Surveys on Patient Safety Culture Research Reference List

There is a growing body of literature on the Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture. The purpose of this research reference list is to provide citations for articles published on the AHRQ safety culture surveys.

If you have published a research study using one of the Surveys on Patient Safety Culture, please email the citation to SafetyCultureSurveys@westat.com.


This list of references is organized in the following categories:

Hospital Survey on Patient Safety Culture

Use of Hospital Survey on Patient Safety Culture

Analyses Linking Relationships Among Survey Composites and Hospital or Respondent Characteristics

Armellino D, Quinn Griffin MT, et al. Structural empowerment and patient safety culture among registered nurses working in adult critical care units. J Nurs Manage 2010;18:796-803.

Boan DM, Nadzam D, Clapp JR. The impact of variance in perception of the organization on capacity to improve in hospital work groups. Group Dyn 2012; 16(3): 206-217.

Bowman C, Neeman N, Sehgal NL. Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. Acad Med 2013; 88:1-9.

Brown DS, Wolosin R. Safety culture relationships with hospital nurse sensitive metrics. J Healthcare Qual July/Aug 2013;35(4):61-74.

Campbell EG, Singer S, Kitch BT, et al. Patient safety climate in hospitals: act locally on variation across units. Jt Comm J Qual Patient Saf 2010;36(7):319-26.  

Fujita S, Seto K, Kitazawa T, et al. Characteristics of unit-level patient safety culture in hospitals in Japan: a cross-sectional study. BMC Health Serv Res 2014;14:508. Available at: http://www.biomedcentral.com/1472-6963/14/508/abstract. [Administered in Japan, used Japanese translation.]

Halbesleben JR, Wakefield BJ, Wakefield DS, et al. Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. West J Nurs Res 2008;30(5):560-77.

Hannah KL, Schade CP, Lomely DR, et al. Hospital administrative staff vs. nursing staff responses to the AHRQ Hospital Survey on Patient Safety Culture. In: Henriksen K, Battles JB, Keyes MA, et al., eds. Advances in Patient Safety: New Directions and Alternative Approaches. Vol. 2: Culture and Redesign. Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication No. 08-0034-2. Available at: http://www.ncbi.nlm.nih.gov/books/NBK43704/.

Jasti H, Sheth H, Verrico M, et al. Assessing patient safety culture of internal medicine house staff in an academic teaching hospital. J Grad Med Educ 2009 Sep;1(1):139-45.

Leong P, Afrow J, Weber HP, et al. Attitudes toward patient safety standards in U.S. dental schools: a pilot study. J Dent Educ 2008;72(4):431-7. Available at: http://www.jdentaled.org/content/72/4/431.long

Moody RF, Pesut DJ, Harrington CF. Creating safety culture on nursing units: human performance and organizational system factors that make a difference. J Patient Saf 2006;2:198-206.

Patterson ME, Bogart MS, Starr KR. Associations between perceived crisis mode work climate and poor information exchange within hospitals. J Hosp Med 2015;10(3):152-9.

Patterson ME, Pace HA, Fincham JE. Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting. J Patient Saf 2013; 9: 129-133.

Patterson ME, Pace HA. A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists. J Patient Saf Epub 2014 Aug 12.

Richter JP, McAlearney AS, Pennell ML. Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. Am J Med Qual Epub 2014 Jul 28.

Richter JP, McAlearney AS, Pennell ML. The influence of organizational factors on patient safety: Examining successful handoffs in health care. Health Care Manage Rev Epub 2014 Jul 15.

Scherer D, Fitzpatrick JJ. Perceptions of patient safety culture among physicians and RNs in the perioperative area. AORN J 2008;87:163-75.

Vogelsmeier A, Scott-Cawiezell J, Miller B, et al. Influencing leadership perceptions of patient safety through just culture training. J Nurs Care Qual 2010;25(4):288-94.

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Improving Patient Safety Culture

Adams-Pizarro I, Walker Z, Robinson J, et al. Using the AHRQ Hospital Survey on Patient Safety Culture as an intervention tool for regional clinical improvement collaboratives. In: Henriksen K, Battles JB, Keyes MA, et al., eds. Advances in Patient Safety: New Directions and Alternative Approaches. Vol. 2: Culture and Redesign. Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication No. 08-0034-2. Available at: http://www.ncbi.nlm.nih.gov/books/NBK43728/.

Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. Qual Saf Health Care 2010;19:346-50.

Donahue M, Miller M, Smith L, et al. A leadership initiative to improve communication and enhance safety. Am J Med Qual 2011;26(3):206-11. doi: 10.1177/1062860610387410. Epub 2011 Jan 11.

Donnelly LF, Dickerson JM, Goodfriend MA, Muething SE. Improving patient safety: effects of a safety program on performance and culture in a department of radiology. AJR Am J Roentgenol 2009;193(1):165-71. doi: 10.2214/AJR.08.2086.

DuPree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf 2011;37(1):447-55.

Edwards PJ, Scott T, Richardson P, et al. Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system. J Patient Saf 2008;4(2):113-8.

Gore DC, Powell JM, Baer JG, Sexton KH, et al. Crew resource management improved perception of patient safety in the operating room. Am J Med Qual 2010; 25(1):60-63. DOI: 10.1177/1062860609351236. Epub 2009 Dec 4.

Hayes LW, Dobyns EL, DiGiovine B, et al. A multicenter collaborative approach to reducing pediatric codes outside the ICU. Pediatrics 2012;129(3):e785-91. doi: 10.1542/peds.2011-0227. Available at: http://pediatrics.aappublications.org/content/129/3/e785.full.pdf+html

Jones F, Podila P, Powers C. Creating a culture of safety in the emergency department: the value of teamwork training. J Nurs Admin 2013; 43(4):194–200. doi: 10.1097/NNA.0b013e31828958cd.

Jones KJ, Skinner A, High R, Reiter-Palmon R. A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. BMJ Qual Saf 2013; 0:1–11. doi:10.1136/bmjqs-2012-000939.

Jones KJ, Skinner A, Xu L, et al. The AHRQ Hospital Survey on Patient Safety Culture: A tool to plan and evaluate patient safety programs. In: Henriksen K, Battles JB, Keyes MA, et al., eds. Advances in Patient Safety: New Directions and Alternative Approaches. Vol. 2: Culture and Redesign. Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication No. 08-0034-2. Available at: http://www.ncbi.nlm.nih.gov/books/NBK43699/.

Klingner J, Moscovice I, Tupper J, et al. Implementing patient safety initiatives in rural hospitals. J Rural Health 2009;25(4):352-7.

Mayer CM, Cluff L, Lin W, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Jt Comm J Qual Patient Saf 2011;37(8):365-74.

Muething SE, Goudie A, Schoettker PJ, Donnelly LF, et al.  Quality improvement initiative to reduce serious safety events and improve patient safety culture. Pediatrics 2012;130(2):e423-31. doi: 10.1542/peds.2011-3566. Epub 2012 Jul 16.

Sine DM, Northcutt N. Interactive qualitative assessment of patient safety culture survey scores. J Patient Saf 2008;4(2):78-83.

Szekendi MK, Barnard C, Creamer J, et al. (2010). Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. Jt Comm J Qual Patient Saf 2010;36(1):3-9.

Thomas L, Galla C. Building a culture of safety through team training and engagement. BMJ Qual Saf 2013;22:425-434. doi:10.1136/bmjqs-2012-001011.

Thorp J, Waheed B, Witters D, et al. Workplace engagement and workers' compensation claims as predictors for patient safety culture. J Patient Saf 2012;8(4):194-201. DOI: 10.1097/PTS.0b013e3182699942.

Tupper J, Coburn, A, Loux S, et al. Strategies for improving patient safety in small rural hospitals. In: Henriksen K, Battles JB, Keyes MA, et al., eds. Advances in Patient Safety: New Directions and Alternative Approaches. Vol. 2: Culture and Redesign. Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication No. 08-0034-2. Available at: http://www.ncbi.nlm.nih.gov/books/NBK43729/.

Velji K, Baker GR, Fancott C, et al. Effectiveness of an adapted SBAR communication tool for a rehabilitation setting. Healthc Q 2008;11(3 Spec No.):72-79. Available at: http://www.longwoods.com/content/19653.

Weaver SJ, Rosen MA, DiazGranados D, Lazzara EH, et al. Does teamwork improve performance in the operating room? A multilevel evaluation. Jt Comm J Qual Patient Saf 2010;36(3): 133-42.

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 Psychometric Analyses—U.S.

Blegen MA, Gearhart S, O'Brien R, et al. (2009) AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. J Patient Saf 2009;5(3):139-44.

Cox ED, Carayon P, Hansen KW, Rajamanickam VP, et al. Parent perceptions of children's hospital safety climate. Qual Saf Health Care 2013;00:1–8. doi:10.1136/bmjqs-2012-001727.

Sorra JS, Dyer N. Multilevel psychometric properties of the AHRQ Hospital Survey on Patient Safety Culture. BMC Health Serv Res 2010 Jul 8;10:199. Available at: http://www.biomedcentral.com/1472-6963/10/199.

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Psychometric Analyses—International

Bagnasco A, Tibaldi L, Chirone P, et al. Patient safety culture: an Italian experience. J Clin Nurs 2011;20:1188-95. [Administered in Italy, used Italian translation.]

Bodur S, Filiz E. Validity and reliability of Turkish version of "Hospital Survey on Patient Safety Culture" and perception of patient safety in public hospitals in Turkey. BMC Health Serv Res 2010 Jan 28;10:28. Available at: http://www.biomedcentral.com/1472-6963/10/28. [Administered in Turkey, used Turkish translation.]

Eiras M, Escoval A, Grillo IM, et al. The hospital survey on patient safety culture in Portuguese hospitals: instrument validity and reliability. Int J Health Care Qual Assur; 2014;27(2):111-22. [Administered in Portugal, used Portuguese translation]

 Hammer A, Ernstmann N, Ommen O, et al. Psychometric properties of the Hospital Survey on Patient Safety Culture for hospital management (HSOPS_M). BMC Health Serv Res 2011;11:165. Available at: http://www.biomedcentral.com/1472-6963/11/165. [Administered in Germany, used Swiss-German translation.]

Haugen AS, Søfteland E, Eide GE, Nortvedt MW, et al. Patient safety in surgical environments: Cross-countries comparison of psychometric properties and results of the Norwegian version of the Hospital Survey on Patient Safety. BMC Health Serv 2010; 10: 279. [Administered in Norway, used Norwegian translation.]

Haugen AS, Søfteland E, Eide GE, Sevdalis N, et al. Impact of the World Health Organization's surgical safety checklist on safety culture in the operating theatre: a controlled intervention study. Br J Anesth 2013; 110(5):087-15. [Administered in Norway, used Norwegian translation.]

Hedsköld M, Pukk-Härenstam K, Berg E, Lindh M, et al. Psychometric properties of the hospital survey on patient safety culture, HSOPC, applied on a large Swedish health care sample. BMC Health Serv Res 2013, 13:332 doi:10.1186/1472-6963-13-332. Available at: http://www.biomedcentral.com/1472-6963/13/332. [Administered in Sweden, used Swedish translation.]

Hellings J, Schrooten W, Klazinga N, et al. (2007). Challenging patient safety culture: survey results. Int J Health Care Qual Assur 2007;20(7):620-32. [Administered in Belgium, used Dutch translation.]

Ito S, Seto K, Kigawa M, et al. Development and applicability of Hospital Survey on Patient Safety Culture (HSOPS) in Japan. BMC Health Serv Res 2011;11:28. doi:10.1186/1472-6963-11-28. Available at: http://www.biomedcentral.com/1472-6963/11/28. [Administered in Japan, used Japanese translation.]

Najjar S, Hamdan M, Baillien E, et al. The Arabic version of the Hospital Survey on Patient Safety Culture: psychometric evaluation in a Palestinian sample. BMC Health Serv Res 2013; 13:193. doi: 10.1186/1472-6963-13-193. Available at: http://www.biomedcentral.com/1472-6963/13/193. [Administered in Palestine, used Arabic translation.]

Nie Y, Mao X, Cui H, He S, et al. Hospital survey on patient safety culture in China. BMC Health Serv Res 2013; 13:228. Available at: http://www.biomedcentral.com/1472-6963/13/228. [Administered in China, used Chinese translation.]

Occelli P, J-L. Quenon J-L, Kret M, et al. Validation of the French version of the Hospital Survey on Patient Safety Culture questionnaire. Int J Qual Health Care. doi: 10.1093/intqhc/mzt047. Epub 2013 July 5. [Administered in France, used French translation.]

Olsen E. Exploring the possibility of a common structural model measuring associations between safety climate factors and safety behaviour in health care and the petroleum sectors. Accid Anal Prev 2010;42(5):1507-16. [Administered in Norway, used Norwegian translation.]

Olsen E. Reliability and validity of the Hospital Survey on Patient Safety Culture at a Norwegian hospital. In Øvretveit J and Sousa P, eds. Quality and Safety Improvement Research: Methods and Research Practice from the International Quality Improvement Research Network. Lisbon: Escola Nacional de Saúde Pública; 2008. p. 173-86. [Administered in Norway, used Norwegian translation.]

Perneger TV, Staines A, Kundig F. Internal consistency, factor structure and construct validity of the French version of the Hospital Survey on Patient Safety Culture. BMJ Qual Saf 2013;0:1-9. doi: 10.1136/bmjqs-2013-002024. [Administered in Switzerland, used French translation].

Pfeiffer Y, Manser T. Development of the German version of the Hospital Survey on Patient Safety Culture: dimensionality and psychometric properties. Saf Sci 2010;48:1452-62. [Administered in Switzerland, used German translation.]

Robida A. Hospital Survey on Patient Safety Culture in Slovenia: a psychometric evaluation. Int J Qual Health Care 2013; 1–7. [Administered in Slovenia, used Slovene translation.]

Sarac C, Flin R, Mearns K, et al. Hospital Survey on Patient Safety Culture: psychometric analysis on a Scottish sample. BMJ Qual Saf 2011;20(10):842-8. [Administered in Scotland, used English version.]

Smits M, Christiaans-Dingelhoff I, Wagner C, et al. The psychometric properties of the "Hospital Survey on Patient Safety Culture" in Dutch hospitals. BMC Health Serv Res 2008 Nov 7;8:230. Available at: http://www.biomedcentral.com/1472-6963/8/230. [Administered in the Netherlands, used Dutch translation.]

Smits M, Wagner C, Spreeuwenberg P, et al. (2009) Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. Qual Saf Health Care 2009;18(4):292-96. [Administered in the Netherlands, used Dutch translation.]

Vlayen A, Hellings J, Claes N, et al. Measuring safety culture in Belgian psychiatric hospitals: validation of the Dutch and French translations of the Hospital Survey on Patient Safety Culture. J Psychiatr Pract 2015;21(2):124-39. [Administered in Belgium, used Dutch and French translations.]

Waterson P, Griffiths P, Stride C, et al. (2010) Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UK. Qual Saf Health Care 2010;19(5):e2. [Administered in the United Kingdom, used English version.]

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 Analyses Linking the Survey to Outcome Data

Birkmeyer NJ, Finks JF, Greenberg CK, et al. Safety culture and complications after bariatric surgery. Ann Surg 2013;257(2):260-5. doi: 10.1097/SLA.0b013e31826c0085.

DiCuccio MH. The relationship between patient safety culture and patient outcomes: A systematic review. J Patient Saf 2014;22(1): 11-18. doi: 10.1136/bmjqs-2011-000582.

Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg 2015 Dec 9. doi: 10.1016/j.jamcollsurg.2015.11.008. Available at: http://www.sciencedirect.com/science/article/pii/S1072751515017007.

Mardon RE, Khanna K, Sorra J, et al. Exploring relationships between hospital patient safety culture and adverse events. J Patient Saf 2010;6(4):226-32.

The Health Foundation. Research scan: does improving safety culture affect patient outcomes? 2011.

Smits M, Wagner C, Spreeuwenberg P, et al. The role of patient safety culture in the causation of unintended events in hospitals. J Clin Nurs. 2012;21(23-24):3392-401. doi: 10.1111/j.1365-2702.2012.04261.x. [Administered in Netherlands, used Dutch translation.]

Sorra J, Khanna K, Dyer N, et al. Exploring relationships between patient safety culture and patients' assessments of hospital care. J Patient Saf 2012; Sep; 8(3):131-9.

Weaver SJ, Weeks K, Pham JC, et al. On the CUSP: Stop BSI: Evaluating the relationship between central line-associated bloodstream infection rate and patient safety climate profile. Am J Infect Contr 2014;(42):S203-8.

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 Adaptation of Hospital Survey on Patient Safety Culture in Nephrology Nurse Practice Settings

 Kear T, Ulrich B. Patient safety and patient safety culture in nephrology nurse practice settings: issues, solutions, and best practices. Nephrol Nurs J 2015;42(2):113-22.

 Kear T, Ulrich B. The role of interprofessional collaboration in supporting a culture of safety. Nephrology News & Issues 2015 July:21-26.

 Ulrich B, Kear T. Patient safety culture in nephrology nurse practice settings: Initial findings. Nephrol Nurs J 2014;41(5):459-75.

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 International

Asia

Amarapathy M, Sridharan S, Perera R, Handa Y. Factors affecting patient safety culture in a tertiary care hospital in Sri Lanka. Int J Sci & Tech Res 2013; 2(3): 173-80. [Administered in Sri Lanka]

Chen C, Ng H, Li H. A multilevel model of patient safety culture: cross-level relationship between organizational culture and patient safety behavior in Taiwan's hospitals. Int J Health Plann Mgmt 2012;27:e65-e82. [Administered in Taiwan, used Chinese translation.]

Chen IC, Li HH. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSurvey on Patient Safety CultureC). BMC Health Serv Res 2010 Jun 7;10:152. Available at: http://www.biomedcentral.com/1472-6963/10/152/. [Administered in Taiwan, used Chinese translation.]

Feng XQ, Acord L, Cheng YJ, et al. The relationship between management safety commitment and patient safety culture. Int Nurs Rev 2011 Jun;58(2):249-54. [Administered in China, used Chinese translation.]

Fujita S, Seto K, Ito S, Wu Y, et al. The characteristics of patient safety culture in Japan, Taiwan and the United States. BMC Health Serv Res 2013, 13:20. Available at: http://www.biomedcentral.com/1472-6963/13/20. [Administered in Japan, used Japanese translation.]

Kim J, An K, Kim MK, et al. Nurses' perceptions of error reporting and patient safety culture in Korea. West J Nurs Res 2007;29(7):827-44. [Administered in Korea, used Korean translation.]

Liu C, Liu W, Wang Y, et al. Patient safety culture in China: a case study in an outpatient setting in Beijing. BMJ Qual Saf 2014;23:556–564. Available at: http://qualitysafety.bmj.com/content/23/7/556.full.pdf+html. [Administered in China, used Chinese translation]

Zhu J, Li L, Li Y, et al. What constitutes patient safety culture in Chinese hospitals? Int J Qual Health Care 2012 Mar;29:1-8. [Administered in China, used Chinese translation.]

Zhu J, Li L, Zhao H, et al. Development of a patient safety climate survey for Chinese hospitals: cross-national adaptation and psychometric evaluation. BMJ Qual Saf 2014;23:847-56. [Administered in China, used Chinese translation.]

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Australia & New Zealand

Robb G, Seddon M. Measuring the safety culture in a hospital setting: a concept whose time has come? N Z Med J 2010;123(1314):68-78. [Administered in New Zealand, used English version.]

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Canada

Andreoli A, Fancott C, Velji K, et al. Using SBAR to communicate falls risk and management in interprofessional rehabilitation teams. Healthc Q 2010 Sep;13 Spec No:94-101. [Administered in Canada, used English version.]

Chevalier BA, Parker DS, MacKinnon NJ, et al. Nurses' perceptions of medication safety and medication reconciliation practices. Nurs Leadersh 2006;19(3):61-72. [Administered in Canada, used English version.]

Dodek PM, Wong H, Heyland DK, et al. The relationship between organizational culture and family satisfaction in critical care. Crit Care Med 2012;40(5):1506-12. [Administered in Canada, used English version.]

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Europe

Aase K, Høyland S, Olsen E, et al. Patient safety challenges in a case study hospital—of relevance for transfusion processes? Transfus Apher Sci 2008;39(2):167-72. [Administered in Norway, used Norwegian translation.]

Ahmed NG, Adam SM, Al Moniem IIA. Patient safety: assessing nurses' perception and developing an improvement plan. Life Sci J 2011;8(2):53-64. [Administered in Egypt, used Arabic translation.]

Agnew C, Flin R, Mearns K. Patient safety climate and worker safety behaviours in acute hospitals in Scotland. J Safety Res 2013; 45:95–101. [Administered in Scotland, used English version.]

Aiken LH, Sermeus W, Van den Heede K, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ Qual Saf 2012; 344:e1717. doi: 10.1136/bmj.e1717. [Administered in multiple countries in Europe, used English version.]

Ballangrud R, Hedelin B, Hall-Lord ML. Nurses' perceptions of patient safety climate in intensive care units: A cross-sectional study. Intensive Crit Care Nurs 2012; 28: 344-54. [Administered in Norway, used Norwegian translation.]

Hellings J, Schrooten W, Klazinga NS, et al. Improving patient safety culture. Int J Health Care Qual Assur 2010;23(5):489-506. [Administered in Belgium, used Dutch translation.]

Kundig F, Staines A, Kinge T, et al. Numbering questionnaires had no impact on the response rate and only a slight influence on the response content of a patient safety culture survey: a randomized trial. Jf Clin Epidemiol 2011; 64:1262-5. [Administered in Switzerland, used French translation].

Kuosmanen A, Tiihonen J, Repo-Tiihonen E, et al. Patient safety culture in two Finnish state-run forensic psychiatric hospitals. J Forensic Nurs 2013; doi: 10.1097/JFN.0b013e318281068c. Epub 2013 March 8. [Administered in Finland, used Finnish translation.]

Mannion R, Konteh FH, Davies HTO. Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use. Qual Saf Health Care 2009;18(2):153-6. [Administered in United Kingdom, used English version.]

Murphy J, Hignett S, Griffiths P, et al. Measuring patient safety culture in a UK NHS hospital with an American assessment tool. In: Bust PD, ed. Contemporary Ergonomics 2007: Proceedings of the International Conference on Contemporary Ergonomics (CE2007), 17-19 April 2007, Nottingham UK. London: CRC Press; 2007. p. 445-50. [Administered in United Kingdom, used English version.]

Occelli P, Quenon J, Hubert B, et al. Development of a safety culture: initial measurements of six hospitals in France. J Healthc Risk Manag 2011;30(4):42-7. [Administered in France, used French translation.]

Olsen E, Aase K. A comparative study of safety climate differences in healthcare and the petroleum industry. Qual Saf Health Care 2010;19 Suppl 3:i75-79. [Administered in Norway, used Norwegian translation.]

Snijders C, Kollen BJ, van Lingen RA, et al. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. Crit Care Med 2009;37(1):61-7. [Administered in the Netherlands, used Dutch translation.]

Turunen H, Partanen P, Kvist T, et al. Patient safety culture in acute care: A web-based survey of nurse managers' and registered nurses' views in four Finnish hospitals. Int J of Nurs Pract 2013; DOI: 10.1111/ijn.12112. Epub 2013 June 18. [Administered in Finland; used Finnish translation.]

van Noord I, de Bruijne MC, Twisk JWR. The relationship between patient safety culture and the implementation of organizational patient safety defences at emergency departments. Int J Qual Health Care 2010; 22:162-9. [Administered in the Netherlands, used Dutch translation.]

Vlayen A, Hellings J, Claes N, et al. A nationwide Hospital Survey on Patient Safety Culture in Belgian hospitals: setting priorities at the launch of a 5-year patient safety plan. BMJ Qual Saf 2011 Jul 18. [Administered in Belgium, used Dutch and French translations.]

Cross-references to citations previously listed: •

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Middle East

Abdelhai, Shaimaa B. Abdelaziz and Nashwa S. Ghanem. Assessing patient safety culture and factors affecting it among health care providers at Cairo university hospitals. J Am Sci 2012;8(7):277-285]. (ISSN:1545-1003). Available at: http://www.jofamericanscience.org/journals/am-sci/am0807/043_9638am0807_277_285.pdf. [Administered in Egypt, used Arabic translation.]

Aboshaiqah A, Baker O. Assessment of nurses' perceptions of patient safety culture in a Saudi Arabia hospital. J Nurs Care Qual 2013; 1-9. [Administered in Saudi Arabia, used English version.]

Al-Ahmadi TA. Measuring patient safety culture in Riyadh's hospitals: a comparison between public and private hospitals. J Egypt Public Health Assoc 2009;84(5-6):479-500. [Administered in Saudi Arabia, used English version.]

Alahmadi HA. Assessment of patient safety culture in Saudi Arabian hospitals. Qual Saf Health Care 2010 Oct;19(5):e17. [Administered in Saudi Arabia, used English version.]

Bahrami MA, Montazeralfaraj R, Chalak M, et al. Patient safety culture challenges: survey results of Iranian educational hospitals. Middle-East J Sci Res 2013; 14(5): 641-649. Available at: http://www.idosi.org/mejsr/mejsr14%285%2913/8.pdf. [Administered in Iran, used English version.]

Bodur S, Filiz E. A survey on patient safety culture in primary healthcare services in Turkey. Int J Qual Health Care 2009;21(5):348-55. Available at: http://intqhc.oxfordjournals.org/content/21/5/348.full.pdf+html  [Administered in Turkey, used Turkish translation.]

Davoodi R, Shabestari MM, Takbiri A, et al. Patient safety culture based on medical staff attitudes in Khorasan Razavi hospitals, Northeastern Iran. Iranian J Publ Health 2013;42(11):1292-8. [Administered in Iran, used Persian translation.]

El-Jardali F, Dimassi H, Jamal D, et al. Predictors and outcomes of patient safety culture in hospitals. BMC Health Serv Res 2011 Feb 24;11:45. Available at: http://www.biomedcentral.com/1472-6963/11/45/.  [Administered in Lebanon, used Arabic translation.]

El-Jardali F, Jaafar M, Dimassi H, et al. The current state of patient safety culture in Lebanese hospitals: a study at baseline. Int J Qual Health Care 2010 Oct; 22(5):386-95. Available at: http://intqhc.oxfordjournals.org/content/22/5/386.long  [Administered in Lebanon, used Arabic translation.]

Hamdan, M and Alra'oof Saleem, A. Assessment of patient safety culture in Palestinian public hospitals. Int J Qual Health Care 2013 Feb; 25(2):167–175. doi: 10.1093/intqhc/mzt007. [Administered in Palestine, used Arabic translation.]

Kabir M, Heidari A, Jafari N, et al. The perspectives toward patient safety culture among staff in educational hospitals in Gorgan in 2011. Iranian J Health Sciences 2013; 1(1): 75-83. Available at: http://jhs.mazums.ac.ir/files/site1/user_files_d258bd/rostamifaridehhsr-A-10-25-32-00bee6a.pdf.  [Administered in Iran, used Farsi translation.]

Khater WA, Akhu-Zaheya LM, AL-Mahasneh SI, et al. Nurses’ perceptions of patient safety culture in Jordanian hospitals. International Nursing Review Epub 2014 Dec 1. [Administered in Jordan, used Arabic translation.]

Moghri J, Arab M, Saari AA, Nateqi  E, et al. The psychometric properties of the Farsi version of “Hospital Survey on Patient Safety Culture” in Iran's hospitals. Iranian J Publ Health 2012; 41(4): 80-86. Available at: http://ijph.tums.ac.ir/index.php/IJPH/article/view/2107/1880  [Administered in Iran, used Persian translation.]

Mohammadreza A, Sogand T, Omid B. Measuring safety culture and setting priorities for action at an Iranian hospital. Al Ameen J Med Sci 2010;3(3):237-45. [Administered in Iran, used Persian translation.]

Mozafari J, Fahimi MA, Masoumi K, Darian AA, Forouzan A. Emergency medicine residents perception about patient safety culture. Adv Biol Res 2013; 7(5):155-58. [Administered in Iran]

Sagiroglu T, Oğuz S, Yağcı MA,et al. Evaluation of patient safety culture: single-center non-randomized, cross-sectional study, Department of General Surgery, Faculty of Medicine, Trakya University, Turkey experience. Scientific Research and Essays 2013; 8(10):398-403.Available at: http://www.academicjournals.org/sre/PDF/pdf2013/11Mar/Sagiroglu%20et%20al.pdf.  [Administered in Turkey, used Turkish translation.]

Tabrizchi N, Sedaghat M. The first study of patient safety culture in Iranian primary health centers. Acta Medica Iranica 2012; 50(7): 505-510. Available at: http://journals.tums.ac.ir/upload_files/pdf/_/21708.pdf.  [Administered in Iran, used Persian translation.]

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Global

Wagner C, Smits M, Sorra J, Huang CC. Assessing patient safety culture in hospitals across countries. Int J Qual Health Care Advance Access 2013; 1-9. Available at: http://intqhc.oxfordjournals.org/content/early/2013/04/08/intqhc.mzt024.full. [Administered in the Netherlands, Taiwan, and United States, used Dutch and Chinese translations and English version.]

Wu Y, Fujita S, Seto K, Ito S, Matsumoto K, et al. The impact of nurse working hours on patient safety culture: a cross-national survey including Japan, the United States and Chinese Taiwan using the Hospital Survey on Patient Safety Culture. BMC Health Serv Res 2013;13:394-400. doi: 10.1186/1472-6963-13-394. [Administered in Japan, Taiwan, and United States, used Japanese and Taiwanese translations and English version.]

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 Medical Office Survey on Patient Safety Culture

Use of Medical Office Survey on Patient Safety Culture

Analyses Linking Relationships Among Survey Composites and Medical Office or Respondent Characteristics

Gorman PN, O'Malley JP, Fagnan LJ. The relationship of self-report of quality to practice size and health information technology. J Am Board Fam Med 2012;25:614-624. Available at: http://www.jabfm.org/content/25/5/614.full.

Hagopian B, Singer ME, Curry-Smith AC, et al. Better medical office safety culture is not associated with better scores on quality measures. J Patient Saf 2012;8(1):15-21.

Hickner J, Smith S, Yount N, et al. Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture. BMJ Qual Saf 2015 Oct 14;epub ahead of print.

Adaptation of Medical Office Survey on Patient Safety Culture in Nephrology Nurse Practice Settings

Cross-references to citation previously listed:

  •  Adaptation of Medical Office Survey on Patient Safety Culture in Nephrology Nurse Practice Settings:

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 Nursing Home Survey on Patient Safety Culture

 Use of Nursing Home Survey on Patient Safety Culture

Anderson T, Silveira C, Woodland R, et al. Promoting and regulating safe medication administration in nursing homes. J Nurs Reg 2011;2(1):53-58.

Castle NG, Wagner LM, Perera S, et al. Assessing resident safety culture in nursing homes: using the Nursing Home Survey on Resident Safety. J Patient Saf 2010;6(2):59-67.

Castle NG, Wagner LM, Sonon K, et al.  Measuring administrators' and direct care workers' perceptions of the safety culture in assisted living facilities. Jt Comm J Qual Patient Saf 2012; 38(8): 375-85.

Wagner LM, McDonald SM, Castle NG. Relationship between nursing home safety culture and Joint Commission accreditation. Jt Comm J Qual Patient Saf 2012;38(5):207-15.

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Psychometric Analyses—International

Zúñigaa F, Schwappachb D, De Geesta S,  Schwendimanna R.  Psychometric properties of the Swiss version of the nursing home survey on patient safety culture. Safety Science 2013; 55:88–118. [Administered in Switzerland, used German translation.]

International

Wagner LM, Capezuti E, Rice JC. Nurses' perceptions of safety culture in long-term care settings. J Nurs Scholarsh 2009; 41(2):184-92. [Administered in Canada, used English version]

Cross-reference to citation previously listed:

Adaptation of Hospital Survey on Patient Safety Culture for Nursing Homes

Bonner AF, Castle NG, Men A, et al. Certified nursing assistants' perceptions of nursing home patient safety culture: is there a relationship to clinical outcomes? J Am Med Dir Assoc 2009;10(1):11-20.

Bonner AF, Castle NG, Perera S, et al. Patient safety culture: a review of the nursing home literature and recommendations for practice. Ann Long-Term Care 2008;16(3):18-22.

Castle NG. Nurse aides' ratings of the resident safety culture in nursing homes. Int J Qual Health Care 2006;18(5):370-6. Available at: http://intqhc.oxfordjournals.org/content/18/5/370.long.

Castle NG, Sonon KE. A culture of patient safety in nursing homes. Qual Saf Health Care 2006;15(6):405-8. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2464891/.

Castle NG, Handler S, Engberg J, et al. Nursing home administrators' opinions of the resident safety culture in nursing homes. Health Care Manage Rev 2007;32(1):66-76.

Handler SM, Castle NG, Studenski SA, et al. Patient safety culture assessment in the nursing home. Qual Saf Health Care 2006;15(6):400-4.

Hughes CM, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care 2006;18(4):281-6. Available at: http://intqhc.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=16855298.

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Community Pharmacy Survey on Patient Safety Culture

Psychometric Analyses—International

Jia PL, Zhang LH, Zhang MM, et al. Safety culture in a pharmacy setting using a pharmacy survey on patient safety culture: a cross-sectional study in China. BMJ Open 2014;4:e004904 doi:10.1136/bmjopen-2014-004904. Available at: http://bmjopen.bmj.com/content/4/6/e004904.full . [Administered in China, used Chinese translation]

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 Reviews of Instruments (mention Surveys on Patient Safety Culture)

Clancy CM, Farquhar MB, Sharp BAC. Patient safety in nursing practice. J Nurs Care Qual 2005;20(3):193-7.

Clancy CM. What is your organization's patient safety culture? Patient Saf Qual Healthcare 2011 Mar/Apr. Available at www.psqh.com/marchapril-2011/796-arqh.html.

Clancy CM. Safety culture creates better care for patients. Navigating the Health Care System: advice columns from Dr. Carolyn Clancy. Rockville, MD: Agency for Healthcare Research and Quality, May 3, 2011. Available at: http://www.ahrq.gov/news/columns/navigating-the-health-care-system/050311.html

Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care 2005;14(5):364-6.

Etchegaray JM, Thomas EJ. Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. BMJ Qual Saf 2012 Jun;21(6):490-8.

Fleming M. Patient safety culture measurement and improvement: a "how to" guide. Healthc Q 2005;8 Spec No:14-9. Available at: http://www.longwoods.com/content/17656.

Flin R, Burns C, Mearns K, et al. Measuring safety climate in health care. Qual Saf Health Care 2006;15(2):109-15.

Mao X, Nie Y, Cui H, Jia P, Zhang M. Literature Review Regarding Patient Safety Culture. J Evid Based Med 2013; Volume 5, Issue 4.

Morell RT, Lowthian JA, Barker AL, McGinnes R, et al. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf 2012;0:1–8. doi:10.1136/bmjqs-2011-000582.

Palmieri PA, Peterson LT, Pesta BJ, et al. Safety culture as a contemporary healthcare construct: theoretical review, research assessment, and translation to human resource management. In: Savage GT, Khatri N, Fottler MD, eds. Advances in Health Care Management. Vol. 9.). Bingley, UK: Emerald Group Publishing; 2010. p. 97-133.

Reiman T, Pietikinen E, Oedewald P. Multilayered approach to patient safety culture. Qual Saf Health Care 2010;19(5):e20.

Singla AK, Kitch BT, Weissman JS. Assessing patient safety culture: a review and synthesis of the measurement tools. J Patient Saf 2006;2(3):105-15.

Valentine MA, Nembhard IM, Edmondson AC. Measuring teamwork in health care settings: a review of survey instruments. Med Care 2015;53(4):e16-e30.

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Page last reviewed December 2015
Internet Citation: Surveys on Patient Safety Culture Research Reference List. December 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/resources/index.html