ArticleArchives of disease in childhood. Fetal and neonatal edition2012
The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU.
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 31 papers.
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
31 citing papers in PubMed.
- Perception of safety climate among nursing staff in operating rooms in Slovenia: a cross-sectional analytical study.BMJ open · 2026Article
- Anesthetists' Knowledge, Attitude, and related Factors on Patient Safety in Government Hospitals in Ethiopia a Multicenter Approach.Scientific reports · 2024Article
- Determining the psychometric properties of safety attitudes questionnaire in NICUs.BMC psychology · 2023Article
- Development, validation, and results of a national endoscopy safety attitudes questionnaire (Endo-SAQ).Endoscopy international open · 2023Article
- The Perception of the Patient Safety Climate by Health Professionals during the COVID-19 Pandemic-International Research.International journal of environmental research and public health · 2022Article
- Changing safety culture.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Frustration With Technology and its Relation to Emotional Exhaustion Among Health Care Workers: Cross-sectional Observational Study.Journal of medical Internet research · 2021Observational
- Assessment of Workplace Safety Climate among Healthcare Workers during the COVID-19 Pandemic in Low and Middle Income Countries: A Case Study of Nigeria.Healthcare (Basel, Switzerland) · 2021Article
- Burnout and Associated Factors Among Health Care Workers in Singapore During the COVID-19 Pandemic.Journal of the American Medical Directors Association · 2020Article
- The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care.Journal of patient safety · 2020Article
- Association Between Implementing Comprehensive Learning Collaborative Strategies in a Statewide Collaborative and Changes in Hospital Safety Culture.JAMA surgery · 2020Article
- Provider burnout: Implications for our perinatal patients.Seminars in perinatology · 2020Review
- Evaluation of safety attitudes of hospitals and the effects of demographic factors on safety attitudes: a psychometric validation of the safety attitudes and safety climate questionnaire.BMC health services research · 2019Article
- Safety climate, safety climate strength, and length of stay in the NICU.BMC health services research · 2019Observational
- Association Between Hospital Safety Culture and Surgical Outcomes in a Statewide Surgical Quality Improvement Collaborative.Journal of the American College of Surgeons · 2019Article
- Organizational factors affecting physician well-being.Current treatment options in pediatrics · 2019Article
- [Does annual simulation training influence the safety climate of a university hospital? : Prospective 5‑year investigation using dimensions of the safety attitude questionnaire].Der Anaesthesist · 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
- Assessing archetypes of organizational culture based on the Competing Values Framework: the experimental use of the framework in Japanese neonatal intensive care units.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2017Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundNeonatal intensive care unit (NICU) safety culture, as measured by the Safety Attitudes Questionnaire (SAQ), varies widely. Associations with clinical outcomes in the adult intensive care unit setting make the SAQ an attractive tool for comparing clinical performance between hospitals. Little information is available on the use of the SAQ for this purpose in the NICU setting.
objectivesTo determine whether the dimensions of safety culture measured by the SAQ give consistent results when used as a NICU performance measure.
methodsCross-sectional survey of caregivers in 12 NICUs, using the six scales of the SAQ: teamwork climate, safety climate, job satisfaction, stress recognition, perceptions of management and working conditions. NICUs were ranked by quantifying their contribution to overall risk-adjusted variation across the scales. Spearman rank correlation coefficients were used to test for consistency in scale performance. The authors then examined whether performance in the top four NICUs in one scale predicted top four performance in others.
resultsThere were 547 respondents in 12 NICUs. Of 15 NICU-level correlations in performance ranking, two were >0.7, seven were between 0.4 and 0.69, and the six remaining were <0.4. The authors found a trend towards significance in comparing the distribution of performance in the top four NICUs across domains with a binomial distribution p=0.051, indicating generally consistent performance across dimensions of safety culture.
conclusionA culture of safety permeates many aspects of patient care and organisational functioning. The SAQ may be a useful tool for comparative performance assessments among NICUs.
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