Jamal Nausheen, Young VyVy N, Shapiro Jo, Brenner Michael J, Schmalbach Cecelia E
Department of Otolaryngology-Head and Neck Surgery, School of Medicine, The University of Texas Rio Grande Valley, Edinburg, Texas, USA.
Department of Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco, California, USA.
Otolaryngol Head Neck Surg. 2023 Apr;168(4):881-888. doi: 10.1177/01945998221126966. Epub 2023 Feb 9.
Psychological safety is the concept that an individual feels comfortable asking questions, voicing ideas or concerns, and taking risks without undue fear of humiliation or criticism. In health care, psychological safety is associated with improved patient safety outcomes, increased clinician engagement, and greater creativity. A culture of psychological safety is imperative for physician well-being and satisfaction, which in turn directly affect delivery of care. For health care professionals, psychological safety creates an environment conducive to trust and openness, enabling the team to focus on high-quality care. In contrast, unprofessional behavior reduces psychological safety and threatens the culture of the organization. This patient safety/quality improvement primer considers the barriers and facilitators to psychological safety in health care; outlines principles for creating a psychologically safe environment; and presents strategies for managing conflict, microaggressions, and lapses in professionalism. Individuals and organizations share the responsibility of promoting psychological safety through proactive policies, conflict management, interventions for microaggressions, and cultivation of emotional intelligence.
心理安全是指个体在提出问题、表达想法或担忧以及冒险时感到自在，而不会过度担心受到羞辱或批评。在医疗保健领域，心理安全与改善患者安全结果、提高临床医生的参与度以及增强创造力相关联。心理安全文化对于医生的幸福感和满意度至关重要，而这又会直接影响医疗服务的提供。对于医疗保健专业人员而言，心理安全营造了一个有利于信任和开放的环境，使团队能够专注于高质量的医疗服务。相比之下，不专业的行为会降低心理安全并威胁组织文化。本患者安全/质量改进入门指南探讨了医疗保健中影响心理安全的障碍和促进因素；概述了营造心理安全环境的原则；并介绍了管理冲突、微侵犯行为和职业素养失误的策略。个人和组织都有责任通过积极主动的政策、冲突管理、针对微侵犯行为的干预措施以及情商培养来促进心理安全。
