The relationship between culture of safety and rate of adverse events in long-term care facilities.

Said Abusalem; Barbara Polivka; Mary-Beth Coty; Timothy N. Crawford; Christian D. Furman; Maryam Alaradi

Study

The relationship between culture of safety and rate of adverse events in long-term care facilities.

May 15, 2019

Abusalem S, Polivka B, Coty M-B, et al. J Patient Saf. 2021;17(4):299-304.

View more articles from the same authors.

Prior research on the relationship between culture of safety and adverse events has produced conflicting results. Using culture of safety survey data from five long-term care facilities, researchers found an association between improved safety culture scores and a decreased risk of certain adverse events.

PubMed citation

Available at

Related Resources From the Same Author(s)

An examination of factors that predict the perioperative culture of safety.

June 9, 2021

Patient safety in nursing practice.

October 3, 2007

Effect of surgical safety checklists on pediatric surgical complications in Ontario.

April 6, 2016

Exploring the intersection of structural racism and ageism in healthcare.

December 7, 2022

A culture of civility: positively impacting practice and patient safety.

April 25, 2018

Maximizing smart pump technology to enhance patient safety.

July 29, 2015

Are they safe in there? Patient safety and trainees in the practice.

February 8, 2012

Patient safety in nursing practice.

July 20, 2005

Identifying boundary spanning reporter roles in patient safety events.

August 24, 2022

Theoretical approaches for investigating patient safety.

June 1, 2005

Implementing a patient safety alert system.

March 6, 2005

Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm.

September 1, 2021

The challenges to transparency in reporting medical errors.

December 2, 2009

Processes for effective communication in primary care.

May 4, 2005

Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety.

September 14, 2016

Disclosing errors to patients: perspectives of registered nurses.

January 14, 2009

Medication, allergy, and adverse drug event discrepancies in ambulatory care.

March 26, 2008

Physician task load and the risk of burnout among US physicians in a national survey.

December 2, 2020

A text mining approach to categorize patient safety event reports by medication error type.

February 14, 2024

A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures.

March 4, 2009

The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department.

May 1, 2013

Applying the Toyota Production System: using a patient safety alert system to reduce error.

July 11, 2007

The impact of computerized provider order entry on medication errors in a multispecialty group practice.

February 3, 2010

Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis.

November 24, 2021

Clinical nurse competence and its effect on patient safety culture: a systematic review.

June 7, 2023

Cognitive biases associated with medical decisions: a systematic review.

February 1, 2017

Barcode medication administration work-arounds: a systematic review and implications for nurse executives.

November 27, 2013

Improving RCA performance: the Cornerstone Award and the power of positive reinforcement.

August 17, 2011

Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions.

November 24, 2010

The disclosure dilemma—large-scale adverse events.

September 8, 2010

Medication errors and patient complications with continuous renal replacement therapy.

May 3, 2006

Test-retest reliability of an experienced Global Trigger Tool review team.

October 27, 2021

Absence or presence: silent discourse in the operating room and impact on surgical team action.

November 11, 2020

Advances in perioperative quality and safety.

June 13, 2018

Effect of pharmacists on medication errors in an emergency department.

February 27, 2008

Safety organizing, emotional exhaustion, and turnover in hospital nursing units.

September 3, 2014

We're all in this together: how COVID-19 revealed the co-construction of mindful organising and organisational reliability.

February 9, 2022

The Daily Plan: including patients for safety's sake.

April 11, 2012

Cognitive aids in the management of clinical emergencies: a systematic review.

January 18, 2023

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

October 26, 2005

Team-based care: the changing face of cardiothoracic surgery.

October 11, 2017

Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center.

October 17, 2007

Does health care role and experience influence perception of safety culture related to preventing infections?

July 17, 2013

Impact of CRM-based team training on obstetric outcomes and clinicians' patient safety attitudes.

December 5, 2007

Early warning systems: the next level of rapid response.

January 25, 2012

Electronic health record adoption by children's hospitals in the United States.

December 15, 2010

No interruptions please: impact of a no interruption zone on medication safety in intensive care units.

January 27, 2010

Safety events in pediatric out-of-hospital cardiac arrest.

September 13, 2017

Errors in drug computations during newborn intensive care.

March 27, 2005

Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data.

October 8, 2014

Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices.

March 14, 2012

Characterization of prescribing errors in an internal medicine clinic.

May 23, 2007

Medication handling: towards a practical, human-centred approach.

April 3, 2019

Administrative issues to ensure safe anesthesia care in the office-based setting.

October 30, 2013

Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence.

July 18, 2012

Automated surveillance for adverse drug events at a community hospital and an academic medical center.

May 3, 2006

Managing the prevention of retained surgical instruments: what is the value of counting?

January 9, 2008

Interventions to reduce burnout and improve resilience: impact on a health system's outcomes.

June 12, 2019

Why empathy may be the best risk management strategy.

March 11, 2015

Patient perspectives on the usefulness of an artificial intelligence-assisted symptom checker: cross-sectional survey study.

March 11, 2020

Taking aim at infusion confusion.

April 12, 2006

Systematic approaches to adverse events in obstetrics, Part 1 & Part 2.

July 12, 2017

Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety events.

August 1, 2018

Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing homes and non–Veterans Affairs nursing homes.

April 5, 2017

Emergency department visits for medical device–associated adverse events among children.

September 15, 2010

Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors.

July 18, 2018

A program to prevent catheter-associated urinary tract infection in acute care.

June 8, 2016

Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness.

September 9, 2015

The high cost of low-frequency events: the anatomy and economics of surgical mishaps.

March 27, 2005

Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian.

September 15, 2010

Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals.

January 11, 2023

IDEA4PS: the development of a research-oriented learning healthcare system.

February 14, 2018

Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival.

October 4, 2023

Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analysis.

May 17, 2017

Implementation of a patient safety program at a tertiary health system: a longitudinal analysis of interventions and serious safety events.

May 9, 2018

Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress.

February 20, 2013

The costs of adverse drug events in hospitalized patients.

March 27, 2005

Financial incentives to reduce hospital-acquired infections under alternative payment arrangements.

March 28, 2018

Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach.

April 19, 2023

Sins of omission. Getting too little medical care may be the greatest threat to patient safety.

July 6, 2005

We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations.

March 17, 2021

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

October 2, 2013

Using a quantitative risk register to promote learning from a patient safety reporting system.

February 4, 2015

Second victims and mindfulness: a systematic review.

August 21, 2019

Increase in US medication-error deaths between 1983 and 1993.

March 6, 2005

A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents.

May 31, 2017

Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial.

March 17, 2021

Effective strategies to increase reporting of medication errors in hospitals.

January 25, 2006

Resident work hour limits and patient safety.

June 8, 2005

Patient-centered prescription opioid tapering in community outpatients with chronic pain.

March 7, 2018

National Patient Safety Foundation agenda for research and development in patient safety.

March 27, 2005

Flying lessons for clinicians: developing system 2 practice.

June 21, 2017

Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature.

August 18, 2010

The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support.

June 16, 2010

Limiting nurse overtime, and promoting other good working conditions, influences patient safety.

April 9, 2008

Access to prescription opioids—Primum Non Nocere: a teachable moment.

July 27, 2016

Addressing physician burnout: the way forward.

February 22, 2017

Rapid response team in a rural hospital.

May 23, 2012

Work-hour restrictions as an ethical dilemma for residents.

May 3, 2006

Misgivings.

October 21, 2009

Related Resources

Patient Safety Primers

Long-term Care and Patient Safety

April 10, 2024

Managing patient safety and staff safety in nursing homes: exploring how leaders of nursing homes negotiate their dual responsibilities- a case study.

February 28, 2024

National Healthcare Quality and Disparities Reports.

January 9, 2024

The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews.

December 6, 2023

Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017.

July 5, 2023

Patient safety in home health care: a grounded theory study.

May 24, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study.

April 19, 2023

Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives.

February 15, 2023

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

February 8, 2023

Nursing home patient safety culture perceptions among licensed practical nurses.

February 1, 2023

Interventions to increase patient safety in long-term care facilities-umbrella review.

January 25, 2023

Patient safety measurement tools used in nursing homes: a systematic literature review.

December 7, 2022

Patient safety culture in assisted living: staff perceptions and association with state regulations.

November 30, 2022

Nursing Home Survey on Patient Safety Culture.

August 31, 2022

Communication disparities between nursing home team members.

July 20, 2022

The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff.

April 20, 2022

Differences between professionals' views on patient safety culture in long-term and acute care? A cross-sectional study.

September 22, 2021

Patient safety and ethical implications of healthcare sick leave policies in the pandemic era.

September 15, 2021

Organizational readiness to change as a leverage point for improving safety: a national nursing home survey.

September 8, 2021

The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England.

August 18, 2021

Long-term care nurses' experiences with patient safety incident management: a qualitative study.

August 4, 2021

Community discharge among post-acute nursing home residents: an association with patient safety culture?

June 30, 2021

Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit.

May 19, 2021

The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study with 4292 patient records.

April 14, 2021

Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care.

March 24, 2021

Nursing home residents with dementia: association between place of death and patient safety culture.

January 20, 2021

Linking patient safety culture to quality ratings in the nursing home setting.

December 9, 2020

Nursing home staff turnover and perceived patient safety culture: results from a national survey.

November 4, 2020

Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly.

September 30, 2020

See More About The Topic

Long-Term Care

Health Care Providers

Health Care Executives and Administrators

Geriatrics

Medical Complications

The relationship between culture of safety and rate of adverse events in long-term care facilities.

Long-term Care and Patient Safety

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The relationship between culture of safety and rate of adverse events in long-term care facilities.

Long-term Care and Patient Safety

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