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

Eric G Campbell; Sara J Singer; Barrett T Kitch; Lisa I Iezzoni; Gregg S Meyer

Study

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

June 30, 2010

Campbell EG, Singer SJ, Kitch BT, et al. Jt Comm J Qual Patient Saf. 2010;36(7):319-26.

View more articles from the same authors.

Confirming a phenomenon noted in prior research, this study revealed that perception of safety culture varied widely across clinical units at a single academic hospital. The study utilized the AHRQ Hospital Survey on Patient Safety Culture.

PubMed citation

Available at

Related Resources From the Same Author(s)

An exploration of safety climate in nursing homes.

August 8, 2012

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

November 8, 2006

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

February 22, 2012

Residents report on adverse events and their causes.

January 4, 2006

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

October 1, 2008

Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers.

August 31, 2011

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

July 28, 2010

A case for safety leadership team training of hospital managers.

March 2, 2011

Dangers of diagnostic overshadowing.

June 5, 2019

Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni.

June 28, 2006

A middle ground on public accountability.

March 6, 2005

Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand.

November 17, 2010

Patient safety is not elective: a debate at the NPSF Patient Safety Congress.

December 3, 2014

Overarching goals: a strategy for improving healthcare quality and safety?

December 19, 2012

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

March 19, 2008

Creating highly reliable accountable care organizations.

September 27, 2017

The evolving literature on safety WalkRounds: emerging themes and practical messages.

October 1, 2014

Reducing hospital errors: interventions that build safety culture.

February 6, 2013

The effectiveness of management-by-walking-around: a randomized field study.

April 23, 2014

Improving patient safety by taking systems seriously.

February 13, 2008

The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure.

July 25, 2018

Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge.

August 28, 2013

Exploring system features of primary care practices that promote better providers' clinical work satisfaction: a qualitative comparative analysis.

May 18, 2022

Perceptions of hospital safety climate and incidence of readmission.

December 15, 2010

Variability in the measurement of hospital-wide mortality rates.

March 19, 2014

‘I am not the doctor for you’: physicians’ attitudes about caring for people with disabilities.

October 26, 2022

Relationship between performance measurement and accreditation: implications for quality of care and patient safety.

November 2, 2005

Spreading a medication administration intervention organizationwide in six hospitals.

February 15, 2012

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

May 11, 2016

Understanding psychological safety in health care and education organizations: a comparative perspective.

March 16, 2016

Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems.

June 18, 2008

Patient safety climate in US hospitals: variation by management level.

November 12, 2008

Relationship of safety climate and safety performance in hospitals.

April 1, 2009

Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution.

March 9, 2016

Comparing safety climate in naval aviation and hospitals: implications for improving patient safety.

April 21, 2010

Effective surgical safety checklist implementation.

January 30, 2005

Use of electronic health records in US hospitals.

April 8, 2009

Patient safety climate in 92 US hospitals: differences by work area and discipline.

February 4, 2009

Hospital safety climate and safety outcomes: is there a relationship in the VA?

March 10, 2010

Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project.

December 14, 2016

Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study.

July 31, 2013

Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey.

September 26, 2007

Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention.

July 12, 2017

National hospital ratings systems share few common scores and may generate confusion instead of clarity.

March 11, 2015

Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration.

March 25, 2009

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

December 12, 2007

Lessons learned in implementing a chronic opioid therapy management system.

December 21, 2022

Identifying organizational cultures that promote patient safety.

November 18, 2009

Recruitment of hospitals for a safety climate study: facilitators and barriers.

April 30, 2008

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

June 25, 2008

Transforming concepts in patient safety: a progress report.

August 1, 2018

Use of administrative data to find substandard care: validation of the complications screening program.

October 26, 2005

An overview of patient safety climate in the VA.

April 9, 2008

Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers.

May 9, 2018

Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals.

April 15, 2015

The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability.

July 30, 2014

Scaling safety: the South Carolina Surgical Safety Checklist experience.

January 9, 2019

Comparing safety climate between two populations of hospitals in the United States.

October 14, 2009

Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation.

July 13, 2022

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

April 6, 2011

Relationship between operating room teamwork, contextual factors, and safety checklist performance.

August 31, 2016

Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals.

October 16, 2013

Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study.

December 2, 2015

Primary care collaboration to improve diagnosis and screening for colorectal cancer.

May 3, 2017

Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety.

May 11, 2016

Perception of safety of surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death rate in South Carolina.

August 16, 2017

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

December 17, 2014

Mortality trends after a voluntary checklist-based surgical safety collaborative.

May 3, 2017

Distraction and interruption in anaesthetic practice.

January 23, 2013

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

June 20, 2007

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

July 19, 2017

Family safety reporting in medically complex children: parent, staff, and leader perspectives.

July 6, 2022

Identification of in-hospital complications from claims data. Is it valid?

March 6, 2005

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

May 16, 2007

Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review.

January 26, 2022

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

February 11, 2009

Advancing the science of patient safety.

May 25, 2011

The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.

May 6, 2009

Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study.

February 10, 2016

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

August 1, 2012

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

August 31, 2022

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

February 18, 2015

The top patient safety strategies that can be encouraged for adoption now.

March 13, 2013

The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations.

April 30, 2014

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

January 7, 2009

The culture of safety: results of an organization-wide survey in 15 California hospitals.

March 6, 2005

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

Development and validation of electronic health record–based triggers to detect delays in follow-up of abnormal lung imaging findings.

May 27, 2015

Scandal as a sentinel event—recognizing hidden cost–quality trade-offs.

April 6, 2016

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

Unintended harm associated with the Hospital Readmissions Reduction Program.

January 16, 2019

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

Sleep deprivation, physician performance, and patient safety.

November 25, 2009

RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: a national cross-sectional study of acute-care hospitals.

July 20, 2016

Related Resources

Preventing violence in the health care setting.

June 9, 2021

Safer Hospital Care: Strategies for Continuous Innovation, Second Edition.

May 16, 2019

The relationship between patient safety culture and patient outcomes: a systematic review.

April 2, 2014

"Second victim" casualties and how physician leaders can help.

March 19, 2014

'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds.

March 12, 2014

Between surveillance and subjectification: professionals and the governance of quality and patient safety in English hospitals.

March 5, 2014

Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership.

February 26, 2014

How hospital leaders contribute to patient safety through the development of trust.

February 19, 2014

Communication-and-resolution programs: the challenges and lessons learned from six early adopters.

January 15, 2014

Organizational culture and its implications for infection prevention and control in healthcare institutions.

January 8, 2014

Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study.

October 23, 2013

High-reliability health care: getting there from here.

October 2, 2013

Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study.

August 28, 2013

A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality.

August 21, 2013

The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice.

August 7, 2013

Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study.

July 31, 2013

Leadership and patient safety: a review of the literature.

May 29, 2013

Second Victim: Error, Guilt, Trauma, and Resilience.

May 22, 2013

Assessing patient safety culture in hospitals across countries.

May 15, 2013

Front-Line Ownership: Generating a Cure Mindset for Patient Safety.

May 8, 2013

Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours.

April 24, 2013

Analysis of staff safety concerns.

April 24, 2013

High reliability: truly achieving healthcare quality and safety.

April 24, 2013

An organizational assessment of disruptive clinician behavior: findings and implications.

April 24, 2013

Frontline hospital workers and the worker safety/patient safety nexus.

April 3, 2013

The role of chief executive officers in a quality improvement: a qualitative study.

February 20, 2013

The role of patient safety culture in the causation of unintended events in hospitals.

February 20, 2013

A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a cross-sectional study.

February 20, 2013

Reducing hospital errors: interventions that build safety culture.

February 6, 2013

A multidisciplinary approach to reduce central line-associated bloodstream infections.

February 6, 2013

See More About The Topic

Hospitals

Health Care Executives and Administrators

General Internal Medicine

Hospital Medicine

Culture of Safety

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

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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

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