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. 2006 Apr;15(2):109-15.
doi: 10.1136/qshc.2005.014761.

Measuring safety climate in health care

R Flin  1 , C Burns, K Mearns, S Yule, E M Robertson
Affiliations

Measuring safety climate in health care

R Flin et al. Qual Saf Health Care. 2006 Apr.

Abstract

Aim: To review quantitative studies of safety climate in health care to examine the psychometric properties of the questionnaires designed to measure this construct.

Method: A systematic literature review was undertaken to study sample and questionnaire design characteristics (source, no of items, scale type), construct validity (content validity, factor structure and internal reliability, concurrent validity), within group agreement, and level of analysis.

Results: Twelve studies were examined. There was a lack of explicit theoretical underpinning for most questionnaires and some instruments did not report standard psychometric criteria. Where this information was available, several questionnaires appeared to have limitations.

Conclusions: More consideration should be given to psychometric factors in the design of healthcare safety climate instruments, especially as these are beginning to be used in large scale surveys across healthcare organisations.

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References

    1. Department of Health An organisation with a memory. Report of an expert group on learning from adverse events in the NHS chaired by the Chief Medical Officer. London: HMSO, 2000
    1. Institute of Medicine To err is human: building a safer health system. Washington, DC: National Academy Press, 1999
    1. Health and Safety Executive (HSE) Reducing error and influencing behaviour. 2nd ed. Suffolk: HSE Books, 1999
    1. International Atomic Energy Agency Safety culture. International Safety Advisory Group, Safety Series 75‐INSAG‐4. Vienna: International Atomic Energy Agency, 1991
    1. Ashkanasy N, Broadfoot L, Falkus S. Questionnaire measures of organizational culture. In: Ashkanasy N, Wilderom C, Peterson M, eds. Handbook of organizational culture and climate. Thousand Oaks, CA: Sage, 2000

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