Evidence scan

Does improving safety culture affect patient outcomes?

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Published: November 2011

Safety culture refers to the way patient safety is thought about, structured and implemented in
an organisation. Safety climate is a subset of this, focused on staff attitudes about patient safety.

In recent years a great deal of research has explored ways to measure safety culture and safety climate in healthcare. There is a growing emphasis on interventions to improve organisational safety culture and staff attitudes towards safety. It is assumed that improving safety culture will directly or indirectly affect patient outcomes. This evidence scan examines whether there is any empirical evidence to support this assumption.

Comments
Whether there is a direct link or not is interesting but actually quite irrelevant. Safety must be in the DNA of the trust and everyone on the exec board of that trust. If research shows that careful drivers do not have fewer major accidents, would one advocate careless driving? I suspect anyway that the reason for those studies showing no link are invisible intervening confounding factors.
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