VA Boston Healthcare System, MA, Boston University School of Public Health, MA, USA.
Med Care Res Rev. 2010 Oct;67(5):590-608. doi: 10.1177/1077558709356703. Epub 2010 Feb 5.
Strengthening safety climate is recognized as a necessary strategy for improving patient safety. Yet there is little empirical evidence linking hospitals' safety climate with safety outcomes.The authors explored the potential relationship between safety climate and Veterans Health Administration hospital safety performance using the Patient Safety Indicator (PSI) rates. Safety climate survey data were merged with hospital discharge data to calculate PSIs. Linear regressions examined the relationship between hospitals' safety climate and dimensions of safety climate with individual PSIs and a PSI composite measure, controlling for organizational-level variables. Safety climate overall was not related to the PSIs or to the PSI composite, although a few individual dimensions of safety climate were associated with specific PSIs. Perceptions of frontline staff were more closely aligned with PSIs than those of senior managers.
加强安全氛围被认为是提高患者安全的必要策略。然而，几乎没有经验证据将医院的安全氛围与安全结果联系起来。作者使用患者安全指标（PSI）率探索了安全氛围与退伍军人健康管理局医院安全绩效之间的潜在关系。安全氛围调查数据与医院出院数据合并，以计算 PSI。线性回归检验了医院安全氛围与安全氛围维度与个体 PSI 和 PSI 综合衡量指标之间的关系，同时控制了组织层面的变量。安全氛围总体上与 PSI 或 PSI 综合指标无关，尽管安全氛围的几个个别维度与特定 PSI 相关。一线工作人员的看法与 PSI 更为一致，而不是与高级管理人员的看法一致。
