ArticleHealth services research2009
Relationship of safety climate and safety performance in hospitals.
Article in Health services research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05199415 (Fulfillment Center Intervention Study as Part of The Harvard T.H. Chan School of Public Health Center for Work, Health and Wellbeing), which is not on this map. Cited by 149 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Fulfillment Center Intervention Study as Part of The Harvard T.H. Chan School of Public Health Center for Work, Health and Wellbeing
Who cites it
149 citing papers in PubMed, 8 syntheses or guidelines pooled it, 524 citations in OpenAlex.
- Safety Climate and Safety Behavior and Outcomes: A Comprehensive Systematic Review in Healthcare From the Perspective of Staff and Patients.Human factors · 2026Pooled it
- Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review.BMJ open quality · 2023Pooled it
- Pooled it
- Use of the Hospital Survey of Patient Safety Culture in Norwegian Hospitals: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Assessing Patient Safety Culture in Hospital Settings.International journal of environmental research and public health · 2021Pooled it
- Association between organisational and workplace cultures, and patient outcomes: systematic review.BMJ open · 2017Pooled it
- Patient neglect in healthcare institutions: a systematic review and conceptual model.BMC health services research · 2013Pooled it
- Promoting a culture of safety as a patient safety strategy: a systematic review.Annals of internal medicine · 2013Pooled it
- A Family-Centered Rounds Checklist, Family Engagement, and Patient Safety: A Randomized Trial.Pediatrics · 2017Trial
- The Concept of a Bidirectional Loop of Behavior in Surgery: How Personality and Environment May Reinforce Each Other.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Cross-Cultural Adaptation and Psychometric Validation of the Hospital Survey on Patient Safety Culture Version 2 (HSOPSv2) in Spanish Hospitals.Journal of evaluation in clinical practice · 2026Article
- A panel study of job demands and practices toward infection prevention and control among healthcare workers: the moderating role of competing safety climate constructs.Industrial health · 2026Article
- Exploring heterogeneity in ICU nurses' perceived intrahospital transport safety: a latent profile analysis.BMC health services research · 2026Article
- Patient safety practices and associated factors among healthcare providers at South Wollo Zone primary hospitals, Northeast Ethiopia, 2025. A facility-based cross-sectional study.Scientific reports · 2026Article
- Understanding Error Culture in Veterinary Medicine: A Survey Among Veterinary Support Staff Across German-Speaking Countries.Veterinary sciences · 2026Article
- The relationship between psychological safety, patient safety culture, and work engagement with patient safety outcomes: a cross-sectional study in a Japanese university hospital.BMC health services research · 2026Article
- Evaluation of patient safety culture education program among healthcare professionals: A cross-sectional study.Journal of education and health promotion · 2026Article
- Understanding error culture in veterinary medicine: a survey among veterinarians across German-speaking countries.Frontiers in veterinary science · 2026Article
- Navigating veterinary error disclosure: An examination of humble leadership and safety attitudes in veterinary practices in Australia.The Veterinary record · 2025Article
- Hospital safety culture in Australia: a nationwide survey using a safety attitude questionnaire.Australian veterinary journal · 2025Article
89 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo examine the relationship between measures of hospital safety climate and hospital performance on selected Patient Safety Indicators (PSIs). DATA SOURCES: Primary data from a 2004 survey of hospital personnel. Secondary data from the 2005 Medicare Provider Analysis and Review File and 2004 American Hospital Association's Annual Survey of Hospitals. STUDY
designA cross-sectional study of 91 hospitals. DATA COLLECTION: Negative binomial regressions used an unweighted, risk-adjusted PSI composite as dependent variable and safety climate scores and controls as independent variables. Some specifications included interpersonal, work unit, and organizational safety climate dimensions. Others included separate measures for senior managers and frontline personnel's safety climate perceptions. PRINCIPAL
findingsHospitals with better safety climate overall had lower relative incidence of PSIs, as did hospitals with better scores on safety climate dimensions measuring interpersonal beliefs regarding shame and blame. Frontline personnel's perceptions of better safety climate predicted lower risk of experiencing PSIs, but senior manager perceptions did not.
conclusionsThe results link hospital safety climate to indicators of potential safety events. Some aspects of safety climate are more closely related to safety events than others. Perceptions about safety climate among some groups, such as frontline staff, are more closely related than perceptions in other groups.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.