title: Patient Safety Culture: A Review of the Nursing Home Literature and Recommendations for Practice.
abstract: Patient safety culture (PSC) is a critical factor in creating high-reliability health-care organizations. Most PSC research studies to date have been conducted in acute care settings; however, nursing home studies have recently begun to appear in the literature. Nursing homes differ from hospitals in a number of ways, including the population they serve, the medical model of care, and having the vast majority of direct care provided by non-licensed certified nursing assistants. Research has shown that nursing home PSC differs in important ways from PSC in acute care institutions. Recent PSC studies conducted in nursing homes and related quality and safety research can guide recommendations for nursing homes wishing to evaluate their own PSC. Relationships between PSC measurement, quality improvement, and workforce issues are potentially important and may influence clinical outcomes.
authors.affiliation: Dr. Bonner is at the University of Massachusetts Graduate School of Nursing, Worcester; Dr. Castle is at the Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh; Dr. Perera is in the Division of Geriatric Medicine, Department of Medicine, and at the Department of Biostatistics, School of Medicine, University of Pittsburgh; and Dr. Handler is in the Division of Geriatric Medicine, Department of Medicine, and at the Department of Biomedical Informatics, School of Medicine, University of Pittsburgh.
authors.forename: Alice F
authors.initials: AF
authors.lastname: Bonner
authors.forename: Nicholas G
authors.initials: NG
authors.lastname: Castle
authors.forename: Subashan
authors.initials: S
authors.lastname: Perera
authors.forename: Steven M
authors.initials: SM
authors.lastname: Handler