Nursing team dynamics can influence safety culture and willingness so speak up about errors and safety concerns. This survey of over 650 nurses and nurse managers underscored the importance of leader inclusiveness, safety climate, and psychological safety in cultivating speaking up behaviors among nursing team members.

Physical and verbal violence against healthcare workers has been identified as a sentinel event by the Joint Commission. In this secondary analysis of survey data on workplace violence (WPV), researchers explored which attributes of patient safety culture may predict healthcare workers’ experiences of WPV and burnout. Better teamwork and staffing were among the attributes associated with lower risk of WPV.

In response to concerns about workplace violence (WPV) directed at healthcare workers in the US, the Joint Commission issued a Sentinel Event Alert and recommendations to increase organizational awareness of this risk. This study evaluated the effect of one of those recommendations, a WPV-reporting culture, on nurses’ burnout and patient safety. As anticipated, WPV increased nurse burnout, but unexpectedly, a strong WPV-reporting culture also increased the negative effect of WPV on burnout.

… J Healthc Manag … Lack of organizational support can inhibit … systems, and intention to leave the profession. … Sonis J, Pathman DE, Read S, et al. Effects of healthcare … support among U.S. internists: a national study. J Healthc Manag. 2022;67(3):192-205. …

This study examined factors facilitating or inhibiting the sustainability of rapid response teams (RRTs) by comparing two hospitals considered to have high- versus two hospitals with low sustainability RRTs. Study findings suggest that organizational factors (institutional strength and program champions) and project design/implementation factors (project effectiveness, training, funding) were critical for RRT sustainability. Individual and team characteristics should also be considered potential facilitators or inhibitors of RRT sustainability, as the study found that program champions’ actions and behaviors were more important for RRT sustainability than organizational position.

… Jt Comm J Qual Patient Saf … Jt Comm J Qual Patient Saf … Rapid response teams (RRTs) have been …

Clinician fatigue can contribute to poor decision-making and clinical performance. This review explores the prevalence of nurse fatigue and describes work-related factors that influence fatigue among nurses. The authors suggest implementing institution-wide policies and educating nurses and administrators about risks related to fatigue to address the problem.

This focus group study found that nurses had largely positive perceptions of rapid response teams, feeling that such teams improved patient safety while preserving nurses' autonomy and enhancing their clinical skills.

Most nursing units in this study were operating at less than optimal efficiency, largely due to medication errors and falls.

… Journal of Patient Safety … J Patient Saf … Strategies to prevent medication errors and …