Speaking up for patient safety by hospital-based health care professionals: A literature review

BMC Health Services Research

Volumn 14, Issue , 2014, Pages

  Okuyama, Ayako ^a   Wagner, Cordula ^b,c   Bijnen, Bart ^b,d  

^a OSAKA UNIVERSITY   (Japan)

^b VU UNIVERSITY MEDICAL CENTER   (Netherlands)

^c NETHERLANDS INSTITUTE FOR HEALTH SERVICES RESEARCH   (Netherlands)

^d Location Alkmaar   (Netherlands)

Author keywords

Communication; Inter professional relations; Patient care team; Patient safety; Speaking up

Indexed keywords

HOSPITAL PERSONNEL; HUMAN; INTERPERSONAL COMMUNICATION; MEDICAL ERROR; PATIENT SAFETY; PREVENTION AND CONTROL; PSYCHOLOGY;

COMMUNICATION; HUMANS; MEDICAL ERRORS; PATIENT SAFETY; PERSONNEL, HOSPITAL;

EID: 84893691282     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-14-61     Document Type: Article

References (43)

1. WHO patient safety curriculum guide. WHO Patient Safety Curriculum Guide, http://www.who.int/patientsafety/education/curriculum/en/
2. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. Tucker AL, Singer SJ, Hayes JE, Falwell A, Health Serv Res 2008 43 5 Pt 2 1807 1829 18522667
3. Speaking up in the operating room: how team leaders promote learning in interdisciplinary action teams. Edmondson A, J Manag Stud 2003 40 6 1419 1452 10.1111/1467-6486.00386 (Pubitemid 37052837)
4. The human factor: the critical importance of effective teamwork and communication in providing safe care. Leonard M, Graham S, Bonacum D, Qual Saf Health Care 2004 13 Suppl 1 85 i90 15465961
5. Predictors of likelihood of speaking up about safety concerns in labour and delivery. Lyndon A, Sexton JB, Simpson KR, Rosenstein A, Lee KA, Wachter RM, BMJ Qual Saf 2012 21 9 791 799 10.1136/bmjqs-2010-050211 22927492
6. Shades of silence: emerging themes and future directions for research on silence in organizations. Milliken FJ, Morrison EW, J Manage Stud 2003 40 6 1563 1568 10.1111/1467-6486.00391 (Pubitemid 37052842)
7. Speaking up, remaining silent: the dynamics of voice and silence in organizations. Morrison EW, Milliken FJ, J Manage Stud 2003 40 6 1353 1358 10.1111/1467-6486.00383 (Pubitemid 37052834)
8. Learning accountability for patient outcomes. Pronovost PJ, JAMA 2010 304 2 204 205 10.1001/jama.2010.979 20628135
9. Profiles in patient safety: authority gradients in medical error. Cosby KS, Croskerry P, Acad Emerg Med 2004 11 12 1341 1345 10.1111/j.1553-2712.2004. tb01925.x 15576526 (Pubitemid 39572893)
10. Team errors: definition and taxonomy. Sasou K, Reason J, Reliab Eng Syst Saf 1999 65 1 1 9 10.1016/S0951-8320(98)00074-X
11. Employee voice behavior: integration and directions for future research. Morrison EW, Acad Manage Annal 2011 5 1 373 412 10.1080/19416520.2011.574506
12. Interventions to improve teamwork and communications among healthcare staff. McCulloch P, Rathbone J, Catchpole K, Br J Surg 2011 98 4 469 479 10.1002/bjs.7434 21305537
13. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Wakefield JG, McLaws ML, Whitby M, Patton L, Qual Saf Health Care 2010 19 6 585 591 20724390
14. Best evidence in medical education coding sheet. Best Evidence Medical and Health Professional Education, http://www.bemecollaboration.org/
15. Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups. Dixon-Woods M, Cavers D, Agarwal S, Annandale E, Arthur A, Harvey J, Hsu R, Katbamna S, Olsen R, Smith L, Riley R, Sutton A, BMC Med Res Methodol 2006 6 35 10.1186/1471-2288-6-35 16872487 (Pubitemid 44337013)
16. Speaking up is related to better team performance in simulated anesthesia inductions: an observational study. Kolbe M, Burtscher MJ, Wacker J, Grande B, Nohynkova R, Manser T, Spahn DR, Grote G, Anesth Analg 2012 115 5 1099 1108 10.1213/ANE.0b013e318269cd32 23011565
17. Catching and correcting near misses: the collective vigilance and individual accountability trade-off. Jeffs LP, Lingard L, Berta W, Baker GR, J Interprof Care 2012 26 2 121 126 10.3109/13561820.2011.642424 22214406
18. Descriptions of verbal communication errors between staff. An analysis of 84 root cause analysis. Rabøl LI, Andersen ML, Østergaard D, Bjørn B, Lilja B, Mogensen T, BMJ Qual Saf 2011 20 3 268 274 10.1136/bmjqs.2010.040238 21209139
19. Patterns of communication breakdowns resulting in injury to surgical patients. Greenberg CC, Regenbogen SE, Studdert DM, Lipsitz SR, Rogers SO, Zinner MJ, Gawande AA, J Am Coll Surg 2007 204 4 533 540 10.1016/j.jamcollsurg. 2007.01.010 17382211 (Pubitemid 46428564)
20. Communication failures: an insidious contributor to medical mishaps. Sutcliffe KM, Lewton E, Rosenthal MM, Acad Med 2004 79 2 186 194 10.1097/00001888-200402000-00019 14744724 (Pubitemid 38461509)
21. Teaching teamwork during the neonatal resuscitation program: a randomized trial. Thomas EJ, Taggart B, Crandell S, Lasky RE, Williams AL, Love LJ, Sexton JB, Tyson JE, Helmreich RL, J Perinatol 2007 27 7 409 414 10.1038/sj.jp.7211771 17538634 (Pubitemid 47028921)
22. Teaching residents the two-challenge rule: a simulation-based approach to improve education and patient safety. Pian-Smith MC, Simon R, Minehart RD, Podraza M, Rudolph J, Walzer T, Raemer D, Simul Healthc 2009 4 2 84 91 10.1097/SIH.0b013e31818cffd3 19444045
23. A strategy to improve nurses speaking up and collaborating for patient safety. Sayre MM, McNeese-Smith D, Phillips LR, Leach LS, J Nurs Adm 2012 42 10 458 460 10.1097/NNA.0b013e31826a1e8a 22968117
24. An educational intervention to increase speaking-up behaviors in nurses and improve patient safety. Sayre MM, McNeese-Smith D, Leach LS, Phillips LR, J Nurs Care Qual 2012 27 2 154 160 10.1097/NCQ.0b013e318241d9ff 22192938
25. Educational program in crisis management for cardiac surgery teams including high realism simulation. Stevens LM, Cooper JB, Raemer DB, Schneider RC, Frankel AS, Berry WR, Agnihotri AK, J Thorac Cardiovasc Surg 2012 144 1 17 24 10.1016/j.jtcvs.2012.03.006 22502966
26. Patient safety: break the silence. Johnson HL, Kimsey D, AORN J 2012 95 5 591 601 10.1016/j.aorn.2012.03.002 22541770
27. Poor resident-attending intraoperative communication may compromise patient safety. Belyansky I, Martin TR, Prabhu AS, Tsirline VB, Howley LD, Phillips R, Sindram D, Heniford BT, Stefanidis D, J Surg Res 2011 171 2 386 394 21601875
28. Clinical disagreements during labor and birth: how does real life compare to best practice? Simpson KR, Lyndon A, MCN Am J Matern Child Nurs 2009 34 1 31 39 10.1097/01.NMC.0000343863.72237.2b 19104317
29. Exploring nonlinearity in employee voice: the effects of personal control and organizational identification. Tangirala S, Ramanujam R, Acad Manag J 2008 51 6 1189 1203
30. Employee silence on critical work issues: the cross level effects of procedural justice climate. Tangirala S, Ramanujam R, Pers Psychol 2008 61 1 37 68 10.1111/j.1744-6570.2008.00105.x
31. Making it safe: the effects of leader inclusiveness and improvement efforts in health care teams. Nembhard IM, Edmondson AC, J Organ Behav 2006 27 7 941 966 10.1002/job.413 (Pubitemid 44598922)
32. A cross-cultural survey of residents' perceived barriers in questioning/challenging authority. Kobayashi H, Pian-Smith M, Sato M, Sawa R, Takeshita T, Raemer D, Qual Saf Health Care 2006 15 4 277 283 10.1136/qshc.2005.017368 16885253
33. Teamwork, communication, and anaesthetic assistance in Scotland. Rutherford JS, Flin R, Mitchell L, Br J Anaesth 2012 109 1 21 26 10.1093/bja/aes172 22696557
34. Nurses' views on challenging doctors' practice in an acute hospital. Churchman JJ, Doherty C, Nurs Stand 2010 24 40 42 47 10.7748/ns2010.06.24.40.42. c7830
35. Uncomfortable prescribing decisions in hospitals: the impact of teamwork. Lewis PJ, Tully MP, J R Soc Med 2009 102 11 481 488 10.1258/jrsm.2009.090150 19875537
36. Social and environmental conditions creating fluctuating agency for safety in two urban academic birth centers. Lyndon A, J Obstet Gynecol Neonatal Nurs 2008 37 1 13 23 10.1111/j.1552-6909.2007.00204.x 18226153
37. Factors influencing nurses' decisions to raise concerns about care quality. Attree M, J Nurs Manag 2007 15 4 392 402 10.1111/j.1365-2834.2007. 00679.x 17456168
38. A sensemaking lens on reliability. Blatt R, Christianson M, Sutcliffe K, Rosenthal M, J Organ Behav 2006 27 7 897 917 10.1002/job.392 (Pubitemid 44598921)
39. The seven crucial conversations for health care. Silence Kills, http://psnet.ahrq.gov/resource.aspx?resourceID=1149
40. The silent treatment. Why safety tools and checklists aren't enough to save lives. http://psnet.ahrq.gov/resource.aspx?resourceID=21435
41. Reconstructing human contributions to accidents: the new view on error and performance. Dekker SW, J Saf Res 2002 33 3 371 385 10.1016/S0022-4375(02) 00032-4
42. Assessing the patient safety competencies of healthcare professionals: a systematic review. Okuyama A, Martowirono K, Bijnen B, BMJ Qual Saf 2011 20 11 991 1000 10.1136/bmjqs-2011-000148 21880646
43. Implicit voice theories: taken-for-granted rules of self-censorship at work. Detert JR, Edmondson AC, Acad Manag J 2011 54 3 461 488