Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Faculty of Medicine, Health, and Human Sciences, Macquarie University, Macquarie Park, NSW, Australia.
IIMPACT in Health, Allied Health and Human Performance, University of South Australia, Adelaide, SA, Australia.
Front Public Health. 2023 Jun 15;11:1217542. doi: 10.3389/fpubh.2023.1217542. eCollection 2023.
The concept of safety culture in healthcare-a culture that enables staff and patients to be free from harm-is characterized by complexity, multifacetedness, and indefinability. Over the years, disparate and unclear definitions have resulted in a proliferation of measurement tools, with lack of consensus on how safety culture can be best measured and improved. A growing challenge is also achieving sufficient response rates, due to "survey fatigue," with the need for survey optimisation never being more acute. In this paper, we discuss key challenges and complexities in safety culture assessment relating to definition, tools, dimensionality and response rates. The aim is to prompt critical reflection on these issues and point to possible solutions and areas for future research.
医疗保健中的安全文化概念——一种使员工和患者免受伤害的文化——的特点是复杂性、多面性和不可定义性。多年来，不同的和不明确的定义导致了大量的测量工具的出现，对于如何最好地衡量和改善安全文化，缺乏共识。由于“调查疲劳”，实现足够的回应率也是一个日益严峻的挑战，因此对调查进行优化的需求从未如此迫切。本文讨论了与定义、工具、维度和回应率有关的安全文化评估中的关键挑战和复杂性。目的是促使对这些问题进行批判性思考，并指出可能的解决方案和未来研究的领域。
