OOIR: Observatory of International Research

Papers

(The TQCC of BMJ Quality & Safety is 8. 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 2022-07-01 to 2026-07-01.)

Article	Citations
Can virtual reality simulations improve macrocognition?	189
Effectiveness of computerised alerts to reduce drug–drug interactions (DDIs) and DDI-related harm in hospitalised patients: a quasi-experimental controlled pre–post study	79
We will take some team resilience, please: Evidence-based recommendations for supporting diagnostic teamwork	70
From parallel tracks to integrated practice: advancing the integration of quality improvement and implementation science	67
Hip fracture in the COVID-19 era: what can we say about care and patient outcomes?	65
Standard Elements in Studies of Adverse Events and Medical Error: the SESAME statement	56
Evidence of availability bias in diagnostic reasoning following real clinical encounters: a cross-sectional survey of physicians	55
It’s time for the field of geriatrics to invest in implementation science	52
Towards comprehensive fidelity evaluations: consideration of enactment measures in quality improvement interventions	48
Prevention in adults of transmission of infection with multidrug-resistant organisms: an updated systematic review from Making Healthcare Safer IV	39
Thinking and organising in systems: reframing the long problem of learning from incidents	36
Quality and Safety in the Literature: November 2022	35
Quality and safety in the literature: January 2023	34
Engagement and fidelity of a cardiovascular disease prevention-focused digital health intervention in cardiology outpatient waiting rooms: a mixed-methods study	32
How can we finally reduce repetitive routine laboratory tests for hospitalised patients?	31
Learning from complaints about surgical care: a large language model-assisted sequential methods analysis	31
Quality of care for secondary cardiovascular disease prevention in 2009–2017: population-wide cohort study of antiplatelet therapy use in Scotland	30
Progressing patient safety in the Emergency Medical Services	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	28
Service users’ experiences of maternity care in England informed by the Saving Babies’ Lives Care Bundle Version 2: A reflexive thematic analysis	27
An anthropologist’s insight into healthcare data – multiple and rich of contradictions	27
Practice or perfect? Coaching for a growth mindset to improve the quality of healthcare	27
Assessing quality of direct-to-consumer telemedicine in China: a cross-sectional study using unannounced standardised patients	26
How to scale and spread catheter avoidance nationwide	26
Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflections during team debriefings	24

Professional support is an important lifeboat, but let’s also stop people falling into the water	23
Understanding the challenges and successes of implementing ‘hybrid’ interventions in healthcare settings: findings from a process evaluation of a patient involvement trial	22
Approach to systematically examine the usefulness of quality measures in practice: Minnesota’s nursing home quality indicators and scoring approach	22
Why hospital falls prevention remains a global healthcare priority	21
Sustainability of the de-implementation of low-value care in infants with bronchiolitis: 2-year follow-up of a cluster randomised controlled trial	21
Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study	20
Assessing patient work system factors for medication management during transition of care among older adults: an observational study	20
Tools to engage patients and family members in diagnostic safety: we see the trees, but what about the forest?	20
Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments	20
Top-down and bottom-up approaches to low-value care	20
Impact of COVID-19 on incidence and trends of adverse events among hospitalised patients in Calgary, Canada: a retrospective chart review study	20
Temporal structures that determine consistency and quality of care: a case study in hyperacute stroke services	19
‘Show me the data!’ Using time series to display performance data for hospital boards	19
Cluster randomised evaluation of a training intervention to increase the use of statistical process control charts for hospitals in England: making data count	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
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
Development and pilot evaluation of the implementation of a whole-team training pack to improve the effectiveness, efficiency, safety and equity of remote general practice	16
Surgical safety checklist awareness and safety attitudes in the Eastern Mediterranean region: a cross-sectional study	16
Factors associated with proximal femoral fractures in older adults during hospital stay: a cross-sectional study	16
Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis	16
Grand rounds in methodology: when are realist reviews useful, and what does a ‘good’ realist review look like?	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
Changing the patient safety mindset: can safety cases help?	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
Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort	14
Grand rounds in methodology: improving the design of staggered implementation cluster randomised trials	14
Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis	14
Artificial intelligence chain-of-thought reasoning in nuanced medical scenarios: mitigation of cognitive biases through model intransigence	14
General practitioners retiring or relocating and its association with healthcare use and mortality: a cohort study using Norwegian national data	14
Measuring gist-based perceptions of medication benefit-to-harm ratios	14
Under-reporting of falls in hospitals: a multisite study in South Korea	14
Evaluating the effects of increasing nursing numbers on quality of newborn care in understaffed neonatal units in Kenya: a prospective intervention study	14
Learning to forget: deimplementation and the science of sustainability in healthcare	14
Understanding patient safety during earthquakes: a phenomenological study of disaster response	13
Use of structured handoff protocols for within-hospital unit transitions: a systematic review from Making Healthcare Safer IV	13
Lucian Leape’s legacy for patient safety	13
Time to de-implementation of low-value cancer screening practices: a narrative review	12
Identifying patients with additional needs isn’t enough to improve care: harnessing the benefits and avoiding the pitfalls of classification	12
Is targeting healthcare’s carbon footprint really the best we can do to help address the climate crisis?	12
Implementing and evaluating a low-carbon, high-quality perioperative patient warming pathway	12
Is hospital-onset bacteraemia and fungaemia an actionable quality measure?	11
Confidence and certainty in medical diagnoses within acute healthcare: a scoping review	11
Embracing carers: when will adult hospitals fully adopt the same practices as children’s hospitals?	11
Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis	10
Work addiction and quality of care in healthcare: Working long hours should not be confused with addiction to work	10
Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions	10
Inappropriate prescribing for older people with reduced kidney function: can we do better at the primary care level?	10
More alerts, less harm? Rethinking medication safety with AI	10

Clinical decision-making and algorithmic inequality	10
Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy	10
Interrupting false narratives: applying a racial equity lens to healthcare quality data	10
Economic analysis of surgical outcome monitoring using control charts: the SHEWHART cluster randomised trial	10
Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative	10
Reducing unnecessary diagnostic phlebotomy in intensive care: a prospective quality improvement intervention	10
What and when to debrief: a scoping review examining interprofessional clinical debriefing	10
Negotiating the polypharmacy paradox: a video-reflexive ethnography study of polypharmacy and its practices in primary care	9
Impact of a financial incentive on early rehabilitation and outcomes in ICU patients: a retrospective database study in Japan	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
Quality and safety in the literature: January 2024	9
Ending nuclear weapons, before they end us	9
Effect of implementing a heart failure admission care bundle on hospital readmission and mortality rates: interrupted time series study	9
Randomised controlled trial of audit-and-feedback strategies to reduce imaging overutilisation in the emergency department	9
Correction: It’s time for the field of geriatrics to invest in implementation science	9
Moving the needle: using quality improvement to address gaps in sickle cell care	9
Safety netting: time to stop relying on verbal interventions to manage diagnostic uncertainty?	9
Quality improvement collaborative to increase access to caesarean sections: lessons from Bihar, India	9
Locum doctor working and quality and safety: a qualitative study in English primary and secondary care	9
Correction: Effectiveness of a multifaceted quality improvement intervention to improve patient outcomes after total hip and knee arthroplasty: a registry nested cluster randomi	9
Targets: unintended and unanticipated effects	9
The problem with uptake as a quality metric for population-based screening programmes	9
Comparing secondary prevention for patients with coronary heart disease and stroke attending Australian general practices: a cross-sectional study using nationwide electronic database	8
How can we promote greater adoption of AI in healthcare?	8
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	8
Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review	8
Predictors and population health outcomes of persistent high GP turnover in English general practices: a retrospective observational study	8
Effective use of interdisciplinary approaches in healthcare quality: drawing on operations and visual management	8
Monitoring patients’ sexual orientation and gender identity: Can we ask? Should we ask? How do we ask?	8
Quantifying the cost savings and health impacts of improving colonoscopy quality: an economic evaluation	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
Elusive but hopefully not illusive: coordinating care for patients with heart failure with preserved ejection fraction	8
Art of leading quality improvement	8