Overcoming barriers to patient safety

Nurs Econ. 2006 May-Jun;24(3):143-8, 155, 123; quiz 149.

Abstract

Creating a culture of patient safety is a critical goal of all patient care unit staff. An analysis of the key barriers to patient safety on a typical inpatient unit in an acute care hospital (unclear unit values), the fear of punishment for errors, the lack of systematic analysis of mistakes, the complexity of the nurses' work, and inadequate teamwork are presented. Nine practices to overcome these barriers and achieve patient safety are discussed.

MeSH terms

  • Attitude of Health Personnel*
  • Cooperative Behavior
  • Decision Making, Organizational
  • Efficiency, Organizational
  • Employee Discipline
  • Fear
  • Humans
  • Internal-External Control
  • Interprofessional Relations
  • Medical Errors / methods
  • Medical Errors / nursing
  • Medical Errors / prevention & control*
  • Motivation
  • Nurse Administrators / organization & administration
  • Nurse Administrators / psychology
  • Nursing Staff* / organization & administration
  • Nursing Staff* / psychology
  • Nursing, Supervisory / organization & administration
  • Organizational Culture
  • Organizational Objectives
  • Punishment / psychology
  • Safety Management / organization & administration*
  • Systems Analysis
  • Work Simplification
  • Workload