ArticleMedical care2019
Perceived Patient Safety Culture in Nursing Homes Associated With "Nursing Home Compare" Performance Indicators.
Article in Medical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient safety measurement tools used in nursing homes: a systematic literature review.BMC health services research · 2022Pooled it
- Enhancing Safety Culture for Formal Caregivers in Long-Term Care: A Rapid Review.Journal of nursing management · 2025Review
- Article
- Mobile care - a possible future for emergency care in Sweden.BMC emergency medicine · 2023Article
- Cultures of aged care delivery: Qualitative content analysis of Australia's Royal Commission into Aged Care Quality and Safety.Australasian journal on ageing · 2023Article
- Patient Safety Culture in Assisted Living: Staff Perceptions and Association with State Regulations.Journal of the American Medical Directors Association · 2022Article
- Integrating Principles of Safety Culture and Just Culture Into Nursing Homes: Lessons From the Pandemic.Journal of the American Medical Directors Association · 2022Article
- Nursing Home Residents With Dementia: Association Between Place of Death and Patient Safety Culture.The Gerontologist · 2021Article
- Variability and Potential Determinants of Assisted Living State Regulatory Stringency.Journal of the American Medical Directors Association · 2021Observational
- Measuring safety in older adult care homes: a scoping review of the international literature.BMJ open · 2021Article
- Predicting Coronavirus Disease 2019 Infection Risk and Related Risk Drivers in Nursing Homes: A Machine Learning Approach.Journal of the American Medical Directors Association · 2020Article
- COVID-19 Infections and Deaths among Connecticut Nursing Home Residents: Facility Correlates.Journal of the American Geriatrics Society · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundThe safety and quality of care provided to nursing home residents is a significant concern. Little is known whether fostering patient safety culture helps improve the safety and quality of nursing home care.
methodsThis study determined the associations of nursing home patient safety culture performance, as reported by administrators, directors of nursing, and unit leaders in a large national sample of free-standing nursing homes, with several "Nursing Home Compare" performance indicators. We conducted the survey in 2017 using the Agency for Healthcare Research and Quality Survey on Patient Safety Culture for nursing homes to collect data on 12 core domains of safety culture scores. Survey data were linked to other nursing home files for multivariable regression analyses.
resultsOverall, 818 of the 2254 sampled nursing homes had at least 1 completed survey returned for a response rate of 36%. After adjustment for nursing home, market, and state covariates, every 10 percentage points increase in overall positive response rate for safety culture was associated with 0.56 fewer health care deficiencies (P=0.001), 0.74 fewer substantiated complaints (P=0.004), reduced fines by $2285.20 (P=0.059), and 20% increased odds of being designated as 4-star or 5-star (vs. 1 to 3 star) facilities (odds ratio roughly=1.20, P<0.05).
conclusionsEfforts to improve nursing home performance in patient safety culture have the potential to improve broad safety and quality of care measures encapsulated in the Nursing Home Compare publication.
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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.