title: Finding Antecedents of Psychological Safety: A Step Toward Quality Improvement.
abstract: OBJECTIVE
  The study's aim is to review the literature on psychological safety in the healthcare setting, more specifically, to identify environmental climates which promote and support psychological safety in healthcare organizations.
  
  
  CONCLUSIONS
  The findings show the complex dyadic interplay between leaders and team members. Current literature supports the significant role of leaders as one of the major contextual influences in promoting a psychologically safe environment. Specific leadership behaviors found in this review, including leadership inclusiveness, trustworthiness, change-oriented leaders, and ethical leadership, can foster a psychologically safe environment. The development and training of such leaders must incorporate cultivation of different domains of leadership.
  
  
  CONCLUSIONS
  Knowledge of the factors influencing psychological safety will assist healthcare organizations to cultivate and promote the psychological safety among healthcare personnel, thereby promoting patient safety and increasing healthcare quality.
authors: Office of Performance Improvement, M.D. Anderson Cancer Center, Houston, TX.|College of Nursing, Texas Woman's University, Houston, TX.
authors: Gina
authors: G
authors: Aranzamendez
authors: School of Nursing, University of Texas Health Science Center, San Antonio, TX.
authors: Debbie
authors: D
authors: James
authors: College of Nursing, Texas Woman's University, Houston, TX.
authors: Robin
authors: R
authors: Toms
mesh_terms: D006801:Humans; D019300:Medical Errors / Q000523:psychology*; D015279:Organizational Culture; D058996:Quality Improvement / Q000592:standards; D012309:Risk-Taking; D017751:Safety Management / Q000379:methods
keywords: Leadership; literature review; psychological safey; quality improvement