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Overcoming barriers to patient safety
Beatrice J Kalisch1, Michelle Aebersold
1University of Michigan, Ann Arbor, MI, USA.
Improving patient safety requires addressing key barriers like unclear values and fear of errors. Implementing nine specific practices can help overcome these challenges and foster a safer healthcare environment.
Area of Science:
- Healthcare Management
- Patient Safety Research
- Nursing Practice
Background:
- Patient safety is a critical objective for healthcare units.
- Barriers to patient safety in acute care hospitals include unclear unit values, fear of punishment for errors, inadequate mistake analysis, complex nursing work, and poor teamwork.
Purpose of the Study:
- To identify key barriers to patient safety on inpatient units.
- To propose actionable practices for overcoming identified barriers.
Main Methods:
- Analysis of common barriers in acute care inpatient settings.
- Discussion of nine recommended practices for enhancing patient safety.
Main Results:
- Identified significant barriers: unclear unit values, fear of error repercussions, lack of systematic error analysis, work complexity, and teamwork deficits.
- Presented nine practices to mitigate these barriers.
Conclusions:
- Addressing identified barriers is essential for cultivating a culture of patient safety.
- The proposed practices offer a framework for improving safety outcomes in inpatient units.
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