… J Health Serv Res Policy … A key aspect of patient safety … 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. …

Disruptive and unprofessional behaviors are known threats to safety culture and contribute to burnout among health professionals. In response to an episode of serious misconduct by a clinician, an academic hospital implemented a structured effort to address disruptive behavior by developing mechanisms for frontline staff to voice their concerns. This article reports on the development and implementation of the effort, which focused on addressing longstanding aspects of institutional culture that were perceived as tolerating—and providing tacit endorsement of—prominent leaders who engaged in disruptive behavior.

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

… Jt Comm J Qual Patient Saf … Jt Comm J Qual Patient Saf … Following a sentinel wrong-patient event , a multidisciplinary quality … via the electronic health record. … Hensley NB, Koch CG, Pronovost PJ, et al. Wrong-Patient Blood Transfusion Error: …

… 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 …

… Jt Comm J Qual Patient Saf … Jt Comm J Qual Saf … Comprehensive unit-based safety programs have … care settings. The investigators adapted this program for a primary care setting and report that safety culture …

… 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 …

… factors and solutions. Fear of malpractice was cited as a major reason for overtreatment. …

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.

As implementation of comprehensive health information technology (IT) systems becomes more widespread, concern regarding the unintended consequences of such technologies has increased as well. Usability testing is helpful for optimizing implementation of health IT. Researchers analyzed the impact of health IT use on relationships among clinicians over a year-long period across three academic intensive care units. In the two units with higher health IT use, clinicians were more likely to work in an isolated manner, which was associated with an adverse effect on situational awareness, communication, and patient satisfaction. A previous PSNet perspective discussed some of the pitfalls in the development, implementation, and regulation of health IT and what can be learned to improve patient safety going forward.

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

… The Journal of nervous and mental disease … J Nerv Ment Dis … Patients with underlying psychiatric … with serious mental illness in Maryland hospitals over a 10-year period. Numerous patient, provider, and systems …

… Commission journal on quality and patient safety … Jt Comm J Qual Patient Saf … Utilizing a systems approach to improvement in health care is important … lasting success. This commentary discusses the use of a tool that blends strategy, project monitoring, and process …

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.