Measuring safety culture in healthcare: A case for accurate diagnosis

Rhona Flin

Research output: Contribution to journalArticlepeer-review

219 Citations (Scopus)


Recent concern regarding the safety of patients in Western healthcare systems has resulted in the adoption of safety management techniques used in high-risk industries. One such method is the use of safety climate questionnaries to survey workforce perceptions and attitudes towards both worker and patient safety in healthcare organizations. Many of the earliest healthcare safety climate measures did not appear to meet accepted psychometric standards. The theoretical foundation of the relationship between perceptions of safety climate and workers' behaviour is not well specified in this literature and a model derived from industry research is proposed. (c) 2007 Elsevier Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)653-667
Number of pages15
JournalSafety Science
Issue number6
Early online date1 Jun 2007
Publication statusPublished - Jul 2007


  • safety climate
  • patient safety
  • worker safety
  • adverse effects
  • organizational culture
  • hospitalized-patients
  • climate
  • management
  • employee
  • leadership
  • attitudes
  • model


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