Assessing patient safety culture: a review and synthesis of the measurement tools.

Aneesh K Singla; Barrett T Kitch; Joel S Weissman; Eric G Campbell

Review

Assessing patient safety culture: a review and synthesis of the measurement tools.

November 8, 2006

Singla AK, Kitch BT, Weissman JS, et al. J Patient Saf. 2008;2(3).

View more articles from the same authors.

The authors analyzed 13 safety culture survey instruments and describe the characteristics of the surveys.

Available at

Related Resources From the Same Author(s)

Residents report on adverse events and their causes.

January 4, 2006

The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety.

March 19, 2008

Patient safety climate in hospitals: act locally on variation across units.

June 30, 2010

Handoffs causing patient harm: a survey of medical and surgical house staff.

October 1, 2008

An exploration of safety climate in nursing homes.

August 8, 2012

Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program.

February 20, 2008

The association of hospital quality ratings with adverse events.

February 26, 2014

Complication rates on weekends and weekdays in US hospitals.

May 16, 2007

Can we rely on patients' reports of adverse events?

June 22, 2011

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.

November 18, 2009

Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey.

February 12, 2020

A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds.

April 8, 2009

Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes.

May 11, 2016

Error reporting and disclosure systems: views from hospital leaders.

April 3, 2005

Implementation and evaluation of a prototype consumer reporting system for patient safety events.

June 14, 2017

Adverse events during hospitalization: results of a patient survey.

October 1, 2008

Assessing the value of electronic prescribing in ambulatory care: A focus group study.

May 20, 2009

Overrides of medication alerts in ambulatory care.

February 18, 2009

Primary medication non-adherence: analysis of 195,930 electronic prescriptions.

February 17, 2010

Physicians' needs in coping with emotional stressors: the case for peer support.

March 29, 2012

Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not?

July 23, 2008

Survey shows that at least some physicians are not always open or honest with patients.

February 22, 2012

An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care.

September 23, 2009

Hospitalized patients' participation and its impact on quality of care and patient safety.

January 30, 2005

Professionalism in medicine: results of a national survey of physicians.

December 12, 2007

Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues.

July 28, 2010

Clinicians' assessments of electronic medication safety alerts in ambulatory care.

October 7, 2009

Use of electronic health records in US hospitals.

April 8, 2009

Professional values and reported behaviours of doctors in the USA and UK: quantitative survey.

April 6, 2011

Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys.

December 17, 2014

Hospital workload and adverse events.

May 9, 2007

Electronic health records in ambulatory care- a national survey of physicians.

June 25, 2008

Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project.

July 19, 2017

Distraction and interruption in anaesthetic practice.

January 23, 2013

Profiles in patient safety: a "perfect storm" in the emergency department.

June 20, 2007

In-home medication reviews: a novel approach to improving patient care through coordination of care.

May 11, 2011

The extent and importance of unintended consequences related to computerized provider order entry.

May 16, 2007

Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications.

August 1, 2012

Reducing unacceptable missed doses: pharmacy assistant–supported medicine administration.

February 18, 2015

Development of a medication safety and quality survey for small rural hospitals.

December 6, 2017

How to "DEAL" with disruptive physician behavior.

February 12, 2020

Adverse drug events caused by serious medication administration errors.

August 8, 2012

Lessons learned from implementation of a computerized application for pending tests at hospital discharge.

December 22, 2010

Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.

June 13, 2012

Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals.

March 6, 2005

Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study.

October 7, 2009

Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy.

July 9, 2014

Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units.

September 1, 2021

"I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care.

April 3, 2005

Nurses' satisfaction with medication administration point-of-care technology.

September 5, 2007

Trends in primary care clinician perceptions of a new electronic health record.

February 11, 2009

Electronic results management in pediatric ambulatory care: qualitative assessment.

January 28, 2009

A safe practice standard for barcode technology.

June 3, 2015

Communication factors in the follow-up of abnormal mammograms.

March 6, 2005

Patient safety concerns arising from test results that return after hospital discharge.

July 27, 2005

Cost-benefit analysis of a hospital pharmacy bar code solution.

May 16, 2007

Outpatient prescribing errors and the impact of computerized prescribing.

August 31, 2005

Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use?

January 11, 2012

Quantifying nursing workflow in medication administration.

January 9, 2008

Nursing strategies to increase medication safety in inpatient settings.

May 25, 2016

Physicians and electronic health records: a statewide survey.

March 21, 2007

Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial.

November 27, 2013

Impact of barcode medication administration technology on how nurses spend their time providing patient care.

January 7, 2009

Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy.

September 27, 2006

Errors associated with outpatient computerized prescribing systems.

July 13, 2011

E-prescribing first step to improved safety.

January 24, 2007

Comparison of medication safety systems in critical access hospitals: combined analysis of two studies.

September 21, 2016

How many hospital pharmacy medication dispensing errors go undetected?

January 31, 2006

Design and implementation of an automated email notification system for results of tests pending at discharge.

February 29, 2012

Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial.

May 23, 2012

Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education.

April 12, 2017

Nurse's Achilles Heel: using big data to determine workload factors that impact near misses.

April 14, 2021

Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention.

April 12, 2017

Emergency intubation of children outside of the operating room.

February 26, 2020

Implementing bedside handoff in the emergency department: a practice improvement project.

January 23, 2019

Tools for primary care patient safety: a narrative review.

November 26, 2014

Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture.

January 31, 2007

Teaching but not learning: how medical residency programs handle errors.

October 25, 2006

Physician perception of hospital safety and barriers to incident reporting.

May 31, 2006

Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care?

September 11, 2019

Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009.

September 19, 2012

Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics.

March 18, 2015

Improving infusion pump safety through usability testing.

May 31, 2017

Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety.

September 15, 2021

Home health agency patient experience measures and their relationship to Joint Commission accreditation.

June 7, 2023

The gaps in specialists' diagnoses.

April 11, 2018

Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective.

December 20, 2017

Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study.

February 25, 2015

Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff.

August 31, 2022

Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review.

August 6, 2008

War games and diagnostic errors.

January 18, 2017

The business case for investing in physician well-being.

October 18, 2017

Hospital credentialing and privileging of surgeons: a potential safety blind spot.

April 15, 2015

Post event debriefs: a commitment to learning how to better care for patients and staff.

January 13, 2016

Effect of bar-code technology on the safety of medication administration.

May 12, 2010

Intraoperative patient information handover between anesthesia providers.

November 5, 2014

The effect of workload reduction on the quality of residents' discharge summaries.

January 19, 2011

Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes.

March 2, 2011

A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt.

May 15, 2019

Identifying unintended consequences of quality indicators: a qualitative study.

December 14, 2011

Related Resources

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

New AHRQ SOPS Workplace Safety Supplemental Item Set for Nursing Homes.

February 15, 2023

Defining and studying errors in surgical care: a systematic review.

August 17, 2022

Hospital Survey on Patient Safety Culture 2.0.

June 1, 2022

A safety maturity model for technology-induced errors.

February 9, 2022

Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics.

November 3, 2021

An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations.

May 26, 2021

Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review.

March 17, 2021

SOPS Surveys.

December 28, 2020

Top 10 medical technology hazards of 2020 announced.

October 23, 2019

Responding to health information technology reported safety events: insights from patient safety event reports.

June 12, 2019

Governing the safety of artificial intelligence in healthcare.

May 8, 2019

A factorial survey on safety behavior providing opportunities to improve safety.

December 5, 2018

Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety.

November 28, 2018

A systematic review of primary care safety climate survey instruments: their origins, psychometric properties, quality, and usage.

June 13, 2018

Pediatric airway management and prehospital patient safety: results of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children.

August 17, 2016

Aviation and healthcare: a comparative review with implications for patient safety.

February 3, 2016

Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues.

March 18, 2015

'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports.

December 3, 2014

Hardwiring patient blood management: harnessing information technology to optimize transfusion practice.

October 22, 2014

Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot study of a point-of-care decision support alert.

September 10, 2014

Pediatric medication administration errors and workflow following implementation of a bar code medication administration system.

August 6, 2014

A medication-based trigger tool to identify adverse events in pediatric anesthesiology.

July 2, 2014

Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population.

May 14, 2014

Texting while doctoring: a patient safety hazard.

December 18, 2013

Impact of electronic health record systems on information integrity: quality and safety implications.

November 13, 2013

Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis.

November 6, 2013

Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items.

October 2, 2013

Engaging patients in medication reconciliation via a patient portal following hospital discharge.

October 2, 2013

Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety.

August 7, 2013

See More About The Topic

Risk Managers

Quality and Safety Professionals

Information Professionals

Benchmarking

Culture of Safety

Assessing patient safety culture: a review and synthesis of the measurement tools.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Assessing patient safety culture: a review and synthesis of the measurement tools.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site