ArticleInternational journal of environmental research and public health2021
Using Dominance Analysis to Identify the Most Important Dimensions of Safety Culture for Predicting Patient Safety.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Rural-urban comparisons of area-based socioeconomic disadvantage and vulnerability indices.Health affairs scholar · 2026Article
- Quality and patient safety surveillance systems in healthcare settings: a rapid realist review.BMJ open · 2026Review
- Supermarket politics: personality and political consumerism.International political science review : IPSR = Revue internationale de science politique = RISP · 2026Article
- How patient safety culture influences nurses' responsibility: a structural equation modeling study.BMC nursing · 2025Article
- Revised Hospital Survey on Patient Safety Culture (HSOPSC 2.0): cultural adaptation, validity and reliability of the Malay version.BMC health services research · 2024Article
- Unpacking Perceptions on Patient Safety: A Study of Nursing Home Staff in Italy.Healthcare (Basel, Switzerland) · 2024Article
- Article
- Development of a scale measuring home-visiting nurses' attitudes toward patient safety: a cross-sectional study.BMC nursing · 2023Article
- Factors Affecting Patient Safety Culture from Nurses' Perspectives for Sustainable Nursing Practice.Healthcare (Basel, Switzerland) · 2022Article
- The Significance of Estimated Glomerular Filtration Rate for Predicting Mortality in Glyphosate Herbicide-Intoxicated Patients: A Single-Center, Retrospective Observational Study.Journal of clinical medicine · 2022Article
- Patient Safety Culture and Its Associated Factors: A Situational Analysis among Nurses in Katsina Public Hospitals, Northwest Nigeria.International journal of environmental research and public health · 2022Article
- COVID-19 Mitigation Activities in Inpatient Psychiatry Were Associated With Patient-Reported Institutional Betrayal, Changes in Trust, and Fear of Getting Sick.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
2 authors.
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Abstract
Studies have demonstrated associations between safety culture and patient safety based on the perceptions of healthcare professionals, but limited attention has been given to the perceptions of nurses. Moreover, most studies have used regression modeling, an approach that limits researchers' ability to identify the most important predictors of patient safety due to intercorrelations among predictors in the model. Therefore, the purpose of this study was to examine the effects of seven dimensions of safety culture on nurse-rated patient safety and identify the relative importance of these dimensions for predicting patient safety. This correlational study used data from the Agency for Healthcare Research and Quality's 2018 Hospital Survey on Patient Safety Culture. Data from 13,031 nurses working in surgical areas of 443 hospitals in the United States were examined using logistic regression and dominance analysis. Staffing adequacy was the strongest predictor of patient safety, followed by hospital management support for patient safety and organizational learning/continuous improvement. However, dominance analysis showed that hospital management support for patient safety was the most important predictor rather than staffing adequacy. Nurse managers and hospital administrators should role model a culture of safety and demonstrate their valuing of patient safety by providing sufficient resources, listening to and valuing staff suggestions regarding patient safety, and providing feedback about organizational changes to improve patient safety.
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