domingo, 14 de mayo de 2017

Speaking up about traditional and professionalism-related patient safety threats: a national survey of interns and residents. | AHRQ Patient Safety Network

Speaking up about traditional and professionalism-related patient safety threats: a national survey of interns and residents. | AHRQ Patient Safety Network



Survey finds residents reluctant to speak up about patient safety concerns—particularly unprofessional behavior.
BMJ Qual Saf. 2017 Apr 25; [Epub ahead of print].

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  • Study
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  • Published April 2017

Speaking up about traditional and professionalism-related patient safety threats: a national survey of interns and residents.

    Health care provider comfort with raising patient safety concerns is a critical aspect of safety culture. This survey of resident physicians at six academic medical centers demonstrated that trainees remain reluctant to speak up. Nearly half reported observing a patient safety threat. The majority spoke up about patient safety concerns, but a significant proportion did not. Although unprofessional behavior was more frequently observed, fewer trainees raised concerns about lack of professionalism than about patient safety. Even when respondents perceived the unprofessional behavior as having high potential for adverse patient consequences, they were not as likely to speak up about this compared to a traditional patient safety threat such as inadequate hand hygiene. The authors recommend specifically measuring tolerance for unprofessional behaviors as a part of safety culture assessment.














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