Patient safety climate

Singer, S.J., Gaba, D.M., Falwell, A. etal. (2009) Patient safety climate in 92 US hospitals differences by work area and discipline. Medical Care, 47(1), 23-31. 

Armstrong, K., Laschinger, H. and Wong, C. 2009. Workplace empowerment and magnet hospital characteristies as predietors of patient safety climate. Journal of Nursing Care Quality, 24(1), 55-62. 

Singer, S., Meterko, M., Baker, L., Gaba, D., Falwell, A. and Rosen, A. 2007. Workforce perceptions of hospital safety culture Development and vahdation of the patient safety climate in healthcare organizations survey. Health Services Research, 42(5), 1999-2021. 

Agnew, C., Flin, R. and Meams, K. 2013. Patient safety climate and worker safety behaviours in acute hospitals in Scotland. Journal of Safety Research, 45, 95-101. 

Ballangrud, R., Hedelin, B. and Hall-Lord, M L. 2012. Nurses perceptions of patient safety climate in intensive care units A cross-sectional study. Intensive and Critical Care Nursing, 28(6), 344-54. 

Campbell, E., Singer, S., Kitch, B., lezzoni, L. and Meyer, G. 2010. Patient safety climate in hospitals Act locally on variation across units. Joint Commission Journal on Quality and Patient Safety, 36(7), 319-26. 

Patient safety researchers have developed several surveys to assess patient safety climate, including the Safety Attitudes Questionnaire (SAQ), AHRQ s Hospital Survey on Patient Safety Culture (SOPS see Chapter 12 for more detailed information), and Patient Safety Climate in Healthcare Organizations. Our chapter provides an in-depth examination of the SAQ in terms of what it measures, key findings and limitations and future areas in need of research. 

Weng, R.H., Huang, C.Y., Huang, J.A. and Wang, M.H. 2012. The cross-level impact of patient safety climate on nursing iimovation A cross-sectional questionnaire survey. Journal of Clinical Nursing, 21(15-16), 2262-74. 

Colla, J.B., Bracken, A.C., Kinney, L.M. and Weeks, W.B. 2005. Measuring patient safety climate A review of surveys. Quality and Safety in Health Care, 14(5), 364-6. 

Six months after the patient safety climate survey was conducted, a written survey on action, taken in response to the results, was conducted among quality officers and senior management in the hospital s various specialist units and institutes. This revealed an uneven picture. In 22 specialist units and institutes survey results were found to corroborate the need to target known areas of action and ongoing projects and were used as a basis for discussion and reflectiom... 

Other specialist units and institutes had put off any discussion of the results for organisational reasons or else showed no willingness to make any changes. In 23 out of 37 specialist units the patient safety climate survey led to a decision to set up an incident reporting system. In addition, targeted projects led to the establishment of safety standards for electronic prescriptions and standards for safe surgery. 

The strrveys of patient safely climate served Urriversity Hospital Zurich as a kind of roadmap to the futirre. Over the period between the comprehensive initial strrvey, conducted in 2006, and the most recerrt assessmerrt of patient safety chmate in an individual organisational rrrrit, these srrrveys have become a more or less standardised component of the hospital s qrralily management system. It has also been found that assessments of patient safety climate can be undertaken both at the level of individual teams in cormection with an intervention... 

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