Differences in Safety Climate Between Hospital Personnel and Naval Aviators
Gaba , David M.
Singer, Sara J.
Sinaiko, Anna D.
Bowen, Jennie D.
Ciavarelli, Anthony P.
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We compared results of safety climate survey questions from healthcare respondents with those from a high reliability organization, naval aviation. Separate surveys containing a subset of 23 similar questions were conducted among employees from 15 hospitals and from naval aviators from 226 squadrons. For each question a "problematic response" was defined that suggested an absence of a safety climate. Overall the problematic response rate was 5.6% for naval aviators, versus 17.5% for hospital personnel (p<0.0001). The problematic response was 20.9% in high-hazard domains such as emergency department or operating room. Problematic response among hospital workers was up to 12 times greater than among aviators on certain questions. While further research on safety climate in health care is warranted, hospitals may need to make substantial changes to achieve a safety climate consistent with the status of high reliability organizations.
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