
Thinking and organising in systems: reframing the long problem of learning from incidents	37
Quality and Safety in the Literature: November 2022	30
Pragmatic randomised trial assessing the impact of peer comparison and therapeutic recommendations, including repetition, on antibiotic prescribing patterns of family physicians across British Columbi	29
Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study	29
Quality and safety in the literature: January 2023	29
Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg	28
Practice or perfect? Coaching for a growth mindset to improve the quality of healthcare	28
Progressing patient safety in the Emergency Medical Services	28
Quality of care for secondary cardiovascular disease prevention in 2009–2017: population-wide cohort study of antiplatelet therapy use in Scotland	26
Engagement and fidelity of a cardiovascular disease prevention-focused digital health intervention in cardiology outpatient waiting rooms: a mixed-methods study	26
How can we finally reduce repetitive routine laboratory tests for hospitalised patients?	26
Learning from complaints about surgical care: a large language model-assisted sequential methods analysis	26
Approach to systematically examine the usefulness of quality measures in practice: Minnesota’s nursing home quality indicators and scoring approach	25
An anthropologist’s insight into healthcare data – multiple and rich of contradictions	24
Sustainability of the de-implementation of low-value care in infants with bronchiolitis: 2-year follow-up of a cluster randomised controlled trial	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
Assessing patient work system factors for medication management during transition of care among older adults: an observational study	23
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
Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study	21
Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments	20
Impact of COVID-19 on incidence and trends of adverse events among hospitalised patients in Calgary, Canada: a retrospective chart review study	20
Assessing quality of direct-to-consumer telemedicine in China: a cross-sectional study using unannounced standardised patients	19
Why hospital falls prevention remains a global healthcare priority	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
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	18
Integration and connection: the key to effectiveness of large-scale pharmacist-led medication reviews?	18
Temporal structures that determine consistency and quality of care: a case study in hyperacute stroke services	18
Factors associated with proximal femoral fractures in older adults during hospital stay: a cross-sectional study	18
‘Show me the data!’ Using time series to display performance data for hospital boards	18
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis	17
Top-down and bottom-up approaches to low-value care	17
Tools to engage patients and family members in diagnostic safety: we see the trees, but what about the forest?	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
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
Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort	16
Changing the patient safety mindset: can safety cases help?	15
General practitioners retiring or relocating and its association with healthcare use and mortality: a cohort study using Norwegian national data	15
Under-reporting of falls in hospitals: a multisite study in South Korea	15
Artificial intelligence chain-of-thought reasoning in nuanced medical scenarios: mitigation of cognitive biases through model intransigence	15
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	15
Scoping review identifying interventions that have been tested to optimise the experience of people from ethnic minority groups receiving systemic anticancer therapy (SACT)	15
Grand rounds in methodology: when are realist reviews useful, and what does a ‘good’ realist review look like?	15
Grand rounds in methodology: improving the design of staggered implementation cluster randomised trials	14
Lucian Leape’s legacy for patient safety	14
Use of structured handoff protocols for within-hospital unit transitions: a systematic review from Making Healthcare Safer IV	14
Learning to forget: deimplementation and the science of sustainability in healthcare	14
Measuring gist-based perceptions of medication benefit-to-harm ratios	14
Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis	14
Reporting on implementation trials with null findings: the need for concurrent process evaluation reporting	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
Is hospital-onset bacteraemia and fungaemia an actionable quality measure?	13
Understanding patient safety during earthquakes: a phenomenological study of disaster response	13
Embracing carers: when will adult hospitals fully adopt the same practices as children’s hospitals?	13
More alerts, less harm? Rethinking medication safety with AI	13
Clinical decision-making and algorithmic inequality	13
Implementing and evaluating a low-carbon, high-quality perioperative patient warming pathway	12
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis	12
Confidence and certainty in medical diagnoses within acute healthcare: a scoping review	12
Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative	12
Identifying patients with additional needs isn’t enough to improve care: harnessing the benefits and avoiding the pitfalls of classification	12
Economic analysis of surgical outcome monitoring using control charts: the SHEWHART cluster randomised trial	12

Is targeting healthcare’s carbon footprint really the best we can do to help address the climate crisis?	12
Correction: Effectiveness of a multifaceted quality improvement intervention to improve patient outcomes after total hip and knee arthroplasty: a registry nested cluster randomi	11
Reducing unnecessary diagnostic phlebotomy in intensive care: a prospective quality improvement intervention	11
Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions	11
Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy	11
Targets: unintended and unanticipated effects	11
Time to de-implementation of low-value cancer screening practices: a narrative review	11
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
Inappropriate prescribing for older people with reduced kidney function: can we do better at the primary care level?	10
Interrupting false narratives: applying a racial equity lens to healthcare quality data	10
Work addiction and quality of care in healthcare: Working long hours should not be confused with addiction to work	10
What and when to debrief: a scoping review examining interprofessional clinical debriefing	10
Correction: It’s time for the field of geriatrics to invest in implementation science	9
The problem with uptake as a quality metric for population-based screening programmes	9
Effect of implementing a heart failure admission care bundle on hospital readmission and mortality rates: interrupted time series study	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
Impact of a financial incentive on early rehabilitation and outcomes in ICU patients: a retrospective database study in Japan	9
Ending nuclear weapons, before they end us	9
Quality improvement collaborative to increase access to caesarean sections: lessons from Bihar, India	9
Quality and safety in the literature: January 2024	9
Moving the needle: using quality improvement to address gaps in sickle cell care	9
Predictors and population health outcomes of persistent high GP turnover in English general practices: a retrospective observational study	9
Safety netting: time to stop relying on verbal interventions to manage diagnostic uncertainty?	9
Effective use of interdisciplinary approaches in healthcare quality: drawing on operations and visual management	8
How can we promote greater adoption of AI in healthcare?	8
Negotiating the polypharmacy paradox: a video-reflexive ethnography study of polypharmacy and its practices in primary care	8
Elusive but hopefully not illusive: coordinating care for patients with heart failure with preserved ejection fraction	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
Common contributing factors of diagnostic error: A retrospective analysis of 109 serious adverse event reports from Dutch hospitals	8
Randomised controlled trial of audit-and-feedback strategies to reduce imaging overutilisation in the emergency department	8
Digital quality measure of potentially avoidable emergency presentations among patients with colorectal cancer	7
Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review	7
What do clinical practice guidelines say about deprescribing? A scoping review	7
The opioid prescribing problem: an opportunity to embed rigorous evaluation within initiatives to improve population healthcare	7
Development and validation of the Overall Fidelity Enactment Scale for Complex Interventions (OFES-CI)	7
Monitoring patients’ sexual orientation and gender identity: Can we ask? Should we ask? How do we ask?	7
Grand rounds in methodology: four critical decision points in statistical process control evaluations of quality improvement initiatives	7
Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies	7
Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study	7
Art of leading quality improvement	7
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	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
Factors associated with well-being and burnout among US internal medicine physicians: a cross-sectional survey	7
Quantifying the cost savings and health impacts of improving colonoscopy quality: an economic evaluation	7