Journal Article
Study

Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment.

Zohar D, Werber YT, Marom R, et al. BMJ quality & safety. 2017;26:653-662.

This randomized controlled trial randomized head nurses in inpatient settings to either receive individual feedback based on questionnaires from frontline nurses followed by goal-setting, versus a summary report of feedback at the end of the intervention. In the intervention group, patient care messages increased and blaming decreased, demonstrating that a brief and feasible intervention can enhance safety culture.