Patients can provide a unique perspective on safety concerns but may hesitate to speak up. This study was conducted with 19 recently discharged patients or their family members to understand safety or quality concerns they experienced during their stay and whether they voiced the concern to their care team. The paper presents types of concerns and, if parents did not have concerns, what made them feel safe, as well as barriers and facilitators to speaking up.

Implicit bias in clinicians can result in diagnostic errors and poor patient outcomes. This commentary outlines steps that individual clinicians, as well as healthcare systems, can take to reduce implicit bias and the resulting harm to patients.

While many studies have been conducted on implicit bias in healthcare, a gap exists in nurse-specific bias and impact on disparities. This scoping review identified 215 research reports on nurse bias and/or care disparities. Most were descriptive in nature and only 12 included evaluating an intervention designed to reduce nurse-related bias. Recommendations for future research include development and testing of interventions designed to reduce nurse-related bias.

A critical component of strong safety culture is that patients and families feel empowered to speak up about safety concerns. This qualitative study explored bedside nurses' experience responding to safety concerns expressed by patients or their families. Safety interventions designed to be used by nurses should be developed with nurses’ routine safety work in mind, be sensitive to the vulnerability of patients, and respect patient and family input.

… more likely to report similar understanding of the patient’s situation, open communication and exchange of information, … and in isolation from their team. … Manges K, Groves PS, Farag A, Peterson R, Harton J, Greysen SR. A mixed methods study …

This meta-analysis found no relationship between safety culture and the incidence of clinical safety outcomes, although the number of eligible studies was very small.

This qualitative study explores the critical role of bedside nurses in ensuring patient safety.

This review discusses safety culture concepts and explores how they work in nursing care.