Article

Measuring Patient Safety Climate: A Review of Surveys

Department of Community and Family Medicine, Dartmouth Medical School, Hanover, NH 03755, USA.
Quality and Safety in Health Care (Impact Factor: 2.16). 11/2005; 14(5):364-6. DOI: 10.1136/qshc.2005.014217
Source: PubMed

ABSTRACT

Five years ago the Institute of Medicine recommended improving patient safety by addressing organizational cultural issues. Since then, surveys measuring a patient safety climate considered predictive of health outcomes have begun to emerge. This paper compares the general characteristics, dimensions covered, psychometrics performed, and uses in studies of patient safety climate surveys.
Systematic literature review.
Nine surveys were found that measured the patient safety climate of an organization. All used Likert scales, mostly to measure attitudes of individuals. Nearly all covered five common dimensions of patient safety climate: leadership, policies and procedures, staffing, communication, and reporting. The strength of psychometric testing varied. While all had been used to compare units within or between hospitals, only one had explored the association between organizational climate and patient outcomes.
Patient safety climate surveys vary considerably. Achievement of a culture conducive to patient safety may be an admirable goal in its own right, but more effort should be expended on understanding the relationship between measures of patient safety climate and patient outcomes.

Download full-text

Full-text

Available from: William B Weeks, Aug 14, 2014
  • Source
    • "Unlike most of other existing reviews of safety climate tools (Flin et al. 2000. 2006, Colla et al. 2005, O'Connor et al. 2011b), this study did not elaborate factor structures of identified safety climate tools in this step, to avoid iffy direct comparisons of factor structures due to methodological variances and expressive differences (Flin et al. 2000). In Step 2, according to prototypes that the tools of current studies were developed from, several frequently-used standardized batteries of safety climate tools were confirmed and categorized. "
    [Show abstract] [Hide abstract]
    ABSTRACT: The construction industry is deemed to be one of the most dangerous industries worldwide due to its special characteristics of production process. Globalization has brought about an increasing number of construction companies involving themselves in the international construction market. Due to involvement of participants from different countries and regions, international construction projects possess complexities from national, organizational and individual perspectives which may affect construction safety management adversely and lead to unsatisfactory safety performance. Safety climate, defined as " a unified set of cognitions regarding the safety aspects of the organization " , is often considered to be a predictor of safety behavior and performance. After conducting a comprehensive review of existing literature related to safety climate measurement in construction sector, this study highlights several conditions for selecting suitable safety climate instruments specific in international construction projects. https://www.isec-society.org/ISEC_PRESS/ISEC_08/pdf/CS-14_v5_489.pdf
    Full-text · Conference Paper · Nov 2015
    • "Other authors have reviewed specific PSC tools in order to distil its main dimensions. For instance, Colla et al. (2005) reviewed nine such tools, identifying that nearly all of them had leadership, policies and procedures, staffing, communication, and reporting as common dimensions. Singla et al. (2006) reviewed 13 PSC tools representing 23 dimensions of PSC, which they grouped into the broad categories of management/supervision, risk, work pressure, competence, procedures/rules, and miscellaneous. "
    [Show abstract] [Hide abstract]
    ABSTRACT: In this study of 638 Australian nurses, compliance to hand hygiene (HH), as defined by the ‘‘five moments” recommended by the World Health Organisation (2009), was examined. Hypotheses focused on the extent to which time pressure reduces compliance and safety climate (operationalised in relation to HH using colleagues, manager, and hospital as referents) increases compliance. It also was proposed that HH climate would interact with time pressure, such that the negative effects of time pressure would be less marked when HH climate is high. The extent to which the three HH climate variables would interact among each other, either in the form of boosting or compensatory effects, was tested in an exploratory manner. A prospective research design was used in which time pressure and the HH climate variables were assessed at Time 1 and compliance was assessed by self-report two weeks later. Compliance was high but varied significantly across the 5 HH Moments, suggesting that nurses make distinctions between inherent and elective HH and also seemed to engage in some implicit rationing of HH. Time pressure dominated the utility of HH climate to have its positive impact on compliance. The most conducive workplace for compliance was one low in time pressure and high in HH climate. Colleagues were very influential in determining compliance, more so than the manager and hospital. Manager and hospital support for HH enhanced the positive effects of colleagues on compliance. Providing training and enhancing knowledge was important, not just for compliance, but for safety climate.
    No preview · Article · Aug 2015 · Safety Science
  • Source
    • "All items with responses of 'most of the time/always' or 'agree/strongly agree' were considered as positive responses. The HSOPSC has very well-established psychometric properties including factor analysis, reliability and item analysis (Colla et al. 2005; Fleming 2005; Flin 2007; Hellings et al. 2007). The Cronbach's α reliability for the HSOPSC dimensions has been reported to range from 0.63 to 0.84 (Fleming 2005). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Patient safety is considered to be crucial to healthcare quality and is one of the major parameters monitored by all healthcare organizations around the world. Nurses play a vital role in maintaining and promoting patient safety due to the nature of their work. The purpose of this study was to investigate nurses’ perceptions about patient safety culture and to identify the factors that need to be emphasized in order to develop and maintain the culture of safety among nurses in Oman. A descriptive and cross-sectional design was used. Patient safety culture was assessed by using the Hospital Survey on Patient Safety Culture among 414 registered nurses working in four major governmental hospitals in Oman. Descriptive statistics and general linear regression were employed to assess the association between patient safety culture and demographic variables. Nurses who perceived more supervisor or manager expectations, feedback and communications about errors, teamwork across hospital units, and hospital handoffs and transitions had more overall perception of patient safety. Nurses who perceived more teamwork within units and more feedback and communications about errors had more frequency of events reported. Furthermore, nurses who had more years of experience and were working in teaching hospitals had more perception of patient safety culture. Learning and continuous improvement, hospital management support, supervisor/manager expectations, feedback and communications about error, teamwork, hospital handoffs and transitions were found to be major patient safety culture predictors. Investing in practices and systems that focus on improving these aspects is likely to enhance the culture of patient safety in Omani hospitals and others like them. Strategies to nurture patient safety culture in Omani hospitals should focus upon building leadership capacity that support open communication, blame free, team work and continuous organizational learning.
    Full-text · Article · Mar 2015 · International Nursing Review
Show more