ArticleFrontiers in public health2023
Issues and complexities in safety culture assessment in healthcare.
Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Leveraging sociological systems theory: integrating transformational leadership and social capital to enhance quality of care - an exploratory longitudinal study of German hospitals.BMC health services research · 2026Article
- Implementing after action review in an Irish tertiary hospital: a mixed-methods evaluation of safety culture and second victim experience and support.BMC health services research · 2026Article
- Moving from change agents to improvement architects through the Four Cs model: rethinking healthcare's complexity, cultures, contexts and connections.Frontiers in health services · 2026Review
- Perceptions of patient safety culture in a teaching hospital in Brazil.BMC health services research · 2025Article
- From Blame to Learning: The Evolution of the London Protocol for Patient Safety.Healthcare (Basel, Switzerland) · 2025Review
- Safety Culture Through Patient Voice: Qualitative Validation of the Patients' Perceptions of Safety Culture Scale (PaPSC) in Cardiology and Cardiothoracic Surgery.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Psychometric evaluation of the Persian nursing students' learning self-efficacy instrument.PloS one · 2025Article
- The anatomy of safe surgical teams: an interview-based qualitative study among members of surgical teams at tertiary referral hospitals in Norway.Patient safety in surgery · 2024Article
- Exploring the fear of clinical errors: associations with socio-demographic, professional, burnout, and mental health factors in healthcare workers - A nationwide cross-sectional study.Frontiers in public health · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The concept of safety culture in healthcare-a culture that enables staff and patients to be free from harm-is characterized by complexity, multifacetedness, and indefinability. Over the years, disparate and unclear definitions have resulted in a proliferation of measurement tools, with lack of consensus on how safety culture can be best measured and improved. A growing challenge is also achieving sufficient response rates, due to "survey fatigue," with the need for survey optimisation never being more acute. In this paper, we discuss key challenges and complexities in safety culture assessment relating to definition, tools, dimensionality and response rates. The aim is to prompt critical reflection on these issues and point to possible solutions and areas for future research.
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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.