Patient Safety and Psychosocial Risk in the Workplace

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 30 December 2026 | Viewed by 2693

Special Issue Editors


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Guest Editor
Laboratory of Education and Research of Trauma Care and Patient Safety, Faculty of Nursing, University of Thessaly, 41110 Larisa, Greece
Interests: nursing; patient safety; occupational health; burnout; working environment; psychosocial risks
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Guest Editor
Department of Nursing, University of Thessaly, Gaiopolis Campus, Larissa-Trikala Ring-Road, 415 00 Larissa, Greece
Interests: clinical research/education; surgical nursing; infections diseases; public health; health care; health policy; well being/quality of life
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Guest Editor
Department of Management Science and Technology, University of Patras, Patras, Greece
Interests: occupational health; workplace psychology

Special Issue Information

Dear Colleagues,

Patient safety focuses on minimizing errors, adverse events, and harm to patients within healthcare systems. Psychosocial risks, on the other hand, encompass factors such as stress, burnout, workplace violence, and mental health challenges that affect healthcare professionals and their ability to provide safe care. These two domains are interconnected, as addressing psychosocial risks among healthcare workers directly impacts their well-being and the quality of care they provide.

We are pleased to invite contributions to a Special Issue titled “Patient Safety and Psychosocial Risk in the Workplace”. This Special Issue aims to explore the dynamic relationship between patient safety and psychosocial risks within healthcare systems. By addressing this intersection, the issue aligns with the journal’s scope to advance knowledge and evidence-based practices that enhance healthcare delivery, professional well-being, and patient outcomes. The issue will focus on understanding how psychosocial factors such as stress, workload, and organizational culture impact patient safety, and conversely, how safety initiatives can mitigate psychosocial risks. This scope encourages submissions that offer innovative approaches, comprehensive reviews, and practical interventions relevant to healthcare professionals, administrators, and stakeholders.

In this Special Issue, we welcome original research articles, systematic reviews, meta-analyses, and case studies. Research areas may include (but are not limited to) the following themes:

  1. Psychosocial Risk Factors in Healthcare environment
    • Burnout and its impact on patient safety.
    • Workplace violence and its effects on healthcare delivery.
    • Human factors and patient safety in healthcare provision. 
    • Stress management and organizational interventions.
  2. Patient Safety and Workforce Well-being
    • How psychosocial risks compromise patient safety.
    • Strategies to improve resilience and mental health among healthcare workers.
    • The role of leadership and organizational culture in fostering safety and well-being.
  3. Integration of Psychosocial Risk Management and Safety Practices
    • Evidence-based interventions that target both patient safety and workforce well-being.
    • Case studies of successful implementation in diverse healthcare settings.
    • Cross-cultural studies that address psychosocial and safety challenges.
  4. Technological and Policy Innovations
    • The role of technology in mitigating psychosocial risks and improving patient safety.
    • Policy frameworks to address the dual challenges of psychosocial risks and patient safety.

I look forward to receiving your contributions.

Prof. Dr. Maria Malliarou
Dr. Pavlos Sarafis
Dr. Aristomenis Kotsakis
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • patient safety
  • psychosocial risks
  • burnout
  • nursing
  • quality of care
  • stress
  • well-being
  • errors
  • adverse events
  • near misses

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Published Papers (2 papers)

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Research

10 pages, 419 KB  
Article
Retrospective Study of Perpetrators of Workplace Violence in a Large Urban Emergency Department in the United States
by Marla C. Doehring, Megan Palmer, Bruck Mulat, Marilyn Ives, Ashley Satorius, Andrew Beckman, Tabitha Vaughn and Benton R. Hunter
Healthcare 2026, 14(3), 337; https://doi.org/10.3390/healthcare14030337 - 29 Jan 2026
Abstract
Background/Objectives: Data on the perpetrators of workplace violence (WPV) in healthcare settings are lacking. We sought to identify characteristics of perpetrators of WPV in a United States emergency department (ED) and explore associations between patient demographics and acute visit features. Methods: This is [...] Read more.
Background/Objectives: Data on the perpetrators of workplace violence (WPV) in healthcare settings are lacking. We sought to identify characteristics of perpetrators of WPV in a United States emergency department (ED) and explore associations between patient demographics and acute visit features. Methods: This is a retrospective descriptive study of the perpetrators of WPV against ED healthcare workers (HCWs) identified in a previous prospective study. Perpetrator demographics and visit features are described. Regression analyses were performed to assess for associations between perpetrator demographics and visit features with physical violence (PV) and restraint use. Results: 91 WPV encounters were included. The average age was 44.8 years. Most patients (n = 48; 53%) did not have an active psychiatric complaint and were not intoxicated, but 71 (78%) had a history of psychiatric illness. Twenty-four events (26%) involved PV, which was more common among patients on an emergency detention (RR 2.18; 95% CI 1.12–4.23) but was not associated with any patient demographics after adjustment. Restraints were ordered in 33 (36%) patients. Age, sex, PV, and intoxication or active psychiatric complaints were associated with restraint use, but in adjusted analysis, only PV (RR 1.89; 95% CI 1.13–3.16) and active psychiatric complaint or intoxication (RR 2.26; 95% CI 1.21–4.22) remained associated with restraint use. Conclusions: Half of perpetrators in this study were neither intoxicated nor had an active psychiatric complaint. PV was more common among patients on emergency detention. Restraint use was more likely in PV events and patients who were intoxicated or had psychiatric complaints. Full article
(This article belongs to the Special Issue Patient Safety and Psychosocial Risk in the Workplace)
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18 pages, 754 KB  
Article
A Validation Study of the COPSOQ III Greek Questionnaire for Assessing Psychosocial Factors in the Workplace
by Aristomenis Kotsakis, Demetris Avraam, Maria Malliarou, Elpidoforos S. Soteriades, Constantinos Halkiopoulos, Michael Galanakis and Michael Sfakianakis
Healthcare 2025, 13(16), 1980; https://doi.org/10.3390/healthcare13161980 - 12 Aug 2025
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Abstract
Background: Over the past two decades, the Copenhagen Psychosocial Questionnaire (COPSOQ) has been established as a valid instrument to measure psychosocial stress at work. Currently, the COPSOQ international network is responsible for monitoring and improving the COPSOQ. In 2019, a new questionnaire was [...] Read more.
Background: Over the past two decades, the Copenhagen Psychosocial Questionnaire (COPSOQ) has been established as a valid instrument to measure psychosocial stress at work. Currently, the COPSOQ international network is responsible for monitoring and improving the COPSOQ. In 2019, a new questionnaire was published, and the Greek version is now being validated. The aim of the current study was to assess the reliability and validity of the psychometric properties of the Greek long version of the Copenhagen Psychosocial Questionnaire III (COPSOQ-III-GR). Methods: The measurement qualities of the Greek COPSOQ III have been explored in accordance with the usual requirements of a validation study, as defined by DIN EN ISO 10075-3. A sample of observations from 2189 participants surveyed with the COPSOQ in Greece was used to validate the current version with appropriate statistical analyses. Exploratory factor analysis was used to assess the statistical relationships for many scales. Results: With its 108 items and 40 scales, the Greek COPSOQ III includes all internationally validated psychosocial workplace factors that remain comparable (~72%) with the COPSOQ III German version content. In addition to the primary results, congruence with widely used theoretical approaches such as the demand–control (−support) model (DCM) or the job demands–resources model (JDR) is generally satisfactory. In summary, our validation study for the Greek COPSOQ III version showed adequate reliability and validity, which is in line with the findings of the COPSOQ III questionnaire from other European countries, and it is also compatible with the validation of the German COPSOQ III. Our regression analysis revealed that 34 psychosocial workplace factors (34 “context” scales) could adequately predict the scores of the satisfactory and health scales (6 “outcome” scales). The analysis also revealed the top five predictors (context variables) for each of the six “effect” scales (outcome variables). Conclusions: With the launch of COPSOQ III in Greece, current and new workplace psychosocial aspects could be explored, since COPSOQ III (GR) appears to be a valid and reliable instrument for enterprise research and risk assessment. Full article
(This article belongs to the Special Issue Patient Safety and Psychosocial Risk in the Workplace)
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