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  • Published April 2017

Examination of the relationship between management and clinician perception of patient safety climate and patient satisfaction.

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Establishing a climate of safety is essential for improving safety in hospitals. Although a robust safety climate is associated with measurable improvements in safety, the question remains whether patients perceive their care differently in hospitals with a stronger safety culture. This cross-sectional study used data from the AHRQ Hospital Survey on Patient Safety Culture (HSPSC) and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) to examine the relationship between safety culture and patient satisfaction with care. Investigators found a moderately strong association between HSPSC and HCAHPS scores, indicating that hospitals with a more robust culture of safety also had higher patient satisfaction scores. This correlation was particularly strong for the teamwork and communication domains of the HSPSC, indicating that improvement in relationships between staff may translate to enhanced communication with patients. A prior multinational study also found a positive association between nurses' perception of care quality and patient satisfaction. A recent PSNet interview discussed recent advancements in understanding safety culture.

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