As a general rule, if you have a question of whether or not you should speak up, you probably should. When it comes to a patient's safety or care, you should always speak up, no questions or hesitations. Professional Statistics Speaking up is important for patient safety, but often, health care professionals hesitate to voice concerns. Understanding the influencing factors can help to improve speaking-up behavior and team communication. This review focused on health care professionals’ speaking-up behavior for patient safety and aimed at Assessing the effectiveness of speaking up Evaluating the effectiveness of speaking-up training Identifying the factors influencing speaking-up behavior Developing a model for speaking-up behavior Five databases (Pub Med, MEDLINE, CINAHL, Web of Science, and the Cochrane Library) were searched for English articles describing health care professionals’ speaking-up behavior as well as those evaluating the relationship between
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