“Excuse Me:” Teaching Interns to Speak Up

O’Connor, Paul; Byrne, Dara; O’Dea, Angela; McVeigh, Terri P; Kerin, Michael J.

doi:10.1016/s1553-7250(13)39056-4

Cited by 40 publications

(41 citation statements)

References 18 publications

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“…; O'Connor et al . ). One reason may be that often such programmes are limited to one occupational group or one level of training, for example residents.…”

Section: Discussionmentioning

confidence: 97%

“…Still, there may be options to avert both, threats to patient safety and erosion of patient trust, for example, by the use of gestures. Preliminary experiences with training programmes in assertive communication report mixed results (Pian-Smith et al 2009;Sayre et al 2012;O'Connor et al 2013). One reason may be that often such programmes are limited to one occupational group or one level of training, for example residents.…”

Section: Discussionmentioning

confidence: 99%

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Frequency of and predictors for withholding patient safety concerns among oncology staff: a survey study

Schwappach

2014

Eur J Cancer Care (Engl)

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Speaking up about patient safety is vital to avoid errors reaching the patient and to improve a culture of safety. This study investigated the prevalence of non-speaking up despite concerns for safety and aimed to identify predictors for withholding voice among healthcare professionals (HCPs) in oncology. A self-administered questionnaire assessed safety concerns, speaking up beliefs and behaviours among nurses and doctors from nine oncology departments. Multiple regression analysis was used to identify predictors for withholding safety concerns. A total of 1013 HCPs returned the completed survey (response rate 65%). Safety concerns were common among responders. Fifty-four per cent reported to recognise their colleagues making potentially harmful errors at least sometimes. A majority of responders reported at least some episodes of withholding concerns about patient safety. Thirty-seven per cent said they remained silent at least once when they had information that might have helped prevent an incident. Respondents believed that a high level of interpersonal, communication and coping skills are necessary to speak up about patient safety issues at their workplace. Higher levels of perceived advocacy for patient safety and psychological safety significantly decreased the frequency of withholding voice. Remaining silent about safety concerns is a common phenomenon in oncology. Improved strategies are needed to support staff in effective communication and make cancer care safer.

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“…; O'Connor et al . ). One reason may be that often such programmes are limited to one occupational group or one level of training, for example residents.…”

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Frequency of and predictors for withholding patient safety concerns among oncology staff: a survey study

Schwappach

2014

Eur J Cancer Care (Engl)

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“…Identified organisational‐level factors include hierarchy (Walton ) and status differentials (O'Connor et al . ); visible administrative support for speaking up (Edmondson ) and level of resources that exacerbate or mitigate clinician work stress and fatigue (Simpson and Lyndon ).…”

Section: Introductionmentioning

confidence: 99%

Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety

Szymczak

2015

Sociology Health & Illness

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Clinician silence in the face of known threats to patient safety is a source of growing concern. Current explanations for the difficulties clinicians have of speaking up are conceptualised at the individual or organisational level, with little attention paid to the space between -the interaction context. Drawing on 103 interviews with clinicians at one hospital in the United States this article examines how clinicians talk about speaking up or not in the face of breaches in infection prevention technique. Accounts are analysed using a microsociological lens as stories of interaction, through which respondents appeal to situational and organisational realities of medical work that serve to justify speaking up or remaining silent. Analysis of these accounts reveals three influences on the decision to speak up, shaped by background conditions in the organisation; mutual focus of attention, interactional path dependence and the presence of an audience. These findings suggest that the decision to speak up in a clinical setting is dynamic, highly context-dependent, embedded in the interaction rituals that suffuse everyday work and constrained by organisational dynamics. This article develops a more sophisticated and distinctly sociological understanding of the reasons why speaking up in healthcare is so difficult.

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“…In a cohort study, knowledge of the interns increased significantly due to training program. There was an evidence to support a shift in attitudes towards intended direction related to need for speaking up to seniors however, there was not an effect of training on behaviors of interns [39]. In another cohort study, after Crew Resource Management (CRM) training applied to employees, results showed that healthcare staff were more likely to speak up when they have concern about safety (p < 0.002) [40].…”

Section: Effectiveness Of Speaking Up Trainingmentioning

confidence: 96%

As a critical behavior to improve quality and patient safety in health care: speaking up!

Nacioglu

2016

Saf Health

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Introduction: Joint Commission predicted that 80 % of the serious safety events occur due to miscommunications among healthcare professionals. Speaking up is one of the critical behaviors of patient safety that displays an important role for improving quality and patient safety in healthcare. Objectives of this study are 'assessing the effectiveness of speaking up for patient safety', 'identifying the influencing factors of speaking up', 'evaluating the effectiveness of speaking up training' and 'finding enablers of speaking up'.

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“Excuse Me:” Teaching Interns to Speak Up

Cited by 40 publications

References 18 publications

Frequency of and predictors for withholding patient safety concerns among oncology staff: a survey study

Frequency of and predictors for withholding patient safety concerns among oncology staff: a survey study

Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety

As a critical behavior to improve quality and patient safety in health care: speaking up!

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