ArticleArchives of disease in childhood. Fetal and neonatal edition2012
Neonatal intensive care unit safety culture varies widely.
Article in Archives of disease in childhood. Fetal and neonatal edition, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02603133 (Web-based Implementation for the Science of Enhancing Resilience Study), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Web-based Implementation for the Science of Enhancing Resilience Study
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Safety attitudes in hospital emergency departments: a systematic review.International journal of health care quality assurance · 2019Pooled it
- Assessment of safety culture in adults and paediatric critical care units in governmental hospitals in Kuwait: a cross-sectional study.BMJ open · 2026Article
- Patient safety attitude among intensive care unit physicians and nurses: a multi-center study in Egypt.The Journal of the Egyptian Public Health Association · 2025Article
- Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study.BMJ open quality · 2024Article
- End-of-Life Decision-Making in Pediatric and Neonatal Intensive Care Units in Croatia-A Focus Group Study among Nurses and Physicians.Medicina (Kaunas, Lithuania) · 2022Article
- Determinants of emotional distress in neonatal healthcare professionals: An exploratory analysis.Frontiers in public health · 2022Article
- Do trained nurses feel more psychologically safe?-Results from a multi-level modelling approach.Nursing open · 2021Article
- Changing safety culture.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care.Journal of patient safety · 2020Article
- Nurses' Perceptions of Patient Safety Culture in Intensive Care Units: A Cross-Sectional Study.Open access Macedonian journal of medical sciences · 2019Article
- Safety climate, safety climate strength, and length of stay in the NICU.BMC health services research · 2019Observational
- Attitudes of Doctors and Nurses toward Patient Safety within Emergency Departments of a Saudi Arabian Hospital: A Qualitative Study.Healthcare (Basel, Switzerland) · 2019Article
- Attitudes of doctors and nurses toward patient safety within emergency departments of two Saudi Arabian hospitals.BMC health services research · 2018Article
- Never judge a book by its cover: how NICU evaluators reach conclusions about quality of care.Journal of perinatology : official journal of the California Perinatal Association · 2018Article
- Interprofessional team assessments of the patient safety climate in Swedish operating rooms: a cross-sectional survey.BMJ open · 2017Article
- Context in Quality of Care: Improving Teamwork and Resilience.Clinics in perinatology · 2017Review
- Teamwork in the NICU Setting and Its Association with Health Care-Associated Infections in Very Low-Birth-Weight Infants.American journal of perinatology · 2017Article
- Factors Associated With Provider Burnout in the NICU.Pediatrics · 2017Article
- Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections.Journal of perinatology : official journal of the California Perinatal Association · 2017Observational
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundVariation in healthcare delivery and outcomes in neonatal intensive care units (NICUs) may be partly explained by differences in safety culture.
objectiveTo describe NICU care giver assessments of safety culture, explore variability within and between NICUs on safety culture domains, and test for association with care giver characteristics.
methodsNICU care givers in 12 hospitals were surveyed using the Safety Attitudes Questionnaire (SAQ), which has six scales: teamwork climate, safety climate, job satisfaction, stress recognition, perception of management and working conditions. Scale means, SDs and percent positives (percent agreement) were calculated for each NICU.
resultsThere was substantial variation in safety culture domains among NICUs. Composite mean score across the six domains ranged from 56.3 to 77.8 on a 100-point scale and NICUs in the top four NICUs were significantly different from the bottom four (p<0.001). Across the six domains, respondent assessments varied widely, but were least positive on perceptions of management (3%-80% positive; mean 33.3%) and stress recognition (18%-61% positive; mean 41.3%). Comparisons of SAQ scale scores between NICUs and a previously published adult ICU cohort generally revealed higher scores for NICUs. Composite scores for physicians were 8.2 (p=0.04) and 9.5 (p=0.02) points higher than for nurses and ancillary personnel.
conclusionThere is significant variation and scope for improvement in safety culture among these NICUs. The NICU variation was similar to variation in adult ICUs, but NICU scores were generally higher. Future studies should validate whether safety culture measured with the SAQ correlates with clinical and operational outcomes in NICUs.
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