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Journal Article > Study
Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes.
Winsvold Prang I, Jelsness-Jørgensen LP. Geriatr Nurs. 2014;35:441-447.
In this qualitative study, nursing staff in long-term care facilities described barriers to reporting patient safety problems, including lack of a supportive culture, insufficient time, and fear of conflict or repercussions. These findings highlight the need for multifaceted interventions to improve nursing home safety.
Journal Article > Commentary
Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong.
Jones A, Kelly D. BMJ Qual Saf. 2014;23:709-713.
This commentary explores the differences between individuals failing to raise concerns and organizations disregarding problems that have been reported. Several organizational failures in the National Health Service provide context for this comparison and illustrate the need to build systems that reliably record and respond to shortcomings raised by staff.