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A psychologically safe environment for healthcare teams is desirable for optimal team performance, team member well-being, and favorable patient safety outcomes. This piece explores facilitators of and barriers to psychological safety across healthcare settings. Future research directions examining psychological safety in healthcare are discussed.

De Brún A, Anjara S, Cunningham U, et al. Int J Environ Res Public Health. 2020;17:8673.
Leadership has an important role in promoting a culture of safety and enabling necessary changes to enhance patient safety. This article summarizes the design, pilot testing, and refinement of the Collective Leadership for Safety Culture (Co-Lead) program, which offers a systematic approach to developing collective leadership behaviors to promote effective teamwork and enhance safety culture.
Harper PG, Schafer KM, Van Riper K, et al. J Am Pharm Assoc (2003). 2021;61:e46-e52.
This article describes a systematic team-based care approach to medication reconciliation implemented in four family medicine residency clinics. After implementation, there was a significant increase in the number of visits with physician-documented medication reconciliation and this increase was sustained one year later.
Ricciardi R, Shofer M. J Nurs Care Qual. 2019;34:1-3.
This commentary discusses the importance of the nurse-patient relationship and engagement with patients and their family members to improve patient safety practices. The article also provides an overview of AHRQ resources intended to facilitate engagement between providers and their patients and family members.
Wong LP. Semin Dial. 2019;32:266-273.
Patients with end-stage renal disease are vulnerable to adverse events in dialysis. This commentary outlines a team-based approach to improving safety in dialysis care. The authors highlight the importance of multidisciplinary teamwork, accountability, and coleadership to develop high-functioning teams for safe dialysis.

Shah RK, ed. Otolaryngol Clin North Am. 2019;52:1-194.

Articles in this special issue apply safety concepts to reducing preventable patient harm in otolaryngology. The reviews highlight systems science, collaboration, leadership models, and patient experience as important to moving safety innovation forward in this specialty.
Berry JC, Davis JT, Bartman T, et al. J Patient Saf. 2020;16:130-136.
A culture of safety is a fundamental component of patient safety. Several validated survey tools are available to measure hospital safety and teamwork climates, including the AHRQ Surveys on Patient Safety Culture and the Safety Attitudes Questionnaire (SAQ). Improvements in SAQ scores have been previously linked to reductions in specific safety outcomes, such as maternal and fetal adverse events in an obstetric ward. This study explored SAQ results and outcomes across all inpatient and outpatient care units in a large academic health system. Beginning in 2009, Nationwide Children's Hospital in Ohio introduced a comprehensive patient safety and high reliability program that included numerous quality improvement activities and extensive training in error prevention for each of their approximately 10,000 employees. Over the course of 4 years, SAQ scores improved while all-hospital harm, serious safety events, and severity-adjusted hospital mortality all decreased significantly. A prior WebM&M interview with J. Bryan Sexton, the primary author of the SAQ instrument, discussed the relationship between culture and safety.

Fam Syst Health. 2015;33(3):175-269.

Teamwork is a key element of patient-centered care, but evidence regarding its use in the primary care environment is limited. Articles in this special issue examine the reasons for this shortcoming, including the impact of health coaches, storytelling, team training, and patient engagement tactics in this setting.
Institute for Healthcare Improvement. 2009 -2013.
This Web site supports an initiative to reduce avoidable rehospitalizations by improving transitions in care and communication between multiple care sites. The program ran from May 2009 through June 2013.  
Cosford PA, Thomas JM. BMJ. 2010;340:c3194.
This commentary analyzes a fatal medication overdose by a foreign physician providing care after hours in the United Kingdom and offers recommendations for safe out-of-hours care including tips to improve teamwork, competency verification, and medical record access.