This Element reviews the evidence for three workplace conditions
that matter for improving quality and safety in healthcare:
staffing; psychological safety, teamwork, and speaking up; and
staff health and well-being at work. The authors propose that these
are environmental prerequisites for improvement. They examine the
relationship between staff numbers and skills in delivering care
and the attainment of quality of care and the ability to improve
it. They present evidence for the importance of psychological
safety, teamwork, and speaking up, noting that these are
interrelated and critical for healthcare improvement. They present
evidence of associations between staff well-being at work and
patient outcomes. Finally, they suggest healthcare improvement
should be embedded into the day-to-day work of frontline staff;
adequate time and resources must be provided, with quality as the
mainstay of professionals' work. Every day at every level, the
working context must support the question 'how could we do this
better?' This title is also available as Open Access on Cambridge
Core.
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