AHRQ's Hospital Survey on Patient Safety Culture (SOPS) is widely used to measure hospital staff's opinion on safety culture in their organization. Exploratory factor analysis was conducted with SOPS data to compare with the six components of Patient Safety Culture Theoretical Framework. Construct validity was good, but the authors recommend creating a supplemental survey on deference to expertise and resilience.

Adverse event reporting is foundational to improving patient safety, but many events go unreported. This review identified four key priorities in increasing adverse event reporting: understanding and reducing barriers; improving perceptions of adverse event reporting within healthcare hierarchies; improving organizational culture; and improving outcomes measurement.