Intended for healthcare professionals

Letters Speaking up for patient safety

Changing the culture of speaking up across healthcare

BMJ 2019; 366 doi: (Published 07 August 2019) Cite this as: BMJ 2019;366:l4998
  1. Jeremy P Reid, academic foundation year 2 doctor
  1. New Cross Hospital, Wolverhampton WV10 0QP, UK
  1. jeremy.reid{at}

Brennan and Davidson write about empowering doctors to speak up about their concerns.1 Medicine has a hierarchical culture, so we need active efforts to facilitate open disclosure of concerns.

As the authors mention, we should focus not only on physicians but on other healthcare disciplines where a hierarchical culture exists …

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