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The association of patient safety climate and nurse-related organizational factors with selected patient outcomes: a cross-sectional survey.
Ausserhofer D, Schubert M, Desmedt M, Blegen MA, De Geest S, Schwendimann R. Int J Nurs Stud. 2013;50:240-252.

This study from 35 Swiss hospitals did not find a relationship between improved safety culture and patient outcomes.
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