The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU.

Journal Article (Journal Article;Multicenter Study)

BACKGROUND: Neonatal intensive care unit (NICU) safety culture, as measured by the Safety Attitudes Questionnaire (SAQ), varies widely. Associations with clinical outcomes in the adult intensive care unit setting make the SAQ an attractive tool for comparing clinical performance between hospitals. Little information is available on the use of the SAQ for this purpose in the NICU setting. OBJECTIVES: To determine whether the dimensions of safety culture measured by the SAQ give consistent results when used as a NICU performance measure. METHODS: Cross-sectional survey of caregivers in 12 NICUs, using the six scales of the SAQ: teamwork climate, safety climate, job satisfaction, stress recognition, perceptions of management and working conditions. NICUs were ranked by quantifying their contribution to overall risk-adjusted variation across the scales. Spearman rank correlation coefficients were used to test for consistency in scale performance. The authors then examined whether performance in the top four NICUs in one scale predicted top four performance in others. RESULTS: There were 547 respondents in 12 NICUs. Of 15 NICU-level correlations in performance ranking, two were >0.7, seven were between 0.4 and 0.69, and the six remaining were <0.4. The authors found a trend towards significance in comparing the distribution of performance in the top four NICUs across domains with a binomial distribution p=0.051, indicating generally consistent performance across dimensions of safety culture. CONCLUSION: A culture of safety permeates many aspects of patient care and organisational functioning. The SAQ may be a useful tool for comparative performance assessments among NICUs.

Full Text

Duke Authors

Cited Authors

  • Profit, J; Etchegaray, J; Petersen, LA; Sexton, JB; Hysong, SJ; Mei, M; Thomas, EJ

Published Date

  • March 2012

Published In

Volume / Issue

  • 97 / 2

Start / End Page

  • F127 - F132

PubMed ID

  • 22337935

Pubmed Central ID

  • PMC4030665

Electronic International Standard Serial Number (EISSN)

  • 1468-2052

Digital Object Identifier (DOI)

  • 10.1136/archdischild-2011-300612


  • eng

Conference Location

  • England