Safety culture perceptions comparing

Comparing the ICCs for both items shows that the response options of the HSOPSC item in Figure 8.3a are sensitive (a > 1.35) and will discriminate between individuals with different levels of safety culture perceptions, except for those who choose Strongly Disagree versus Disagree because the estimated difficulty parameter is located below -3 standard deviations. In contrast, the response options of the HSOPSC item in Figure 8.3b are not sensitive (a < 1.35). 

Gilkey, D. P., del Puerto, C. L. Keefe, T., Bigelow, P., Herron, R., Rosecrance, J., Chen, P. (2012). Comparative analysis of safety culture perceptions among homesafe managers and workers in residential construction. Journal of Construction Engineering and Management,... 

There was no explicit assessment of safety culture, in combination with a quantitative evaluation of the HSE environment in the accident reports. Such an assessment could be used to get a collective measure or temperarnre of the priority of safety in the organization, related to best practice . In Itho (2004) there is shown a correlation between the level of safety culture and quantitative incidents/acddents thus safety culture could be used as an indicator of the holes in harriers or the level of erosion of barriers, in combination with quantitative HSE data. A more specific measure tan culture is described by Rundmo (1997) i.e. when an employee in the Norwegian oil and gas industry feels at risk he/she is at risk. A proactive indicator could thus be a workplace survey, measuring risk perceptions or performing a more broadly based assessment of safety culture in combination with other local quantitative indicators such as gas emissions, injuries compared with best practice in the industry. 

One means of gathering data for monitor indicators is patient safety culture questionnaires. We have developed a patient safety culture questionnaire, TUKU, that measures employees perceptions of the organisational functions depicted in Table 9.4 as well as employees psychological states, such as sense of control and worry about patient safety (Reiman et al. 2013). In one hospital, the results of the questionnaire were compared with the ratio of patient safety incidents at the hospital s 40 units 16 months after the safety culture questionnaire was administered. The results, which must be treated with caution due to the small sample size, indicated that perceptions of work process management , work conditions management . 

Jones et al. (2008) Error Reporting System Two years Critical access hospitals Hospital Survey on Patient Safety Culture Overall perception of patient safety increased from 69% to 72% other dimensions of survey showed comparable increases... 

The principle of benchmarking safety cultrrre perceptions in Belgian hospitals is based on the respondents positive attitude towards patient safety. As such, the comparative report only considers explicitly positive answers of hospital staff towards differerrt safely culture dimensions. This approach has the lirrritation that neutral or negative perceptions are not separately taken into accormt. 

The fifth finding was the failine of the compare to give sufficient emphasis to safety. The young supervisor was not operating in a vacuum as he was influenced by what he had recently experienced. The yoimg supervisor was influenced by his perceptions of the company s emphasis on safety and its need for productiom This intangible company s emphasis (or lack of emphasis) on safety would be later called Safety Culture. ... 

The impact of an intervention can be measured by comparing perception surveys given before and after implementation. At one plant, our baseline Safety Culture Survey indicated that secretaries had below-average levels of perceived empowerment, as assessed by the measures of self-efficacy, personal control, and learned optimism described earlier in Chapter 15. A special recognition intervention was devised and later the survey was administered again to measure changes in the five actively caring person states as well as safety perceptions and attitudes. 

You could compare employees reactions to the items in Figure 18.7 before and after implementing a safety improvement process. Studying reactions prior to an intervention helps identify issues or work areas needing special attention. This information can lead you to choose a particular intervention approach or to customize one. Data from a baseline perception survey might even indicate that a culture is not ready for a given intervention process, suggesting the need for more education and discussion to get employees to "buy in," for example. 

Understanding culture from the treatment team members viewpoint can be achieved using a diagnostic instrument that measures their perceptions and compares them with normative scales from other organizations. These relative comparisons allow the safety leader to develop an intervention plan to make improvements. 

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