The Safer Culture Framework: An Application to Healthcare Based on a Multi-Industry Review of Safety Culture Literature

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dc.citation.firstpage207
dc.citation.issueNumber1
dc.citation.journalTitleHuman Factors: The Journal of the Human Factors and Ergonomics Society
dc.citation.lastpage227
dc.citation.volumeNumber64
dc.contributor.authorKilcullen, Molly P.
dc.contributor.authorBisbey, Tiffany M.
dc.contributor.authorOttosen, Madelene J.
dc.contributor.authorTsao, Kuojen
dc.contributor.authorSalas, Eduardo
dc.contributor.authorThomas, Eric J.
dc.date.accessioned2022-04-21T13:58:14Z
dc.date.available2022-04-21T13:58:14Z
dc.date.issued2022
dc.description.abstractBackground: Errors and preventable harm to patients remain regrettably common and expensive in healthcare. Improvement requires transforming the culture of the healthcare industry to put a greater emphasis on safety. Safety culture involves holding collective attitudes, values, and behaviors that prioritize safety. The Safer Culture framework, previously established through a narrative review of literature in multiple industries, provides a consensus on what impacts safety culture, how it manifests in behavior, and how it influences safety-related outcomes. Methods: Through a theoretical review, we validate, refine, and provide nuance to this framework for the development of safety culture in healthcare contexts. To accomplish this, we conceptually map existing dimensions pulled through the literature onto our Safer Culture framework. Results: A total of 360 articles were reviewed. We present specific elements for each dimension in our framework and apply the dimension to healthcare contexts. Conclusion: We provide an evidence-based and comprehensive framework that can be used by patient safety leaders and researchers to guide the evaluation of safety culture and develop interventions to foster patient safety culture and improve patient safety outcomes.
dc.identifier.citationKilcullen, Molly P., Bisbey, Tiffany M., Ottosen, Madelene J., et al.. "The Safer Culture Framework: An Application to Healthcare Based on a Multi-Industry Review of Safety Culture Literature." <i>Human Factors: The Journal of the Human Factors and Ergonomics Society,</i> 64, no. 1 (2022) Sage: 207-227. https://doi.org/10.1177/00187208211060891.
dc.identifier.doihttps://doi.org/10.1177/00187208211060891
dc.identifier.urihttps://hdl.handle.net/1911/112114
dc.language.isoeng
dc.publisherSage
dc.subject.keywordpatient safety
dc.subject.keywordsafety culture and behavior change
dc.subject.keywordgroup processes
dc.subject.keywordcommunication and teamwork in healthcare
dc.subject.keywordaffective factors
dc.titleThe Safer Culture Framework: An Application to Healthcare Based on a Multi-Industry Review of Safety Culture Literature
dc.typeJournal article
dc.type.dcmiText
dc.type.publicationpublisher version
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