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PSNet: Patient Safety Network
Journal Article

Staying silent about safety issues: conceptualizing and measuring safety silence motives.

Manapragada A, Bruk-Lee V. Accident; analysis and prevention. 2016;91:144-56.

An important aspect of safety culture is that workers feel comfortable speaking up about safety concerns. This study found several motives explaining why employees stay silent about safety issues, including fear of giving offense, concern about repercussions, and lack of certainty about the issue. Interventions to improve safety culture should consider these staff concerns.