… J Health Serv Res Policy … A key aspect of patient safety culture is the perception that … and senior leader participants, deciding to report a safety event (referred to as a “voiceable concern”) is … about speaking out in hospitals: A qualitative study. J Health Serv Res Policy. Epub 2022 Jan 3. …

… online open courses (MOOCs) have the ability to reach a broad audience of learners. The Science of Safety in … competence for patient safety among global learners: a prospective cohort study. Nurse Educ Today. 2021;104:104984. doi: 10.1016/j.nedt.2021.104984. …

… formal organisation in voice about concerns in healthcare: a qualitative interview study. Soc Sci Med. 2021;280:114050. doi: 10.1016/j.socscimed.2021.114050. …

… In response to an episode of serious misconduct by a clinician, an academic hospital implemented a structured effort to address disruptive behavior by …

… medicine … Crit Care Med … This study aimed to validate a behavioral marker as a measure of teamwork , specifically in the intensive care …

Following a sentinel wrong-patient event, a multidisciplinary quality improvement team worked to enhance the safety of blood transfusion. The authors report significant improvement in protocol adherence following institution of barcoding and auditing via the electronic health record.

… J Patient Saf Risk Manag … High reliability principles guide … the integration needed to sustain results. … Day RM; Demski RJ; Pronovost PJ; Sutcliffe KM; Kasda EM; Maragakis LL; Paine L; Sawyer MD; Winner L. …

… Am Psychol … Teamwork in health care has been embraced as a key element of patient safety. This review summarizes the …

… of the American Society for Healthcare Risk Management … J Healthc Risk Manag … The patient safety community continues …

… of the American Society for Healthcare Risk Management … J Healthc Risk Manag … Health care executives and board members have a key role in safety improvement. This article describes the development of a tool and framework to assess the impact leadership …

… BMJ Qual Saf … BMJ Qual Saf … A work environment in which all team members feel comfortable speaking up about safety concerns is a key aspect of positive safety culture . Although formal … occurred especially if the concern was based on a general feeling that something might be wrong rather than …

… journal of the American College of Medical Quality … Am J Med Qual … Organizational infrastructure is important to …

Comprehensive unit-based safety programs have been shown to enhance safety in acute care settings. The investigators adapted this program for a primary care setting and report that safety culture improved following implementation of standard work and safety training. The authors did not report on patient outcomes.

… J Hosp Med … J Hosp Med … The weekend effect refers to worse patient … for staffing , illness severity, and delays in procedures. A recent PSNet interview discussed the weekend effect in …

The need to improve patient safety is an international concern. This commentary discusses the importance of partnership in reaching the overall goals of global patient safety and highlights experiences in Africa that demonstrate how high-income health care systems can learn from low-income hospitals.

… of health IT use on relationships among clinicians over a year-long period across three academic intensive care … awareness, communication, and patient satisfaction. A previous PSNet perspective discussed some of the pitfalls …

… in the reporting of quality and safety data demonstrates a commitment to improvement, learning, and patient …

Patients with underlying psychiatric conditions may be particularly vulnerable to adverse events. This retrospective study analyzed 790 medical or surgical hospitalizations among adults with serious mental illness in Maryland hospitals over a 10-year period. Numerous patient, provider, and systems factors were correlated with adverse events. The authors suggest that improving safety in patients with mental illness will require multifaceted interventions.

Utilizing a systems approach to improvement in health care is important to achieve lasting success. This commentary discusses the use of a tool that blends strategy, project monitoring, and process measurement to inform improvements.

Intensive care units (ICUs) are complex environments that carry high risk for medical errors. This review explores the role of safety culture and patient and family engagement in reducing opportunities for error in ICUs. The authors draw from quality improvement processes to provide insights for implementing safety initiatives and involving patients and families in these efforts.