Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers

Pavani Rangachari; Jacquelynn L. Woods

Commentary

Classic

Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers

July 8, 2020

Rangachari P, L. Woods J. Int J Environ Res Public Health. 2020;17(12):4267.

View more articles from the same authors.

This article discusses the impact of the lack of healthcare worker support on resilience, patient safety, and staff retention during the COVID-19 pandemic and provides recommendations for better supporting psychological safety among healthcare workers.

PubMed citation

Free full text

Related Resources From the Same Author(s)

A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system.

May 8, 2019

Rapid response systems: identification and management of the "prearrest state."

February 1, 2012

High-alert medications in the pediatric intensive care unit.

January 7, 2009

How well is quality improvement described in the perioperative care literature? A systematic review.

May 4, 2016

Patient safety problems in adolescent medical care.

January 18, 2006

Physician practice patterns resemble ACGME duty hours.

July 8, 2009

Reality check for checklists.

August 19, 2009

Adverse events and preventable adverse events in children.

March 6, 2005

Harveian Oration 2018: improving quality and safety in healthcare.

February 13, 2019

Is it time to move beyond errors in clinical reasoning and discuss accuracy?

August 27, 2014

Ambulatory care adverse events and preventable adverse events leading to a hospital admission.

April 18, 2007

National Patient Safety Foundation agenda for research and development in patient safety.

March 27, 2005

Explaining Michigan: developing an ex post theory of a quality improvement program.

August 3, 2011

Battling alarm fatigue in the pediatric intensive care unit.

October 11, 2023

Injury to research volunteers—the clinical-research nightmare.

May 17, 2006

Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital.

November 9, 2011

Using clinical simulation to study how to improve quality and safety in healthcare.

September 29, 2018

Beyond the corrective action hierarchy: a systems approach to organizational change.

August 26, 2020

After Mid Staffordshire: from acknowledgement, through learning, to improvement.

August 27, 2014

Patient safety and the problem of many hands.

March 30, 2016

Resilience and resilience engineering in health care.

July 30, 2014

Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review.

June 19, 2019

The relationship between response time and diagnostic accuracy.

August 15, 2012

Observation for assessment of clinician performance: a narrative review.

November 11, 2015

How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review.

May 29, 2019

Estimating deaths due to medical error: the ongoing controversy and why it matters.

October 26, 2016

'Bad apples': time to redefine as a type of systems problem?

June 26, 2013

Using HFMEA to assess potential for patient harm from tubing misconnections.

June 28, 2006

Adapting to new technologies in the operating room.

March 27, 2005

A systematic review of team training in health care: ten questions.

March 8, 2017

Families’ experiences of central-line infection in children: a qualitative study.

September 7, 2022

Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff?

September 29, 2021

Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service

February 19, 2020

A decade after Francis: is the NHS safer and more open?

April 5, 2023

Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature.

May 30, 2012

Improving communication with primary care physicians at the time of hospital discharge.

February 8, 2017

The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning.

January 29, 2014

Anatomy of a patient safety event: a pediatric patient safety taxonomy.

December 21, 2005

A mixed-methods study of challenges experienced by clinical teams in measuring improvement.

September 11, 2019

Intentional rounding—an integrative literature review.

August 7, 2019

Clinical handovers between prehospital and hospital staff: literature review.

September 24, 2014

A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low-income countries.

September 4, 2013

Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals.

March 2, 2016

What is the role of individual accountability in patient safety? A multi-site ethnographic study.

November 25, 2015

Gaps in the continuity of care and progress on patient safety.

March 6, 2005

Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams.

April 30, 2008

Implementing a human factors approach to RCA(2) : tools, processes and strategies.

March 10, 2021

How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals.

March 13, 2019

Impacts of operational failures on primary care physicians' work: a critical interpretive synthesis of the literature.

May 13, 2020

A qualitative study of speaking out about patient safety concerns in intensive care units.

October 25, 2017

Changing the narratives for patient safety.

June 28, 2017

Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare.

January 31, 2018

Evaluation for occult fractures in injured children.

August 5, 2015

Explaining Matching Michigan: an ethnographic study of a patient safety program.

August 21, 2013

An ethnographic study of classifying and accounting for risk at the sharp end of medical wards.

July 15, 2009

Promoting patient safety through prospective risk identification: example from peri-operative care.

March 17, 2010

How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative.

March 10, 2010

Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units.

November 6, 2013

Rapid response systems in adult academic medical centers.

September 2, 2009

Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.

July 13, 2011

The problem with root cause analysis.

July 13, 2016

Medication safety in two intensive care units of a community teaching hospital after electronic health record implementation: sociotechnical and human factors engineering considerations.

March 15, 2017

Understanding the "Swiss cheese model" and its application to patient safety.

July 21, 2021

Between surveillance and subjectification: professionals and the governance of quality and patient safety in English hospitals.

March 5, 2014

Developing a framework for nursing handover in the emergency department: an individualised and systematic approach.

October 30, 2013

The friends and family test: a qualitative study of concerns that influence the willingness of English National Health Service staff to recommend their organisation.

September 24, 2014

Association of interruptions with an increased risk and severity of medication administration errors.

May 5, 2010

Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians?

February 18, 2015

Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data from an electronic prescribing and decision support system.

October 16, 2013

Residents' perspective on the impact of the 80-hour workweek policy.

June 11, 2008

Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process.

February 3, 2016

Gaps in pediatric clinician communication and opportunities for improvement.

October 22, 2008

Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame.

May 23, 2018

Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study.

July 2, 2014

Reducing anticoagulant medication adverse events and avoidable patient harm.

April 9, 2008

How to be a very safe maternity unit: an ethnographic study.

February 20, 2019

Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety.

August 4, 2021

What can safety cases offer for patient safety? A multisite case study.

October 11, 2023

Information transfer at hospital discharge: a systematic review.

April 15, 2020

Running a hospital patient safety campaign: a qualitative study.

September 17, 2014

Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system.

June 25, 2014

Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review.

May 5, 2021

Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach.

November 2, 2016

Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults.

September 6, 2023

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

June 8, 2011

Weekend hospitalization and additional risk of death: an analysis of inpatient data.

February 29, 2012

Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns.

March 14, 2018

What to expect when you're evaluating healthcare improvement: a concordat approach to managing collaboration and uncomfortable realities.

April 29, 2015

Improving employee voice about transgressive or disruptive behavior: a case study.

April 17, 2019

Classification of patient-safety incidents in primary care.

September 26, 2018

The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study.

June 16, 2021

Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent.

July 11, 2018

Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals.

September 29, 2010

Helping patients simplify and safely use complex prescription regimens.

March 16, 2011

An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines.

May 23, 2018

Implementing AORN recommended practices for prevention of retained surgical items.

February 15, 2012

Teaching medical students about medical errors and patient safety: evaluation of a required curriculum.

June 15, 2005

What is accountability in health care?

March 6, 2005

Implementation of patient safety rounds in a children's hospital.

January 14, 2009

What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study.

January 19, 2022

Related Resources

Healthcare-associated infections in Veterans Affairs acute-care and long-term healthcare facilities during the coronavirus disease 2019 (COVID-19) pandemic.

April 5, 2023

Health care professionals' perceptions of unprofessional behaviour in the clinical workplace.

March 1, 2023

Speaking up during the COVID-19 pandemic: nurses' experiences of organizational disregard and silence.

February 1, 2023

Rooting an error review process in just culture: lessons learned.

October 5, 2022

Changes in unprofessional behaviour, teamwork, and co-operation among hospital staff during the COVID-19 pandemic.

September 28, 2022

'Doing the best we can': Registered nurses' experiences and perceptions of patient safety in intensive care during COVID-19.

September 7, 2022

Clinic design for safety during the pandemic: safety or teamwork, can we only pick one?

May 11, 2022

What is needed to sustain improvements in hospital practices post-COVID-19? A qualitative study of interprofessional dissonance in hospital infection prevention and control.

May 4, 2022

Patient Safety Primers

Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes

February 24, 2022

Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic.

February 16, 2022

Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention efforts.

February 7, 2022

Using smart IV infusion pumps outside of patient rooms.

February 2, 2022

Integrating principles of safety culture and just culture into nursing homes: lessons from the pandemic.

January 12, 2022

Quality and safety in hospital pediatrics during COVID-19: a national qualitative study.

January 12, 2022

Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit.

December 8, 2021

Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic.

November 10, 2021

Patient Safety Innovations

Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic

October 27, 2021

The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healthcare Safety Network.

September 22, 2021

Patient safety and ethical implications of healthcare sick leave policies in the pandemic era.

September 15, 2021

Leadership: an effective human factor during COVID-19.

September 1, 2021

Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses.

June 9, 2021

The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic.

June 2, 2021

Maintaining maternal-newborn safety during the COVID-19 pandemic.

May 26, 2021

Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices.

March 31, 2021

COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort study from the multicentric OUTCOMEREA network.

March 17, 2021

We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations.

March 17, 2021

Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience.

February 24, 2021

Flow accuracy of IV smart pumps outside of patient rooms during COVID-19.

February 24, 2021

Mental health of staff working in intensive care during COVID-19.

February 24, 2021

The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19.

February 17, 2021

See More About The Topic

Intensive Care Units

Facility and Group Administrators

Quality and Safety Professionals

Organizational Behaviorists

Hospital Medicine

Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers

Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes

Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers

Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes

Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site