‘whistleblowing’ has come to increased prominence in many health systems as a means of identifying and addressing quality and safety issues. but whistleblowing – and the reactions to it – have many complex and ambiguous aspects that need to be considered as part of the broader (organisational) cultural dynamics of healthcare institutions.

AIM To explore nurses' perceptions and experiences of patient involvement relevant to patient safety. DESIGN Qualitative design using individual semi-structured interviews. METHODS Interviews with registered nurses (n = 11) and nurse assistants (n = 8) were conducted in 2015-2016. Nurses were recruited from five different healthcare units in Sweden. The material was analysed using conventio...

In response to a weight of evidence that patients are frequently harmed as a result of their care, there have been concerted efforts to make healthcare safer, with health systems across the globe investing significant resources in policies and programmes designed to reduce adverse events. Yet, despite extensive efforts, improvements in safety have proved difficult to sustain and spread, with st...