Safety climate regarding patient

While the focus of almost all studies included in this chapter was the adaptation of a patient safety cUmate measure from the USAto their own national and healthcare contexts, maity of the questions we will have to answer in future might be better addressed at a cross-national level. At the level of the survey instmment this would require a certain amount of consistency regarding the use of terminology and the addition or removal of items - a minimal shared item set. Taking cross-national similarities and differences into account (especially with regard to internal consistencies of the various safety climate dimensions) might help to improve further the overall quality of the HSPSC and to further our understanding of factors at the level of healthcare systems that may have a considerable impact on safety climate. 

Finally, building a strong safety climate makes meeting healthcare safety regulations much easier. We place regulatory compliance last because we regard it as necessary but woefully insufficient to the avoidance of hazards for patients and employees. 

The sense of responsibility is strongly influenced by perceptions of the safety climate, which also affect the dimensions of upward communication and approaching others. Relations with superiors and other team members as well as the sense of fair treatment by the organization and superiors all affect whether team members are likely to raise their concerns regarding patient safety. 

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