Analysis of the convergence of the Safety Attitudes Questionnaire and the Hospital Survey on Patient Safety Culture.
Ana Laura Olsefer Rotta, Lucas Paulo de Souza, Manuella Dos Santos Garcia Vanti Carvalho and 3 others
PMID 36542049WHAT IT FOUND
Two safety culture surveys agreed on the same result: staff feared punishment for errors more than any other issue, and almost half had not reported a single incident in the past year.
Key findings
01The two instruments gave convergent ratings of safety culture, correlating at a high magnitude overall.
02Nonpunitive response to error was the most fragile area, with 96.6% of staff scoring in the fragile range.
03Almost half of participants reported no safety incidents in the previous 12 months.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was conducted in a single university hospital, so the results may not apply to smaller hospitals or different healthcare systems. Only nursing professionals were surveyed, excluding doctors and other staff. The sample was recruited through non-probabilistic sampling, which may introduce bias. The study measured perceptions, not actual patient safety outcomes or error rates.
Declared interests
No conflicts of interest or funding sources are reported in the provided text.
The easy way to misread this
Do not read the high correlation between the two instruments as evidence that safety culture is good. The instruments agreed, but they agreed that culture is poor: most staff feared punishment for errors and nearly half reported no incidents in the last year.