ArticleBMJ open2018
Patient safety climate in general public hospitals in China: differences associated with department and job type based on a cross-sectional survey.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- 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
- Authentic Nursing Leadership and Safety Climate Across Hospital Settings During the COVID-19 Pandemic: A Cross-Sectional Study.Journal of advanced nursing · 2025Article
- Healthcare workers' perceptions of patient safety culture in emergency departments: a scoping review.BMJ open · 2025Article
- Assessing a safety climate tool adapted to address respiratory illnesses in Canadian hospitals.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024Article
- A concept analysis of psychological safety: Further understanding for application to health care.Nursing open · 2022Article
- Relationship of patient safety culture with factors influencing working environment such as working hours, the number of night shifts, and the number of days off among healthcare workers in Japan: a cross-sectional study.BMC health services research · 2020Article
- Factors related to the patient safety climate in an emergency hospital.Revista latino-americana de enfermagem · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study analysed differences in the perceived patient safety climate among different working departments and job types in public general hospitals in China.
designCross-sectional survey.
settingEighteen tertiary hospitals and 36 secondary hospitals from 10 areas in Shanghai, Hubei Province and Gansu Province, China.
participantsOverall, 4753 staff, including physicians, nurses, medical technicians and managers, were recruited from March to June 2015.
main outcome measureThe Patient Safety Climate in Healthcare Organisations (PSCHO) tool and the percentages of 'problematic responses' (PPRs) were used as outcome measures. Multivariable two-level random intercept models were applied in the analysis.
resultsA total of 4121 valid questionnaires were collected. Perceptions regarding the patient safety climate varied among departments and job types. Physicians responded with relatively more negative evaluations of 'organisational resources for safety', 'unit recognition and support for safety efforts', 'psychological safety', 'problem responsiveness' and overall safety climate. Paediatrics departments, intensive care units, emergency departments and clinical auxiliary departments require more attention. The PPRs for 'fear of blame and punishment' were universally significantly high, and the PPRs for 'fear of shame' and 'provision of safe care' were remarkably high, especially in some departments. Departmental differences across all dimensions and the overall safety climate primarily depended on job type.
conclusionsThe differences suggest that strategies and measures for improving the patient safety climate should be tailored by working department and job type.
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