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Individual Characteristics That Promote or Prevent Psychological Safety and Error Reporting in Healthcare: A
Dawn M Wawersik1,2, Emile R Boutin1, Teresa Gore3
1MGH Institute of Health Professions, Boston, MA, USA.
Journal of Healthcare Leadership
|April 24, 2023
Summary
Healthcare professionals speaking up about errors is vital for safety. Individual confidence and positive perceptions of leadership encourage reporting, while fear and negative views create barriers.
Area of Science:
- Healthcare Safety
- Organizational Behavior
- Medical Error Reporting
Background:
- Healthcare errors pose significant safety risks and economic burdens.
- Speaking up and error reporting are crucial for mitigating these errors within a safety culture.
- Effective error reporting is complex and influenced by multiple factors.
Purpose of the Study:
- To systematically review individual characteristics influencing speaking up behaviors after adverse events.
- To explore the correlation between organizational interventions, individual traits, and psychological safety perceptions in error reporting.
Main Methods:
- Systematic review of peer-reviewed healthcare articles (2015-2021).
- Initial search yielded 1233 articles; 81 assessed for eligibility.
- Data extracted from 28 articles, quality appraised using Joanna Briggs Institute tools.
Main Results:
- Individual confidence, self-perception, and positive views of the organization/leadership promote speaking up.
- Barriers include self-preservation (fear) and negative perceptions of the environment.
- Education, experience, and knowledge contribute to confidence in reporting.
Conclusions:
- An individual's perception of psychological safety is influenced by personal values.
- Healthcare error reporting requires attention to cultural and diversity aspects.
- Interventions should be individualized to reduce fear and encourage reporting.
Keywords:
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