Supporting a psychiatric hospital culture of safety.

Jane S. Mahoney; Thomas E. Ellis; Gayle Garland; Nancy Palyo; Pamela K. Greene

Study

Supporting a psychiatric hospital culture of safety.

November 21, 2012

Mahoney JS, Ellis TE, Garland G, et al. J Am Psychiatr Nurses Assoc. 2012;18(5):299-306.

View more articles from the same authors.

The TeamSTEPPS teamwork training program was successfully implemented at a psychiatric hospital, with resulting improvement in staff perceptions of teamwork.

PubMed citation

Available at

Related Resources From the Same Author(s)

Lessons learned in implementing a chronic opioid therapy management system.

December 21, 2022

Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals.

September 1, 2021

Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes.

March 11, 2020

Reducing prescribing errors in hospitalized children on the ketogenic diet.

February 24, 2021

Promoting patient safety: results of a TeamSTEPPS initiative.

May 11, 2016

COVID-19 and patient safety: time to tap into our investment in high reliability.

May 12, 2021

The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned,

October 27, 2021

Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity.

March 30, 2022

Organizational characteristics and perceptions of clinical event notification services in healthcare settings: a study of health information exchange.

December 23, 2020

Safe use of the EHR by medical scribes: a qualitative study.

November 18, 2020

Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not?

July 23, 2008

Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults.

June 30, 2021

Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians.

January 8, 2020

Clinical decision support for early recognition of sepsis.

April 20, 2016

Effect of illness severity and comorbidity on patient safety and adverse events.

November 9, 2011

Linking patient safety culture to quality ratings in the nursing home setting.

December 9, 2020

Integrating principles of safety culture and just culture into nursing homes: lessons from the pandemic.

January 12, 2022

Patient safety in dermatology: a review of the literature.

February 17, 2010

Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis.

October 26, 2022

Patient and family involvement in serious incident investigations from the perspectives of key stakeholders: a review of the qualitative evidence.

August 17, 2022

'Care left undone' during nursing shifts: associations with workload and perceived quality of care.

August 14, 2013

Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors.

October 27, 2021

Theoretical approaches for investigating patient safety.

June 1, 2005

Examination of maternal near-miss experiences in the hospital setting among Black women in the United States.

December 14, 2022

The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses.

October 13, 2010

Perceived patient safety culture in a critical care transport program.

July 31, 2013

Nursing turbulence in critical care: relationships with nursing workload and patient safety.

May 27, 2020

Building a program of expanded peer support for the entire health care team: no one left behind.

October 13, 2021

Dual surgeon operating to improve patient safety.

September 29, 2021

"Time is of the essence": relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing.

December 8, 2021

Patient safety culture in assisted living: staff perceptions and association with state regulations.

November 30, 2022

Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a scoping review.

June 30, 2021

Community discharge among post-acute nursing home residents: an association with patient safety culture?

June 30, 2021

Measuring psychological safety and local learning to enable high reliability organisational change.

November 9, 2022

Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning.

December 19, 2012

The working hours of hospital staff nurses and patient safety.

January 9, 2005

Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic.

June 30, 2021

Nursing home patient safety culture perceptions among licensed practical nurses.

February 1, 2023

Hospital board and management practices are strongly related to hospital performance on clinical quality metrics.

August 19, 2015

Assessing the perceived level of institutional support for the second victim after a patient safety event.

June 10, 2015

TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life care?

September 15, 2021

The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support.

July 29, 2020

TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents?

March 11, 2015

Nurse staffing, burnout, and health care-associated infection.

August 15, 2012

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children.

June 30, 2021

The potential for leveraging machine learning to filter medication alerts.

May 4, 2022

Addressing the health care needs of people who identify as transgender: what do nurses need to know?

July 22, 2020

Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error.

March 31, 2021

There's no place like home--integrating a pharmacist into the hospital-in-home model.

March 17, 2021

Safety culture: an integration of existing models and a framework for understanding its development.

March 17, 2021

The neurologist and patient safety.

May 11, 2005

Ensuring primary care diagnostic quality in the era of telemedicine.

October 27, 2021

Patient Safety Innovations

There is an app for that: mobile technology improves complication reporting and resident perception of their role in patient safety

September 29, 2021

Indication alerts to improve problem list documentation.

January 26, 2022

Improving hospital safety culture for falls prevention through interdisciplinary health education.

December 23, 2020

Effects of nursing rounds on patients' call light use, satisfaction, and safety.

September 20, 2006

The source of purchased medications and its impact on medication mistakes and hospitalizations.

March 16, 2022

4 actions to reduce medical errors in U.S. hospitals.

May 25, 2022

Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists.

October 13, 2021

The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives.

February 27, 2019

Examining the meaning of the language used to communicate the nursing hand-off.

November 24, 2021

The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment.

July 14, 2021

Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims.

November 4, 2020

Barriers to accessing nighttime supervisors: a national survey of internal medicine residents.

March 17, 2021

The pharmacist-physician relationship in the detection of ambulatory medication errors.

January 31, 2006

Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project.

January 10, 2018

Guide to Reducing Unintended Consequences of Electronic Health Records.

October 5, 2011

Is there a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities.

August 12, 2020

Assessing patient safety culture in hospital settings.

June 2, 2021

Patient safety issues from information overload in electronic medical records.

September 14, 2022

The safety culture in a children's hospital.

July 12, 2006

Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities.

February 11, 2009

What do patients and their carers do to support the safety of cancer treatment and care? A scoping review.

December 14, 2022

The Child Health PSO at 10 years: an emerging learning network.

August 18, 2021

Deployment of a second victim peer support program: a replication study.

August 16, 2017

Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications.

October 20, 2021

Patient safety in dermatology: a ten-year update.

June 23, 2021

Using patient safety indicators to estimate the impact of potential adverse events on outcomes.

January 30, 2008

Preventing high-alert medication errors in hospital patients.

May 27, 2015

The association of nursing home characteristics and quality with adverse events after a hospitalization.

April 28, 2021

Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic review.

August 17, 2016

Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study.

January 9, 2019

Associations between safety outcomes and communication practices among pediatric nurses in the United States.

January 19, 2022

Leadership behaviors, attitudes and characteristics to support a culture of safety.

September 28, 2022

Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: a cross-sectional survey.

May 11, 2022

Health Literacy Practices in Primary Care Settings: Examples from the Field.

February 6, 2008

Nurse workarounds in the electronic health record: an integrative review.

August 12, 2020

Supporting the emotional well-being of health care workers during the COVID-19 pandemic.

August 5, 2020

Patient engagement in the inpatient setting: a systematic review.

December 18, 2013

The effect of virtual nursing and missed nursing care.

July 1, 2020

Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics.

November 3, 2021

Decreasing mislabeled laboratory specimens using barcode technology and bedside printers.

February 2, 2011

The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial.

February 2, 2022

Developing a patient safety culture in primary dental care.

June 16, 2021

Patient and hospital characteristics associated with delayed diagnosis of appendicitis.

February 1, 2023

Pharmacy dispensing of electronically discontinued medications.

December 5, 2012

Working conditions that support patient safety.

October 12, 2005

Techniques to improve patient safety in hospitals: what nurse administrators need to know.

September 19, 2012

Can decision support combat incompleteness and bias in routine primary care data?

April 7, 2021

The role of feedback in emergency ambulance services: a qualitative interview study.

April 6, 2022

Related Resources

Handbook of Perioperative and Procedural Patient Safety.

February 7, 2024

Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care.

May 24, 2023

The high cost of retained surgical items.

April 26, 2023

WebM&M Cases

Challenging Case of Multiple Suicide Attempts in a Complex Patient with Psychiatric Comorbidities.

March 29, 2023

Influencing a culture of quality and safety through huddles.

November 9, 2022

Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study.

November 9, 2022

Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation.

October 26, 2022

Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative.

October 5, 2022

Addressing Burnout in the Behavioral Health Workforce through Organizational Strategies.

September 14, 2022

Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis.

August 17, 2022

Developing and aligning a safety event taxonomy for inpatient psychiatry.

July 13, 2022

Is it time for the mental health field to consider unplanned discharge a key metric of patient safety?

May 4, 2022

Factors associated with workplace violence among healthcare workers in an academic medical center.

April 27, 2022

Annual Perspective

Annual Perspective: Psychological Safety of Healthcare Staff

March 31, 2022

Outcomes-based nurse staffing during times of crisis and beyond.

February 16, 2022

How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis.

January 26, 2022

Organizational safety climate and job enjoyment in hospital surgical teams with and without crew resource management training,

January 26, 2022

Patient safety and mental health-a growing quality gap in Canada.

October 6, 2021

Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units.

September 1, 2021

Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study.

August 11, 2021

Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives.

July 21, 2021

The psychological experiences of nurses after inpatient suicide: a meta-synthesis of qualitative research studies.

June 23, 2021

Enhancing psychological safety in mental health services.

June 9, 2021

An examination of factors that predict the perioperative culture of safety.

June 9, 2021

What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open-ended questionnaire study.

March 3, 2021

Longitudinal evaluation of a programme for safety culture change in a mental health service.

January 13, 2021

Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis: qualitative study of patient experiences.

December 23, 2020

Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study.

December 16, 2020

What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization.

October 21, 2020

Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units.

September 23, 2020

See More About The Topic

Psychiatric Facilities

Health Care Providers

Nurse Managers

Quality and Safety Professionals

Mental Health Care (Psychiatry and Clinical Psychology)

Supporting a psychiatric hospital culture of safety.

There is an app for that: mobile technology improves complication reporting and resident perception of their role in patient safety

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Supporting a psychiatric hospital culture of safety.

There is an app for that: mobile technology improves complication reporting and resident perception of their role in patient safety

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site