Underreporting of ‘near misses’ can impede efforts to improve healthcare quality and patient safety. Based on hypothetical scenarios involving a patient with a cardiac pacemaker undergoing radiation treatment, this study surveyed healthcare staff about their evaluation of the events and their willingness to report based on their evaluation of the hypothetical scenarios. Findings suggest that cognitive biases can influence willingness to report based on how near miss events are perceived.  

… reporting and improve patient safety. … Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: …

This study in the Health Affairs patient safety theme issue examines the implementation of surgical safety checklists. Checklists have been shown to improve patient outcomes in randomized control trials, but implementation studies have not consistently demonstrated similar improvements. In this statewide initiative, implementation of the checklist varied significantly among sites. Factors associated with more successful implementation included greater leadership participation, frontline engagement, and more frequent activities for all involved groups, including surgeons, nurses, technicians, and administrators. Sites that invested more funding and time also saw greater checklist implementation. The authors conclude that hospitals that participated more did better. Past PSNet interviews with Lucian Leape and David Urbach discussed their perspectives on surgical safety checklists.

Over the last decade, the Lucian Leape Institute has explored five key areas in health care to advance patient safety. These include medical education reform, care integration, patient and family engagement, transparency, and joy and meaning in work and workforce safety for health care professionals. This review highlights progress to date in each area and the challenges that remain to be addressed, including increasing clinician burnout and shortcomings of existing health information technology approaches. The authors also suggest opportunities for further research such as measuring the impact of residency training programs. In a past PSNet interview, Dr. Tejal Gandhi, president of the IHI/NPSF Lucian Leape Institute, discussed improving patient safety at a national level.

Establishing a robust culture of safety, in which all staff feel free to voice concerns without fear of reprisal and leadership explicitly prioritizes safety, is crucial to safety improvement efforts. The most successful safety improvement programs have all explicitly prioritized enhancing safety culture. This study reports on the baseline results of a program that sought to improve surgical safety at hospitals in South Carolina. Safety culture was assessed among operating room personnel in 31 hospitals using a validated instrument. The investigators found a relatively robust association between better perceived safety culture and lower 30-day postoperative mortality. Studies in other clinical settings have found similar results. The hospitals involved in this study subsequently participated in a program to implement the Surgical Safety Checklist, which resulted in a significant improvement in mortality among participating hospitals compared to nonparticipating hospitals. A recent PSNet interview with Dr. Mary Dixon-Woods discussed the evolving concept of safety culture.

… clinical settings have been mixed. This study reports on a voluntary, statewide collaborative program to implement a surgical safety checklist in South Carolina hospitals. Participating sites undertook a multifaceted process to support checklist implementation …

… that teamwork is critical to checklist implementation. A PSNet interview discussed the challenges of implementing …

… substantiate calls for implementing checklists widely. A PSNet interview with Dr. Lucian Leape discussed his …

Ensuring that workers feel comfortable raising concerns in an organization is crucial to facilitating learning from failures. Exploring how psychological safety influences staff communication about problems in education and health care, this commentary describes similar challenges in both settings associated with hierarchy, leadership, and professional roles. The authors outline areas of research needed to understand ways to improve transparency in each environment.

… comparative data from hospitals across the United States. A previous AHRQ WebM&M interview with Dr. J. Bryan Sexton discussed teamwork and …

In this survey of surgical teams at South Carolina hospitals that were implementing the World Health Organization's surgical safety checklist, the majority of overall responses about patient safety were positive. However, there was wide variation between hospitals. In some hospitals surveyed, up to 57% of respondents reported that they would not feel safe being treated in their own operating room.

… mostly on how well they are implemented and performed—a recent study found no improvements in surgical outcomes …

… Scandinavica … Acta Anaesthesiol Scand … Although a surgical safety checklist initially had positive effects on …

… Scandinavica … Acta Anaesthesiol Scand … Implementation of a modified version of the Surgical Safety Checklist resulted …

… as health care. The ability to learn from failures is a crucial characteristic of high reliability organizations , and creating a climate that emphasizes organizational learning is an … essential element of safety culture . This article draws a distinction between preventable failures in predictable …