How is safety climate measured? A review and evaluation.

Tracey Shea; Helen De Cieri; Trang Vu; Trisha Pettit

Review

How is safety climate measured? A review and evaluation.

October 20, 2021

Shea T, De Cieri H, Vu T, et al. Safety Sci. 2021;143:105413.

View more articles from the same authors.

Assessing safety climate is critical to understanding how organizational efforts can improve safety. This review identified deficiencies and inconsistencies in the way that safety climate has been conceptualized and measured. The authors underscore the importance of a consistent approach to measuring safety climate in order to evaluate its impact on patient safety outcomes.

Available at

Related Resources From the Same Author(s)

Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things.

November 17, 2021

Designing safety interventions for specific contexts: results from a literature review.

October 26, 2022

Reporting of health information technology system-related patient safety incidents: the effects of organizational justice.

October 6, 2021

The scientific literature on Coronaviruses, COVID-19 and its associated safety-related research dimensions: a scientometric analysis and scoping review.

July 15, 2020

20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety.

January 26, 2022

Safety culture across cultures.

January 8, 2020

Bridging the gap between culture and safety in a critical care context: the role of work debate spaces.

August 26, 2020

Psychosocial factors and safety in high-risk industries: a systematic literature review.

November 30, 2022

Production pressure and its relationship to safety: a systematic review and future directions.

January 18, 2023

A qualitative survey of factors shaping the role of a safety professional.

October 19, 2022

The ‘new view’ of human error. Origins, ambiguities, successes and critiques.

September 14, 2022

Enhancing safety in high-risk operations: a multilevel analysis of the role of mindful organising in translating safety climate into individual safety behaviours.

April 14, 2021

The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety.

November 4, 2020

Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap.

February 1, 2023

Good and bad reasons: the Swiss cheese model and its critics.

August 12, 2020

Evaluating incident learning systems and safety culture in two radiation oncology departments.

February 16, 2022

Safety culture, safety climate, and safety performance in healthcare facilities: a systematic review.

January 19, 2022

Measuring safety in older adult care homes: a scoping review of the international literature.

May 19, 2021

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

August 31, 2011

Abusive supervision: a systematic review and fundamental rethink.

December 8, 2021

How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sectional telephone survey.

December 1, 2021

Longitudinal medication reconciliation at hospital admission, discharge and post-discharge.

August 26, 2020

The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis.

October 12, 2022

Resident and family engagement in medication management in aged care facilities: a systematic review.

July 7, 2021

Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety.

July 6, 2011

Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation.

December 15, 2021

Clinical decision support improves the appropriateness of laboratory test ordering in primary care without increasing diagnostic error: the ELMO cluster randomized trial.

December 2, 2020

Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework.

April 27, 2022

Learning from incidents in health care: critique from a Safety-II perspective.

September 27, 2017

The relationship of medical assistants' work engagement with their concerns of having made an important medical error: a cross-sectional study.

July 13, 2022

A comparative study measuring the difference of healthcare workers reactions among those involved in a patent safety incident and healthcare professionals while working during COVID-19.

October 19, 2022

Are personal health records (PHRs) facilitating patient safety? A scoping review.

June 15, 2022

How to prevent or reduce prescribing errors: an evidence brief for policy authors.

August 7, 2019

Making safety training stickier: a richer model of safety training engagement and transfer.

September 15, 2021

Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation.

March 3, 2021

Implementation of participatory organizational change in long term care to improve safety.

September 1, 2021

Interventions and measurements of highly reliable/resilient organization implementations: a literature review.

October 28, 2020

Parent participation in morbidity and mortality review: parent and physician perspectives.

June 22, 2022

Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers.

November 2, 2022

Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review.

April 20, 2022

The problem with making Safety-II work in healthcare.

April 13, 2022

Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands.

June 16, 2021

A systematic review on pediatric medication errors by parents or caregivers at home.

August 11, 2021

Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults.

June 30, 2021

Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis.

February 9, 2022

How incident reporting systems can stimulate social and participative learning: a mixed-methods study.

September 2, 2020

Integrating and evaluating the data quality and utility of smart pump information in detecting medication administration errors: evaluation study.

November 4, 2020

Medication errors in intensive care units: an umbrella review of control measures.

August 17, 2022

Fatigue in nurses and medication administration errors: a scoping review.

March 8, 2023

A review of organizational culture instruments for nurse executives.

February 21, 2007

The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study.

June 16, 2021

Overall performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey.

April 13, 2022

Diagnostic error in pediatrics: a narrative review.

March 23, 2022

Misdiagnosis of heart failure: a systematic review of the literature.

July 28, 2021

Quality and safety in hospital pediatrics during COVID-19: a national qualitative study.

January 12, 2022

Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis.

March 16, 2022

Prescribing errors with low-molecular-weight heparins.

October 13, 2021

How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis.

January 26, 2022

Instruments for measuring patient safety competencies in nursing: a scoping review.

June 15, 2022

Safety climate associated with adverse events in nursing homes: a national VA study.

August 26, 2020

Increased adherence to perioperative safety guidelines associated with improved patient safety outcomes: a stepped-wedge, cluster-randomised multicentre trial.

February 9, 2022

The association of nursing home characteristics and quality with adverse events after a hospitalization.

April 28, 2021

Dedicated teams to optimize quality and safety of surgery: a systematic review.

November 16, 2022

Implementation of hand hygiene in health-care facilities: results from the WHO Hand Hygiene Self-Assessment Framework global survey 2019.

August 3, 2022

Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review.

October 5, 2022

Causes of use errors in ventilation devices--systematic review.

November 10, 2021

Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility.

July 21, 2021

Smartphone distraction during nursing care: systematic literature review.

April 7, 2021

Relationship between nurse burnout, patient and organizational outcomes: systematic review.

August 18, 2021

Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.

March 9, 2022

Medication errors in community pharmacies: evaluation of a standardized safety program.

March 15, 2023

Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a systematic review.

March 29, 2023

Incidence of prescription errors in patients discharged from the emergency department.

September 22, 2021

Harnessing event report data to identify diagnostic error during the COVID-19 pandemic.

December 15, 2021

Patient factors and hospital outcomes associated with atypical presentation in hospitalized older adults with COVID-19 during the first surge of the pandemic.

August 18, 2021

Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds.

October 27, 2021

Moving beyond the weekend effect: how can we best target interventions to improve patient care?

June 30, 2021

Interprofessional and intraprofessional communication about older people's medications across transitions of care.

May 26, 2021

Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: an integrative review and synthesis.

February 23, 2022

Race, ethnicity, and 60-day outcomes after hospitalization with COVID-19.

November 17, 2021

Adverse drug event-related admissions to a pediatric emergency unit.

April 14, 2021

Effectiveness of using simulation in the development of clinical reasoning in undergraduate nursing students: a systematic review.

December 1, 2021

Organisational factors associated with safety climate, patient satisfaction and self-reported medicines adherence in community pharmacies.

June 17, 2020

Inattentional blindness in anesthesiology: a gorilla is worth one thousand words.

November 24, 2021

Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year period.

June 30, 2021

Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids.

April 21, 2021

The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative events.

July 7, 2021

Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure.

June 24, 2020

Undertaking risk and relational work to manage vulnerability: acute medical patients' involvement in patient safety in the NHS.

March 15, 2023

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.

December 8, 2021

Medication errors in overweight and obese pediatric patients: a systematic review.

February 9, 2022

Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care.

March 23, 2022

Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation.

June 9, 2021

Pediatric surgical errors: a systematic scoping review.

July 20, 2022

Association of intraoperative anaesthesia handovers with patient morbidity and mortality: a systematic review and meta-analysis.

November 4, 2020

How patients perceive a doctor's caring attitude.

September 24, 2008

Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study.

September 15, 2021

Nurses' perceived causes of medication administration errors: a qualitative systematic review.

November 25, 2020

Healthcare professionals experience of psychological safety, voice, and silence.

May 26, 2021

Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action.

September 21, 2022

Related Resources

National Healthcare Quality and Disparities Report Chartbook on Patient Safety.

March 22, 2024

Top 10 Patient Safety Concerns.

March 12, 2024

Unequal Treatment Revisited: A Workshop Series.

September 26, 2023 - September 27, 2023

An integrative systematic review of employee silence and voice in healthcare: what are we really measuring.

June 28, 2023

Understanding the medication safety challenges for patients with mental illness in primary care: a scoping review.

June 28, 2023

Systematic review of clinical debriefing tools: attributes and evidence for use.

April 19, 2023

For children admitted to hospital, what interventions improve medication safety on ward rounds?

March 1, 2023

A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges.

February 8, 2023

Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap.

February 1, 2023

The value of learning from near misses to improve patient safety: a scoping review.

January 25, 2023

A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies.

January 25, 2023

Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis.

January 25, 2023

Structural racism and adverse maternal health outcomes: a systematic review.

December 21, 2022

Conceptual and practical challenges associated with understanding patient safety within community-based mental health services.

December 7, 2022

Measuring psychological safety and local learning to enable high reliability organisational change.

November 9, 2022

Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the COVID-19 pandemic.

November 9, 2022

Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis.

October 26, 2022

The relationship between resident physician burnout and its’ effects on patient care, professionalism, and academic achievement: a review of the literature.

October 5, 2022

Frontiers in measuring structural racism and its health effects.

September 21, 2022

Maybe they had a bad day: how LGBTQ and BIPOC patients react to bias in healthcare and struggle to speak out.

September 14, 2022

Exploring the impact of employee engagement and patient safety.

September 14, 2022

Organizational factors that promote error reporting in healthcare: a scoping review.

September 14, 2022

Opportunities to mine EHRs for malpractice risk management and patient safety.

September 7, 2022

Nurse well-being: a concept analysis.

August 17, 2022

Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery.

August 10, 2022

Employee silence in health care: charting new avenues for leadership and management.

August 3, 2022

Pediatric surgical errors: a systematic scoping review.

July 20, 2022

Stigma and healthcare access among transgender and gender-diverse people: a qualitative meta-synthesis.

July 20, 2022

Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review.

July 13, 2022

Safety-II and the study of healthcare safety routines: two paths forward for research.

July 13, 2022

See More About The Topic

Researchers

Quality and Safety Professionals

Safety Scientists

Psychological and Social Complications

Epidemiology of Errors and Adverse Events

How is safety climate measured? A review and evaluation.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

How is safety climate measured? A review and evaluation.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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