The effect of facility complexity on perceptions of safety climate in the operating room: size matters.
Carney BT, West P, Neily J, et al. The effect of facility complexity on perceptions of safety climate in the operating room: size matters. Am J Med Qual. 2010;25(6):457-61. doi:10.1177/1062860610368427.
This study found that caregiver perceptions of safety climate vary by facility complexity, which is defined by a hospital's volume, risk, teaching, research, and intensive care unit capability. The authors suggest that adoption of safety interventions, such as checklists, should take into account these differences when implementing change.