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. 2003 Dec;12(Suppl 2):ii17–ii23. doi: 10.1136/qhc.12.suppl_2.ii17

Safety culture assessment: a tool for improving patient safety in healthcare organizations

V Nieva, J Sorra
PMCID: PMC1765782  PMID: 14645891

Abstract

Increasingly, healthcare organizations are becoming aware of the importance of transforming organizational culture in order to improve patient safety. Growing interest in safety culture has been accompanied by the need for assessment tools focused on the cultural aspects of patient safety improvement efforts. This paper discusses the use of safety culture assessment as a tool for improving patient safety. It describes the characteristics of culture assessment tools presently available and discusses their current and potential uses, including brief examples from healthcare organizations that have undertaken such assessments. The paper also highlights critical processes that healthcare organizations need to consider when deciding to use these tools.

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Selected References

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  1. Bagian J. P., Lee C., Gosbee J., DeRosier J., Stalhandske E., Eldridge N., Williams R., Burkhardt M. Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. Jt Comm J Qual Improv. 2001 Oct;27(10):522–532. doi: 10.1016/s1070-3241(01)27046-1. [DOI] [PubMed] [Google Scholar]
  2. Berwick D. M. A primer on leading the improvement of systems. BMJ. 1996 Mar 9;312(7031):619–622. doi: 10.1136/bmj.312.7031.619. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Blumenthal D., Kilo C. M. A report card on continuous quality improvement. Milbank Q. 1998;76(4):625-48, 511. doi: 10.1111/1468-0009.00108. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Gaba D. M., Howard S. K., Jump B. Production pressure in the work environment. California anesthesiologists' attitudes and experiences. Anesthesiology. 1994 Aug;81(2):488–500. doi: 10.1097/00000542-199408000-00028. [DOI] [PubMed] [Google Scholar]
  5. Grosch J. W., Gershon R. R., Murphy L. R., DeJoy D. M. Safety climate dimensions associated with occupational exposure to blood-borne pathogens in nurses. Am J Ind Med. 1999 Sep;Suppl 1:122–124. doi: 10.1002/(sici)1097-0274(199909)36:1+<122::aid-ajim43>3.0.co;2-l. [DOI] [PubMed] [Google Scholar]
  6. Krizek T. J. Surgical error: ethical issues of adverse events. Arch Surg. 2000 Nov;135(11):1359–1366. doi: 10.1001/archsurg.135.11.1359. [DOI] [PubMed] [Google Scholar]
  7. Leape L. L. Error in medicine. JAMA. 1994 Dec 21;272(23):1851–1857. [PubMed] [Google Scholar]
  8. Leape L. L., Woods D. D., Hatlie M. J., Kizer K. W., Schroeder S. A., Lundberg G. D. Promoting patient safety by preventing medical error. JAMA. 1998 Oct 28;280(16):1444–1447. doi: 10.1001/jama.280.16.1444. [DOI] [PubMed] [Google Scholar]
  9. Leape Lucian L., Berwick Donald M., Bates David W. What practices will most improve safety? Evidence-based medicine meets patient safety. JAMA. 2002 Jul 24;288(4):501–507. doi: 10.1001/jama.288.4.501. [DOI] [PubMed] [Google Scholar]
  10. Scott Tim, Mannion Russell, Davies Huw, Marshall Martin. The quantitative measurement of organizational culture in health care: a review of the available instruments. Health Serv Res. 2003 Jun;38(3):923–945. doi: 10.1111/1475-6773.00154. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Sexton J. B., Thomas E. J., Helmreich R. L. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ. 2000 Mar 18;320(7237):745–749. doi: 10.1136/bmj.320.7237.745. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Shortell S. M., Rousseau D. M., Gillies R. R., Devers K. J., Simons T. L. Organizational assessment in intensive care units (ICUs): construct development, reliability, and validity of the ICU nurse-physician questionnaire. Med Care. 1991 Aug;29(8):709–726. doi: 10.1097/00005650-199108000-00004. [DOI] [PubMed] [Google Scholar]
  13. Shortell S. M., Zimmerman J. E., Rousseau D. M., Gillies R. R., Wagner D. P., Draper E. A., Knaus W. A., Duffy J. The performance of intensive care units: does good management make a difference? Med Care. 1994 May;32(5):508–525. doi: 10.1097/00005650-199405000-00009. [DOI] [PubMed] [Google Scholar]

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