In Veterans Health Administration hospitals, a substantial minority of health care workers wouldn't report error due to fear of retaliation.J Patient Saf. 2015;11:60-66.
Psychological safety and error reporting within Veterans Health Administration hospitals.
Derickson R, Fishman J, Osatuke K, Teclaw R, Ramsel D. J Patient Saf. 2015;11:60-66.
The hidden curriculum, disruptive behaviors, and hierarchy can influence health care workers' willingness to speak up about safety hazards. This study examined psychological safety, or the extent to which health care workers feel comfortable speaking up about patient safety. A substantial minority of employees stated that they would not report an error, most often due to fear of retaliation. As with prior studies of safety culture, workers with supervisory roles reported more positive feelings than frontline staff. These results underscore the need to implement a blame-free culture in order to promote patient safety. A past AHRQ WebM&Mcommentary discussed strategies to reduce disruptive behaviors and to enhance communication between nurses and physicians.
Patient Safety in Canada: An Update.
Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.
Explaining ethnic disparities in patient safety: a qualitative analysis.
Suurmond J, Uiters E, De Bruijne MC, Stronks K, Essink-Bot ML. Am J Public Health. 2010;100 (suppl 1):S113-117.
Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents.
Davies EC, Green CF, Mottram DR, Pirmohamed M. Br J Clin Pharmacol. 2010;70:102-108.
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Hospital Reporting Program.
Portland, OR: Oregon Patient Safety Commission.