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

Publication ,  Journal Article
Profit, J; Etchegaray, J; Petersen, LA; Sexton, JB; Hysong, SJ; Mei, M; Thomas, EJ
Published in: Archives of disease in childhood. Fetal and neonatal edition
March 2012

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.To determine whether the dimensions of safety culture measured by the SAQ give consistent results when used as a NICU performance measure.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.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.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.

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Published In

Archives of disease in childhood. Fetal and neonatal edition

DOI

EISSN

1468-2052

ISSN

1359-2998

Publication Date

March 2012

Volume

97

Issue

2

Start / End Page

F127 / F132

Related Subject Headings

  • United States
  • Surveys and Questionnaires
  • Safety Management
  • Psychometrics
  • Personnel, Hospital
  • Pediatrics
  • Organizational Culture
  • Occupational Health
  • Male
  • Intensive Care Units, Neonatal
 

Citation

APA
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ICMJE
MLA
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Profit, J., Etchegaray, J., Petersen, L. A., Sexton, J. B., Hysong, S. J., Mei, M., & Thomas, E. J. (2012). The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU. Archives of Disease in Childhood. Fetal and Neonatal Edition, 97(2), F127–F132. https://doi.org/10.1136/archdischild-2011-300612
Profit, Jochen, Jason Etchegaray, Laura A. Petersen, J Bryan Sexton, Sylvia J. Hysong, Minghua Mei, and Eric J. Thomas. “The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU.Archives of Disease in Childhood. Fetal and Neonatal Edition 97, no. 2 (March 2012): F127–32. https://doi.org/10.1136/archdischild-2011-300612.
Profit J, Etchegaray J, Petersen LA, Sexton JB, Hysong SJ, Mei M, et al. The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU. Archives of disease in childhood Fetal and neonatal edition. 2012 Mar;97(2):F127–32.
Profit, Jochen, et al. “The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU.Archives of Disease in Childhood. Fetal and Neonatal Edition, vol. 97, no. 2, Mar. 2012, pp. F127–32. Epmc, doi:10.1136/archdischild-2011-300612.
Profit J, Etchegaray J, Petersen LA, Sexton JB, Hysong SJ, Mei M, Thomas EJ. The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU. Archives of disease in childhood Fetal and neonatal edition. 2012 Mar;97(2):F127–F132.

Published In

Archives of disease in childhood. Fetal and neonatal edition

DOI

EISSN

1468-2052

ISSN

1359-2998

Publication Date

March 2012

Volume

97

Issue

2

Start / End Page

F127 / F132

Related Subject Headings

  • United States
  • Surveys and Questionnaires
  • Safety Management
  • Psychometrics
  • Personnel, Hospital
  • Pediatrics
  • Organizational Culture
  • Occupational Health
  • Male
  • Intensive Care Units, Neonatal