Henry Ford College, Dearborn, Michigan; and.
MGH Institute of Health Professions and Department of Anesthesia, Critical Care, & Pain Medicine, Harvard Medical School, Boston, Massachusetts.
J Healthc Manag. 2022 Jul 1;67(4):283-301. doi: 10.1097/JHM-D-21-00166.
The overarching aim of this systematic review was to offer guidelines for organizations and healthcare providers to create psychological safety in error reporting. The authors wanted to identify organizational factors that promote psychological safety for error reporting and identify gaps in the literature to explore innovative avenues for future research.
The authors conducted an online search of peer-reviewed articles that contain organizational processes promoting or preventing error reporting. The search yielded 420 articles published from 2015 to 2021. From this set, 52 full-text articles were assessed for eligibility. Data from 29 articles were evaluated for quality using Joanna Briggs Institute critical appraisal tools.
We present a narrative review of the 29 studies that reported factors either promoting error reporting or serving as barriers. We also present our findings in tables to highlight the most frequently reported themes. Our findings reveal that many healthcare organizations work at opposite ends of the process continuum to achieve the same goals. Finally, our results highlight the need to explore cultural differences and personal biases among both healthcare leaders and clinicians.
The findings underscore the need for a deeper dive into understanding error reporting from the perspective of individual characteristics and organizational interests toward increasing psychological safety in healthcare teams and the workplace to strengthen patient safety.
本系统评价的总体目标是为组织和医疗保健提供者提供创建错误报告中的心理安全感的指导方针。作者希望确定促进错误报告心理安全感的组织因素，并确定文献中的空白，以探索未来研究的创新途径。
作者对 2015 年至 2021 年期间发表的促进或预防错误报告的组织流程的同行评审文章进行了在线搜索。该搜索产生了 420 篇文章。从这组文章中，评估了 52 篇全文文章的合格性。使用 Joanna Briggs 研究所的批判性评估工具评估了 29 篇文章的数据质量。
我们对报告促进错误报告或作为障碍的因素的 29 项研究进行了叙述性综述。我们还将我们的发现以表格形式呈现，以突出最常报告的主题。我们的研究结果表明，许多医疗保健组织在实现相同目标的过程中处于对立面。最后，我们的结果强调需要探索医疗保健领导者和临床医生之间的文化差异和个人偏见。
研究结果强调需要从个人特征和组织利益的角度更深入地了解错误报告，以提高医疗保健团队和工作场所的心理安全感，从而加强患者安全。
