ArticleBMJ open quality2022
Measuring psychological safety and local learning to enable high reliability organisational change.
Article in BMJ open quality, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 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.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Methods to derive composite indicators used for quality and safety measurement and monitoring in healthcare: a scoping review.Frontiers in health services · 2026Pooled it
- A Novel 5-Item Survey Tool to Assess Psychological Safety Among Graduate Medical Education Trainees.Journal of graduate medical education · 2026Article
- Reshaping Smart Pharmacy in TCM Hospitals via High-Reliability Organization Theory.Journal of multidisciplinary healthcare · 2026Article
- High reliability organizations and healthcare safety outcomes on patients and staff: Scoping review.PLOS global public health · 2026Article
- Exploring the impact of high reliability organization implementation on patient handling injury rates: a cross-sectional study.Journal of occupational medicine and toxicology (London, England) · 2025Article
- Perceptions of psychological safety in high-containment laboratories: mixed method survey of community members and industry experts.BMC psychology · 2025Article
- Enhancing High Reliability in Oncology Care: The Critical Role of Nurses-A Systematic Review and Thematic Analysis.Healthcare (Basel, Switzerland) · 2025Review
- Implementing HRO Principles under Stress: A Hospital's Journey toward High Reliability.Pediatric quality & safetyArticle
- Effect of Nursing Leaders' Moral Leadership on Nurses' and Teams' Psychological Safety: A Cross-Sectional Online Study.SAGE open nursingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The ability to measure the extent to which an organisation is highly reliable, or the extent to which reliability may change over time, has not kept up with the development of theory. The paper examines aspects of workplace culture, employee motivation and leadership behaviours that support continuous learning and improvement in an effort to measure the transition to high reliability.To evaluate the effectiveness of its high reliability initiative, one children's hospital sought to build measures that would provide an assessment of progressive movement towards a 'culture of safety', and track the success over time. This paper reports on the development of two scales (trust in team members and trust in leadership) that are intended to measure two cultural conditions fostered by the five high reliability principles and a composite measure on local learning activities. The two scales are strongly associated with local learning activities in employees' work areas and with employees' willingness to participate in extra role activities. We suggest that they are foundational to creating a psychologically safe environment and thus to becoming a high reliability organisation.
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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.