This AHRQ-supported study used a surgery-specific safety questionnaire (modified from the Safety Attitudes Questionnaire) to develop a systematic and reliable method to assess safety culture in that clinical setting. Investigators surveyed more than 2700 providers in 60 hospitals to develop benchmarks and validate the survey mechanics. With a 77% overall response rate, the authors present the range of safety scores both by hospital and position. They also discuss the larger safety framework in which the tool presented can drive improvements and allow leadership to understand the issues from frontline providers who deliver care at the bedside and in the operating room. A past systematic review compared features of several available safety culture tools.