title: Patient safety climate and worker safety behaviours in acute hospitals in Scotland.
abstract: OBJECTIVE
  To obtain a measure of hospital safety climate from a sample of National Health Service (NHS) acute hospitals in Scotland and to test whether these scores were associated with worker safety behaviors, and patient and worker injuries.
  
  
  METHODS
  Data were from 1,866 NHS clinical staff in six Scottish acute hospitals. A Scottish Hospital Safety Questionnaire measured hospital safety climate (Hospital Survey on Patient Safety Culture), worker safety behaviors, and worker and patient injuries. The associations between the hospital safety climate scores and the outcome measures (safety behaviors, worker and patient injury rates) were examined.
  
  
  RESULTS
  Hospital safety climate scores were significantly correlated with clinical workers' safety behavior and patient and worker injury measures, although the effect sizes were smaller for the latter. Regression analyses revealed that perceptions of staffing levels and managerial commitment were significant predictors for all the safety outcome measures. Both patient-specific and more generic safety climate items were found to have significant impacts on safety outcome measures.
  
  
  CONCLUSIONS
  This study demonstrated the influences of different aspects of hospital safety climate on both patient and worker safety outcomes. Moreover, it has been shown that in a hospital setting, a safety climate supporting safer patient care would also help to ensure worker safety.
  
  
  CONCLUSIONS
  The Scottish Hospital Safety Questionnaire has proved to be a usable method of measuring both hospital safety climate as well as patient and worker safety outcomes.
authors.affiliation: Industrial Psychology Research Centre, School of Psychology, University of Aberdeen, Aberdeen AB24 3UB, Scotland, UK.
authors.forename: Cakil
authors.initials: C
authors.lastname: Agnew
authors.forename: Rhona
authors.initials: R
authors.lastname: Flin
authors.forename: Kathryn
authors.initials: K
authors.lastname: Mearns
mesh_terms: D003625:Data Collection; D006761:Hospitals / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D007049:Iatrogenic Disease / Q000517:prevention & control; D060051:Occupational Injuries / Q000517:prevention & control*; D015279:Organizational Culture; D017063:Outcome Assessment, Health Care / Q000379:methods; D061214:Patient Safety / Q000592:standards*; D010361:Patients; D010564:Personnel, Hospital; D017751:Safety Management / Q000379:methods*; D012606:Scotland; D011795:Surveys and Questionnaires