SynthesisBMC health services research2018
Assessing safety climate in acute hospital settings: a systematic review of the adequacy of the psychometric properties of survey measurement tools.
Synthesis in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Pooled it
- What do we really assess with organisational culture tools in healthcare? An interpretive systematic umbrella review of tools in healthcare.BMJ open quality · 2020Pooled it
- Shaping a positive occupational safety climate in general practice teams-findings of the baseline survey of the cluster randomized IMPROVEFrontiers in public health · 2025Trial
- Evaluating the Impact of Short-Notice Accreditation Assessment on Hospitals' Patient Safety and Quality Culture: Protocol for a Mixed Methods Study.JMIR research protocols · 2026Article
- Implementation strategies by leaders and health professionals to improve the safety climate in the operating room: a scoping review.BMJ open · 2026Article
- Authentic Nursing Leadership and Safety Climate Across Hospital Settings During the COVID-19 Pandemic: A Cross-Sectional Study.Journal of advanced nursing · 2025Article
- Factors influencing patient safety competence among Chinese vocational nursing students: A mixed-methods study using COM-B model and theoretical domains framework.International journal of nursing studies advances · 2025Article
- Instruments for Patient Safety Assessment: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Adaptation and validation of a Korean version of the speaking up about patient safety questionnaire (KSUPS-Q).BMC nursing · 2024Article
- Assessing a safety climate tool adapted to address respiratory illnesses in Canadian hospitals.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024Article
- Clinical nurse competence and its effect on patient safety culture: a systematic review.BMC nursing · 2023Article
- Adaptation of the Safety Climate Survey: A Contribution to Improving Patient Safety.Journal of nursing management · 2023Article
- Turkish adaptation and validation of revised Hospital Survey on Patient Safety Culture (TR - HSOPSC 2.0).BMC nursing · 2022Article
- Safety climate in hospitals: A cross-sectional study on the perspectives of nurses and midwives.Journal of nursing management · 2022Article
- Effect of implementing an anesthesia nurse checklist in a safety and teamwork climate: quasi-experimental study.Revista da Escola de Enfermagem da U S P · 2022Article
- 'What effect do safety culture interventions have on health care workers in hospital settings?' A systematic review of the international literature.HRB open research · 2022Article
- An assessment of organisational culture in Australian hospitals using employee online reviews.PloS one · 2022Article
- Nurse leadership: Sustaining a culture of safety.Health SA = SA Gesondheid · 2022Article
- Open organisational culture: what does it entail? Healthcare stakeholders reaching consensus by means of a Delphi technique.BMJ open · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe perceived importance of safety culture in improving patient safety and its impact on patient outcomes has led to a growing interest in the assessment of safety climate in healthcare organizations; however, the rigour with which safety climate tools were developed and psychometrically tested was shown to be variable. This paper aims to identify and review questionnaire studies designed to measure safety climate in acute hospital settings, in order to assess the adequacy of reported psychometric properties of identified tools.
methodsA systematic review of published empirical literature was undertaken to examine sample characteristics and instrument details including safety climate dimensions, origin and theoretical basis, and extent of psychometric evaluation (content validity, criterion validity, construct validity and internal reliability).
resultsFive questionnaire tools, designed for general evaluation of safety climate in acute hospital settings, were included. Detailed inspection revealed ambiguity around concepts of safety culture and climate, safety climate dimensions and the methodological rigour associated with the design of these measures. Standard reporting of the psychometric properties of developed questionnaires was variable, although evidence of an improving trend in the quality of the reported psychometric properties of studies was noted. Evidence of the theoretical underpinnings of climate tools was limited, while a lack of clarity in the relationship between safety culture and patient outcome measures still exists.
conclusionsEvidence of the adequacy of the psychometric development of safety climate questionnaire tools is still limited. Research is necessary to resolve the controversies in the definitions and dimensions of safety culture and climate in healthcare and identify related inconsistencies. More importance should be given to the appropriate validation of safety climate questionnaires before extending their usage in healthcare contexts different from those in which they were originally developed. Mixed methods research to understand why psychometric assessment and measurement reporting practices can be inadequate and lacking in a theoretical basis is also necessary.
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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.