HASTA GÜVENLİĞİ KÜLTÜRÜNÜN DEĞERLENDİRİLMESİNDE GÜVENLİK TUTUMLARI ANKETİ: BİBLİYOMETRİK BİR ANALİZ

Yıl 2021, Cilt: 24 Sayı: 4, 829 - 866, 27.12.2021

Sıdıka Kaya

Öz

Bu çalışmanın amacı, hasta güvenliği kültürünü ölçmede en sık kullanılan araçlardan biri olan Güvenlik Tutumları Anketinin (Safety Attitudes Questionnaire: SAQ) kullanıldığı yayınların bibliyometrik göstergeler açısından incelenmesidir. Bu amaçla, öncelikle hasta güvenliği ve hasta güvenliği kültürü kavramı açıklanmıştır. Daha sonra hasta güvenliği kültürü ile hasta sonuçları ve güvenlik performansı arasındaki ilişkiler irdelenmiştir. Ardından hasta güvenliği kültürünün nasıl ölçülebileceği ve Güvenlik Tutumları Anketi üzerinde durulmuştur. Bu anketin kullanıldığı yayınların bibliyometrik analizini yapmak için veriler Web of Science veri tabanından alınmıştır. Doküman türü olarak sadece makaleler, yayın tarihi olarak 01.01.1945-23.04.2021 seçilmiştir. Verilerin analizinde, metin madenciliği işlevleri ve gelişmiş görselleştirme seçenekleri nedeniyle VOSviewer programı (versiyon 1.6.16) kullanılmış ve bibliyometrik ağlar bu program aracılığıyla görselleştirilmiştir. Elde edilen 236 makalenin bibliyometrik analizi sonucunda; SAQ kullanan yayınlarda artış olduğu, en çok atıf yapılan makalenin “The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research” olduğu, en üretken yazarın J.B. Sexton, en çok makale yayınlayan derginin “BMC Health Services Research” ve en üretken ülkenin Amerika Birleşik Devletleri olduğu tespit edilmiştir. Makalelerin başlığında ve özetinde en fazla kullanılan terimler; güvenlik, hız, ekip çalışması, müdahale, versiyon, araç ve korelasyondur. Terim haritası beş küme (güvenlik, ekip çalışması, müdahale ve sonuç; ölçüm aracı ve ölçüm sonuçları; kesitsel çalışma; organizasyon ve strateji; yoğun bakım üniteleri) göstermiştir. SAQ kullanan çalışmalarda son yıllarda ortaya çıkan güncel temalar ise; duygusal tükenme, tükenmişlik ve hastane yönetimidir. SAQ kullanan makaleleri makroskopik ve yapılandırılmış bir bakış açısıyla değerlendiren ve literatürdeki mevcut araştırma eğilimlerini ortaya koyan bu çalışma, Güvenlik Tutumları Anketini kullanarak araştırma yapmayı planlayanlara yol gösterebilir.

Anahtar Kelimeler

Hasta güvenliği, Hasta güvenliği kültürü, Bibliyometrik analiz, Güvenlik Tutumları Anketi, Hasta sonuçları

THE SAFETY ATTITUDES QUESTIONNAIRE IN ASSESSING PATIENT SAFETY CULTURE: A BIBLIOMETRIC ANALYSIS

Öz

The aim of this study is to analyze the publications using the Safety Attitudes Questionnaire (SAQ), which is one of the most frequently used tools to measure patient safety culture, in terms of bibliometric indicators. For this purpose, the concept of patient safety and patient safety culture were explained first. Then, the relationships between patient safety culture, patient outcomes and safety performance were examined. After then, how the patient safety culture can be measured and the Safety Attitudes Questionnaire were elaborated. Data were extracted from the Web of Science database to perform bibliometric analysis of the publications in which the SAQ was used. Only articles were selected as the document type. The publication date was chosen as 01.01.1945-23.04.2021. VOSviewer program (version 1.6.16) was used due to its text mining functions and advanced visualization options, and bibliometric networks were visualized through this program. As a result of the bibliometric analysis of the 236 articles obtained, it was found that; there is an increase in publications using the SAQ, the most cited article is “The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research”, the most productive author is J.B. Sexton, the journal that published the most articles is “BMC Health Services Research” and the most productive country is the United States of America. The most frequently used terms in the title and abstract of the articles are; safety, rate, teamwork, intervention, version, tool and correlation. The terms map has showed five clusters (safety, teamwork, intervention and outcome; measurement tool and measurement results; cross-sectional study; organization and strategy; intensive care units). Current themes that have emerged in recent years in studies using SAQ are; emotional exhaustion, burnout and hospital management. This study, which evaluates articles using the SAQ from a macroscopic and structured perspective and reveals current research trends in the literature, may guide those who plan to conduct research using the Safety Attitudes Questionnaire.

Anahtar Kelimeler

patient safety, patient safety culture, bibliometric analysis, safety attitudes questionnaire, patient outcomes

Kaynakça

• Abdullah, K.H., & Aziz, F.S.A. (2020). Publication Trends of Safety Knowledge Research: A Bibliometric Review. International Journal of Innovation, Creativity and Change, 14(4), 927-945.
• Abdullah, K.H., Hashim, M.N., & Aziz, F.S.A. (2020). A 39 Years (1980-2019) Bibliometric Analysis of Safety Leadership Research. TEST Engineering and Management, 83, 4526-4542.
• Ali, H., Ibrahem, S.Z., Al Mudaf, B., Al Fadalah, T., Jamal, D., & El-Jardali, F. (2018). Baseline assessment of patient safety culture in public hospitals in Kuwait. BMC Health Services Research, 18 (1), 158.
• Alshyyab, M.A., FitzGerald, G., Dingle, K., Ting, J., Bowman, P., Kinnear, F.B., & Borkoles, E. (2019). Developing a conceptual framework for patient safety culture in emergency department: A review of the literature. The International Journal of Health Planning and Management, 34(1), 42-55.
• Alswat, K., Abdalla, R.A.M, Titi, M.A., Bakash, M., Mehmood, F., Zubairi, B., Jamal, D., & El-Jardali, F. (2017). Improving patient safety culture in Saudi Arabia (2012-2015): trending, improvement and benchmarking. BMC Health Services Research, 17(1): 516.
• Alzahrani, N., Jones, R., & Abdel-Latif, M. E. (2018). Attitudes of doctors and nurses toward patient safety within emergency departments of two Saudi Arabian hospitals. BMC health services research, 18(1), 736.
• Ammouri, A.A., Tailakh, A.K., Muliira, J.K., Geethakrishnan, R., & Al Kindi, S.N. (2015). Patient safety culture among nurses. International Nursing Review, 62(1), 102-110.
• Andel, C., Davidow, S. L., Hollander, M., & Moreno, D. A. (2012). The economics of health care quality and medical errors. Journal of Health Care Finance, 39(1), 39–50.
• Artsın, M. (2020). Bir metin madenciliği uygulaması: VOSviewer. Eskişehir Teknik Üniversitesi Bilim Ve Teknoloji Dergisi B- Teorik Bilimler, 8(2), 344-354.
• Babic, B., Volpe, A.A., Merola, S., Mauer, E., Cozacov, Y., Ko, C.Y., Michelassi, F., & Saldinger, P. (2018). Sustained culture and surgical outcome improvement. American Journal of Surgery, 216(5), 841-845.
• Bahar, S., & Önler, E. (2020). Turkish surgical nurses' attitudes related to patient safety: A questionnaire study. Nigerian journal of clinical practice, 23(4), 470–475.
• Bamel, U. K., Pandey, R., & Gupta, A. (2020). Safety climate: Systematic literature network analysis of 38 years (1980-2018) of research. Accident; analysis and prevention, 135, 105387.
• Barsbay, S., Parıltı, N., & Çakmak Barsbay, M. (2018). Healthcare Professionals’ Attitudes Regarding Patient Safety in Clinics. Journal of Current Researches on Health Sector, 8(2), 67-78.
• Baskıcı, Ç. (2020). Bibliyometrik Çalışmalarda Ağ Analizinin Kullanımı: Uluslararası İşletmecilik Alanında Uygulama Örneği. Ç. Baskıcı, Y. Ercil, S. Atan (Ed.), Ağ Analizi: Teori ve Uygulamalar içinde (ss. 169-193). Seçkin Yayıncılık.
• Baykal, Ü., Şahin, N.H., & Altuntaş, S. (2010). Hasta Güvenliği Tutum Ölçeği’nin Türkçe’ye Uyarlanması. Hemşirelikte Eğitim ve Araştırma Dergisi, 7(1): 39-45.
• Berry, J.C., Davis, J.T., Bartman, T., Hafer, C.C., Lieb, L.M., Khan, N., & Brilli, R.J. (2020). Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. Journal of Patient Safety, 16(2), 130-136.
• Birkmeyer, N.J.O., Finks, J.F., Greenberg, C.K., McVeigh, A., English, W.J., Carlin, A., Hawasli, A., Share, D., & Birkmeyer, J.D. (2013). Safety culture and complications after bariatric surgery. Annals of Surgery, 257(2), 260-5.
• Blegen M.A., Pepper, G.A., & Rosse, J. (2005). Safety Climate on Hospital Units: A New Measure. In Kerm Henriksen, James B Battles, Eric S Marks, David I Lewin (Eds.), Advances in Patient Safety: From Research to Implementation (Volume 4: Programs, Tools, and Products), pp. 429-443). Rockville (MD): Agency for Healthcare Research and Quality (US).; 2005 Feb. Available online at http://www. ahrq.gov/downloads/pub/advances/vol4/blegen.pdf
• Botwinick, L., Bisognano, M., & Haraden, C. (2006). Leadership Guide to Patient Safety. Institute for Healthcare Improvement Innovation Series white paper. Cambridge, Massachusetts (Available on www.IHI.org)
• Brasaite, I., Kaunonen, M., Martinkenas, A., & Suominen, T. (2016). Health care professionals' attitudes regarding patient safety: cross-sectional survey. BMC research notes, 9, 177.
• Bulajic, M., Plavec, D., & Lazibat, T. (2020). Effects of hospital consolidation in Croatia assessed by safety attitudes questionnaire 2006 short form. Ekonomski Pregled, 71(1), 55-66.
• Buljac-Samardzic, M., van Wijngaarden, J. D., & Dekker-van Doorn, C. M. (2016). Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands. BMJ quality & safety, 25(6), 424–431.
• Burlison, J.D., Quillivan, R.R., Kath, L.M., Zhou, Y., Courtney, S.C., Cheng, C., & Hoffman, J.M. (2020). A Multilevel Analysis of U.S. Hospital Patient Safety Culture Relationships with Perceptions of Voluntary Event Reporting. Journal of Patient Safety, 16(3), 187-193.
• Chaboyer, W., Chamberlain, D., Hewson-Conroy, K., Grealy, B., Elderkin, T., Brittin, M., McCutcheon, C., Longbottom, P., & Thalib, L. (2013). CNE article: safety culture in Australian intensive care units: establishing a baseline for quality improvement. American Journal of Critical Care, 22(2), 93–102.
• Chakravarty, A., Sahu, A., Biswas, M., Chatterjee, K., & Rath, S. (2015). A study of assessment of patient safety climate in tertiary care hospitals. Medical Journal, Armed Forces India, 71(2), 152–157.
• Cheng, H., Yang, H., Ding, Y., & Wang, B. (2020). Nurses' mental health and patient safety: An extension of the Job Demands-Resources model. Journal of Nursing Management, 28(3), 653–663.
• Clarivate (2021). Web of Science Core Collection: Introduction. https://clarivate.libguides.com/woscc (accessed 17 April 2021).
• Clay-Williams, R., Taylor, N., Ting, H.P., Arnolda, G., Winata, T., & Braithwaite, J. (2020). Do quality management systems influence clinical safety culture and leadership? A study in 32 Australian hospitals. International Journal for Quality in Health Care, 32(1), 60-66.
• Cui, Y., Xi, X., Zhang, J., Feng, J., Deng, X., Li, A., & Zhou, J. (2017). The safety attitudes questionnaire in Chinese: psychometric properties and benchmarking data of the safety culture in Beijing hospitals. BMC Health Services Research, 17(1), 590.
• Cobo, M.J., Lo´pez-Herrera, A.G., Herrera-Viedma, E., & Herrera, F. (2011). Science mapping software tools: Review, analysis, and cooperative study among tools. Journal of the American Society for Information Science and Technology, 62(7), 1382–1402.
• Cobo, M.J., López-Herrera, A.G., Herrera-Viedma, E., & Herrera, F. (2012). SciMAT: A new science mapping analysis software tool. Journal of the American Society for Information Science and Technology, 63(8), 1609-1630.
• Colla, J. B., Bracken, A. C., Kinney, L. M., & Weeks, W. B. (2005). Measuring patient safety climate: a review of surveys. Quality & safety in health care, 14(5), 364–366.
• Cooper, J. B., Gaba, D. M., Liang, B., Woods, D., & Blum, L. N. (2000). The National Patient Safety Foundation agenda for research and development in patient safety. Medscape general medicine, 2(3), E38.
• Deilkås, E. T., & Hofoss, D. (2008). Psychometric properties of the Norwegian version of the Safety Attitudes Questionnaire (SAQ), Generic version (Short Form 2006). BMC Health Services Research, 8, 191.
• Demirkasımoğlu, E., Mutlu, N.M., & Kaya, S. (2008). Patient safety culture in the operating room. In 2nd International Patient Safety Congress Abstract Book (p.200). Antalya, Turkey.
• DiCuccio, M.H. (2015). The Relationship Between Patient Safety Culture and Patient Outcomes: A Systematic Review. Journal of Patient Safety, 11(3), 135-42.
• Dos Santos Alves, D. F., da Silva, D., & de Brito Guirardello, E. (2017). Nursing practice environment, job outcomes and safety climate: a structural equation modelling analysis. Journal of Nursing Management, 25(1), 46–55.
• El-Jardali, F., Dimassi, H., Jamal, D., Jaafar, M., & Hemadeh, N. (2011). Predictors and outcomes of patient safety culture in hospitals. BMC Health Services Research, 11, 45.
• Elsous, A., Akbari Sari, A., Rashidian, A., Aljeesh, Y., Radwan, M., & AbuZaydeh, H. (2016). A cross-sectional study to assess the patient safety culture in the Palestinian hospitals: a baseline assessment for quality improvement. JRSM open, 7(12).
• Etchegaray, J., & Thomas, E. (2014). Safety Attitudes Questionnaire: Recent Findings and Future Areas of Research. In Patrick Waterson (Ed.), Patient safety culture: theory, methods and application (pp. 15-41). Ashgate Publishing Limited.
• EUNetPaS (2010). Patient Safety Culture Instruments used in Member States. https://www.seguridaddelpaciente.es/resources/documentos/2016/eunetpas/WP1-CATALOGUE%20Use%20of%20%20PSCI%20in%20MS%20-%20March%202010.pdf (accessed 05 March 2021).
• Feng, X., Bobay, K., & Weiss, M. (2008). Patient safety culture in nursing: a dimensional concept analysis. Journal of Advanced Nursing, 63(3), 310-319.
• Flin, R., Mearns, K., O'Connor, P., & Bryden, R. (2000). Measuring safety climate: identifying the common features. Safety Science, 34, 177-192.
• Gabrani, A., Hoxha, A., Simaku, A., & Gabrani, J. C. (2015). Application of the Safety Attitudes Questionnaire (SAQ) in Albanian hospitals: a cross-sectional study. BMJ open, 5(4), e006528.
• Gambashidze, N., Hammer, A., Ernstmann, N., & Manser, T. (2020). Psychometric properties of the Georgian version of the Safety Attitudes Questionnaire: a cross-sectional study. BMJ open, 10(2), e034863.
• Glänzel, W. (2003). Bibliometrics as a research field. A course on theory and application of bibliometric indicators. (Course Handouts). http://nsdl.niscair.res.in/jspui/bitstream/123456789/968/1/Bib_Module_KUL.pdf (accessed 18 April 2021).
• Göras, C., Wallentin, F. Y., Nilsson, U., & Ehrenberg, A. (2013). Swedish translation and psychometric testing of the safety attitudes questionnaire (operating room version). BMC Health Services Research, 13, 104.
• Guldenmund, F. (2014). Organisational safety culture principles. In Patrick Waterson (Ed.), Patient safety culture: theory, methods and application (pp. 15-41). Ashgate Publishing Limited.
• Haerkens, M.H., van Leeuwen, W., Sexton, J.B., Pickkers. P., & van der Hoeven, J.G. (2016). Validation of the Dutch language version of the Safety Attitudes Questionnaire (SAQ-NL). BMC Health Services Research, 16, 385.
• Haller, G., Garnerin, P., Morales, M. A., Pfister, R., Berner, M., Irion, O., Clergue, F., & Kern, C. (2008). Effect of crew resource management training in a multidisciplinary obstetrical setting. International Journal for Quality in Health Care, 20(4), 254–263.
• Halligan, M., & Zecevic, A. (2011). Safety culture in healthcare: a review of concepts, dimensions, measures and progress. BMJ quality & safety, 20(4), 338-43.
• Hammer, A., & Manser, T. (2014). The use of the hospital survey on patient safety culture in Europe. In Patrick Waterson (Ed.), Patient Safety Culture: Theory, Methods and Application (pp. 229-261). Ashgate Publishing Limited.
• Hansen, L.O., Williams, M.V., & Singer, S.J. (2011). Perceptions of hospital safety climate and incidence of readmission. Health Services Research, 46(2), 596-616.
• Haynes, A. B., Weiser, T. G., Berry, W. R., Lipsitz, S. R., Breizat, A. H., Dellinger, E. P., Dziekan, G., Herbosa, T., Kibatala, P. L., Lapitan, M. C., Merry, A. F., Reznick, R. K., Taylor, B., Vats, A., Gawande, A. A., & Safe Surgery Saves Lives Study Group (2011). Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. BMJ quality & safety, 20(1), 102–107.
• Hofmann, D.A., & Mark, B. (2006). An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. Personnel Psychology, 59, 847-869.
• Hofstede, G. (2001). Culture's consequences: comparing values, behaviors, institutions, and organizations across nations. Second edition. Sage publications.
• Hofstede, G., & Hofstede, G.J. (2005). Cultures and organizations software of the mind. Revised and expanded 2nd edition. McGrawHill.
• Huang, D. T., Clermont, G., Sexton, J. B., Karlo, C. A., Miller, R. G., Weissfeld, L. A., Rowan, K. M., & Angus, D. C. (2007). Perceptions of safety culture vary across the intensive care units of a single institution. Critical care medicine, 35(1), 165–176.
• Huang, D.T., Clermont, G., Kong, L., Weissfeld, L.A., Sexton, J.B., Rowan, K.M., & Angus, D.C. (2010). Intensive care unit safety culture and outcomes: a US multicenter study. International Journal for Quality in Health Care, 22(3), 151-61.
• Hwang, J.I., & Hwang, E.J. (2011). Individual and work environment characteristics associated with error occurrences in Korean public hospitals. Journal of Clinical Nursing, 20, 3256–3266.
• Institute of Medicine (2000). To Err is Human: Building a safer health system. Washington, D.C., National Academy Press. Institute of Medicine (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, D.C., National Academy Press.
• Işık, O., Kaya, S., & Akturan, S. (2008). Teamwork Climate: Results of a Survey in a Nonteaching Hospital in Turkey. In 2nd International Patient Safety Congress Abstract Book (p.199). Antalya, Turkey.
• Itoh, K., Andersen, H.B., & Mikkelsen, K.L. (2014). Safety Culture Dimensions, Patient Safety Outcomes and Their Correlations. In Patrick Waterson (Ed.), Patient Safety Culture: Theory, Methods and Application (pp. 67-98). Ashgate Publishing Limited.
• İnceoğlu, Ç. (2014) Türkiye’de Sinemayı Konu Alan Doktora Tezleri Üzerine Bibliyometrik Bir Çözümleme. Galatasaray Üniversitesi İletişim Dergisi, 21, 31-50.
• Jha, A. K., Larizgoitia, I., Audera-Lopez, C., Prasopa-Plaizier, N., Waters, H., & Bates, D. W. (2013). The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Quality & Safety, 22(10), 809–815.
• Joint Commission International (JCI) (2017). Joint Commission International Accreditation Standards for Hospitals, 6th Edition. https://medic.usm.my/anaest/images/JCI6thEd15012017_1.pdf (accessed 15 October 2021). Kaya, S. (2005). Sağlık Hizmetlerinde Sürekli Kalite İyileştirme. Pelikan Yayınları, Ankara.
• Kaya, S. (2007). Türkiye’deki hastanelerde hasta güvenliği kültürü. H. Gökçekuş ve T. Arasıl (Ed.), Uluslararası Sağlık ve Hastane Yönetimi Kongresi içinde (ss.13-19). Yakın Doğu Üniversitesi, Lefkoşa, KKTC.
• Kaya, S. (2009). Hasta güvenliği kültürü nedir ve nasıl geliştirilebilir? Sağlık Hizmetlerinde Kalite, Akreditasyon ve Hasta Güvenliği Dergisi, 1(1), 32-34.
• Kaya, S., & Akturan, S. (2007). Attitudes to patient safety and teamwork in the operating room: a survey in a Turkish hospital. In European Health Management Association Annual Conference Abstracts (p.95). Lyon, France.
• Kaya, S., & Bankur, M. (2007). Doğum salonunda çalışan hemşirelerin hasta güvenliği tutumları. 1st International Patient Safety Congress’de sunulmuştur. Antalya, Türkiye.
• Kaya, S., & Özkan, Ş. (2007). Kardiyovasküler cerrahi servislerinde çalışan doktorlar ve hemşirelerin hasta güvenliği ve ekip çalışmasına yönelik tutumları. 1st International Patient Safety Congress’de sunulmuştur. Antalya, Türkiye.
• Kaya, S., & Sain Güven, G. (2005). Tıbbi hatalar ve hasta güvenliği: dahiliye servislerinde bir güvenlik tutumları araştırması. Sağlık ve Hastane Yönetimi 2. Ulusal Kongresi (Uluslararası Katılımlı) içinde (ss.258-265). Ankara Üniversitesi Sağlık Eğitim Fakültesi Sağlık Yönetimi Bölümü, Ankara, Türkiye.
• Kaya, S., Demir, C., Cankul, H.İ, Yiğit, Ç., & Peker, S. (2007a). Bir eğitim hastanesinin yoğun bakım ünitelerinde hasta güvenliği kültürü. 1st International Patient Safety Congress’de sunulmuştur. Antalya, Türkiye.
• Kaya, S., Demir, C., Cankul, H.I, Yigit, C., Peker, S., & Karabulut, E. (2007b). Divergent attitudes about teamwork among intensive care unit nurses and physicians in a Turkish hospital. In European Health Management Association Annual Conference Abstracts (p.118). Lyon, France.
• Kaya, S., Barsbay, S., Bal, E., Yalcin, P., & Karabulut, E. (2007c). Variation in caregiver perceptions of teamwork climate and safety climate in a tertiary care hospital in Turkey. 24th International Conference The International Society for Quality in Health Care’de sunulmuştur. Boston, USA.
• Kaya, S., Barsbay, S., Bal, E., & Yalçın, P. (2008). Safety climate and teamwork climate in Turkish hospitals. In 2nd International Patient Safety Congress Abstract Book (p.163). Antalya, Turkey.
• Kaya, S., Barsbay, S., & Karabulut, E. (2010). The Turkish version of the safety attitudes questionnaire: psychometric properties and baseline data. Quality & Safety in Health Care, 19(6), 572–577.
• Kirwan, M., Matthews, A., & Scott, P.A. (2013). The impact of the work environment of nurses on patient safety outcomes: a multi-level modelling approach. International Journal of Nursing Studies, 50(2), 253-263.
• Klemenc-Ketis, Z., Makivić, I., & Poplas-Susič, A. (2018). Safety culture in the primary health care settings based on workers with a leadership role: the psychometric properties of the Slovenian-language version of the safety attitudes questionnaire - short form. BMC Health Services Research, 18(1), 767.
• Kristensen, S., Mainz, J., & Bartels, P. (2007). A Patient Safety Vocabulary: Safety Improvement for Patients in Europe SimPatIE - Work Package 4. Aarhus, Denmark: The ESQH-office for quality indicators. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.576.858&rep=rep1&type=pdf (accessed 28 January 2021).
• Kristensen, S., Sabroe, S., Bartels, P., Mainz, J., & Christensen, K. B. (2015a). Adaption and validation of the Safety Attitudes Questionnaire for the Danish hospital setting. Clinical Epidemiology, 7, 149–160.
• Kristensen, S., Hammer, A., Bartels, P., Suñol, R., Groene, O., Thompson, C.A., Arah, A.A., Kutaj-Wasikowska, H., Michel, P., & Wagner, C. (2015b). Quality Management and Perceptions of Teamwork and Safety Climate in European Hospitals. International Journal for Quality in Health Care, 27(6), 499-506.
• Kristensen, S., Christensen, K.B., Jaquet, A., Beck, C.M., Sabroe, S., Bartels, P., & Mainz, J. (2016). Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. BMJ Open, 6(5), e010180.
• Kullberg, A., Bergenmar, M., & Sharp, L. (2016). Changed nursing scheduling for improved safety culture and working conditions - patients' and nurses' perspectives. Journal of Nursing Management, 24(4), 524–532.
• Kurutkan, M.N., & Orhan, F. (2018). Bilim Haritalama, Bibliyometrik Analiz Ve Kitap İle İlgili Genel Hususlar. M.N. Kurutkan, F. Orhan (Ed.), Sağlık Politikası Konusunun Bilim Haritalama Teknikleri İle Analizi içinde (ss. 2-12). İksad Publishing House.
• Lee, W. C., Wung, H. Y., Liao, H. H., Lo, C. M., Chang, F. L., Wang, P. C., Fan, A., Chen, H. H., Yang, H. C., & Hou, S. M. (2010). Hospital safety culture in Taiwan: a nationwide survey using Chinese version Safety Attitude Questionnaire. BMC Health Services Research, 10, 234.
• Li, J., & Hale, A. (2015). Identification of, and knowledge communication among core safety science journals. Safety Science, 74, 70–78.
• Li, Y., Zhao, X., Zhang, X., Zhang, C., Ma, H., Jiao, M., Li, X., Gao, L., Hao, M., Lv, J., Zhao, Y., Cui, Y., Liu, J., Huang, Z., Shi, W., Wu, Q., & Yin, M. (2017). Validation study of the safety attitudes questionnaire (SAQ) in public hospitals of Heilongjiang province, China. PloS one, 12(6), e0179486.
• Li, J., Goerlandt, F., & Li, K. W. (2019). Slip and Fall Incidents at Work: A Visual Analytics Analysis of the Research Domain. International Journal of Environmental Research and Public Health, 16(24), 4972.
• Listyowardojo, T.A., Nap, R.E., & Johnson, A. (2012). Variations in hospital worker perceptions of safety culture. International Journal for Quality İn Health Care, 24(1), 9-15.
• Lousada, L. M., da Silva Dutra, F. C., da Silva, B. V., de Oliveira, N., Bastos, I. B., de Vasconcelos, P. F., & de Carvalho, R. (2020). Patient safety culture in primary and home care services. BMC Family Practice, 21(1), 188.
• Makary, M. A., Sexton, J. B., Freischlag, J. A., Holzmueller, C. G., Millman, E. A., Rowen, L., & Pronovost, P. J. (2006). Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. Journal of the American College of Surgeons, 202(5), 746–752.
• Makary, M. A., Mukherjee, A., Sexton, J. B., Syin, D., Goodrich, E., Hartmann, E., Rowen, L., Behrens, D. C., Marohn, M., & Pronovost, P. J. (2007). Operating room briefings and wrong-site surgery. Journal of the American College of Surgeons, 204(2), 236–243.
• Malinowska-Lipień, I., Brzyski, P., Gabryś, T., Gniadek, A., Kózka, M., Kawalec, P., Brzostek, T., & Squires, A. (2021). Cultural adaptation of the Safety Attitudes Questionnaire - Short Form (SAQ-SF) in Poland. PloS one, 16(2), e0246340.
• Mardon, R.E., Khanna, K., Sorra, J., Dyer. N., & Famolaro, T. (2010). Exploring relationships between hospital patient safety culture and adverse events. Journal of Patient Safety, 6(4), 226-232.
• Martinez, M. A., Cobo, M. J., Herrera, M., & Herrera-Viedma, E. (2015). Analyzing the Scientific Evolution of Social Work Using Science Mapping. Research on Social Work Practice, 25(2), 257-277.
• McCulloch, P., Mishra, A., Handa, A., Dale, T., Hirst, G., & Catchpole, K. (2009). The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre. Quality & Safety in Health Care, 18(2), 109–115.
• McGlynn, E.A., McDonald, K.M., & Cassel, C.K. (2015). Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic Error: A Report From the Institute of Medicine. JAMA, 314(23), 2501-2.
• Mearns K.J., & Flin R. (1999). Assessing the state of organizational safety – culture or climate? Current Psychology: Developmental – Learning – Personality – Social, 18(1), 5–17.
• Miller, N., Bhowmik, S., Ezinwa, M., Yang, T., Schrock, S., Bitzel, D., & McGuire, M.J. (2019). The Relationship Between Safety Culture and Voluntary Event Reporting in a Large Regional Ambulatory Care Group. Journal of Patient Safety, 15(4), e48-e51.
• Modak, I., Sexton, J. B., Lux, T. R., Helmreich, R. L., & Thomas, E. J. (2007). Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire--ambulatory version. Journal of General Internal Medicine, 22(1), 1–5.
• National Patient Safety Foundation. (2015). Free from Harm: Accelerating Patient Safety Improvement Fifteen Years after To Err Is Human. Report of an Expert Panel Convened by The National Patient Safety Foundation, Boston.
• Nieva, V. F., & Sorra, J. (2003). Safety culture assessment: a tool for improving patient safety in healthcare organizations. Quality & Safety in Health Care, 12(2), 17–23.
• Nguyen, G., Gambashidze, N., Ilyas, S. A., & Pascu, D. (2015). Validation of the safety attitudes questionnaire (short form 2006) in Italian in hospitals in the northeast of Italy. BMC Health Services Research, 15, 284.
• Nordén-Hägg, A., Sexton, J. B., Kälvemark-Sporrong, S., Ring, L., & Kettis-Lindblad, Å. (2010). Assessing safety culture in pharmacies: the psychometric validation of the Safety Attitudes Questionnaire (SAQ) in a national sample of community pharmacies in Sweden. BMC Clinical Pharmacology, 10, 8.
• Odell, D.D., Quinn, C.M., Matulewicz, R.S., Johnson, J., Engelhardt, K.E., Stulberg, J.J., Yang, A.D., Holl, J.L., & Bilimoria, K.Y. (2019). Association Between Hospital Safety Culture and Surgical Outcomes in a Statewide Surgical Quality Improvement Collaborative. Journal of the American College of Surgeons, 229(2), 175–183.
• Ongun, P., & Intepeler, S. S. (2017). Operating room professionals' attitudes towards patient safety and the influencing factors. Pakistan Journal of Medical Sciences, 33(5), 1210–1214. Önler, E. (2010). Ameliyathane Çalışanlarının Hasta Güvenliğine İlişkin Tutumlarının Değerlendirilmesi. (Doktora tezi). İstanbul Üniversitesi, İstanbul.
• Özcan, T.H., Kaya, S., & Teleş, M. (2020). Evaluating patient safety culture at a private hospital. International Journal of Healthcare Management, Doi: 10.1080/20479700.2020.1755806
• Özkaya, A. (2019). STEM Eğitimi Alanında Yapılan Yayınların Bibliyometrik Analizi. Bartın Üniversitesi Eğitim Fakültesi Dergisi, 8(2), 590-628.
• Paine, L. A., Rosenstein, B. J., Sexton, J. B., Kent, P., Holzmueller, C. G., & Pronovost, P. J. (2011). Republished paper: assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. Postgraduate Medical Journal, 87(1028), 428–435.
• Patterson, P. D., Huang, D. T., Fairbanks, R. J., & Wang, H. E. (2010). The emergency medical services safety attitudes questionnaire. American Journal of Medical Quality, 25(2), 109–115.
• Pritchard, A. (1969). Statistical bibliography or bibliometrics. Journal of Documentation, 25(4), 348–349.
• Pronovost, P.J., Weast, B., Holzmueller, C.G., Rosenstein, B.J., Kidwell, R.P., Haller, K.B., Feroli, E.R., Sexton, J.B., & Rubin, H.R. (2003). Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Quality and Safety in Health Care, 12(6), 405-410.
• Pronovost, P. J., Berenholtz, S. M., Goeschel, C., Thom, I., Watson, S. R., Holzmueller, C. G., Lyon, J. S., Lubomski, L. H., Thompson, D. A., Needham, D., Hyzy, R., Welsh, R., Roth, G., Bander, J., Morlock, L., & Sexton, J. B. (2008). Improving patient safety in intensive care units in Michigan. Journal of critical care, 23(2), 207–221.
• Robb, G., & Seddon, M. (2010). Measuring the safety culture in a hospital setting: a concept whose time has come? The New Zealand Medical Journal, 123(1313), 66-76.
• Rodrigues, S. P., van Eck, N. J., Waltman, L., & Jansen, F. W. (2014). Mapping patient safety: a large-scale literature review using bibliometric visualisation techniques. BMJ open, 4(3), e004468.
• Roth, K., Baier, N., Felgner, S., Busse, R., & Henschke, C. (2020). Der Zusammenhang zwischen Sicherheitskultur und Burnout-Risiko: Eine Befragung nicht-ärztlicher Mitarbeiter im Rettungsdienst [Association between Safety Culture and Risk of Burnout: A Survey of Non-Medical Rescue Workers]. Gesundheitswesen, 10.1055/a-1276-0817. Advance online publication.
• Saleh, A.M., Darawad, M.W., & Al-Hussami, M. (2015). The perception of hospital safety culture and selected outcomes among nurses: An exploratory study. Nursing and Health Sciences, 17 (3), 339–346.
• Sammer, C.E., Lykens, K., Singh, K.P., Mains, D.A., & Lackan, N.A. (2010). What is patient safety culture? A review of the literature. Journal of Nursing Scholarship, 42(2),156-65.
• Schneider, B., Ehrhart, M.G., & Macey, W.H. (2013). Organizational climate and culture. Annual Review of Psychology, 64, 361-88.
• Sexton, J. B., Helmreich, R. L., Neilands, T. B., Rowan, K., Vella, K., Boyden, J., Roberts, P. R., & Thomas, E. J. (2006a). The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Services Research, 6, 44.
• Sexton, J. B., Makary, M. A., Tersigni, A. R., Pryor, D., Hendrich, A., Thomas, E. J., Holzmueller, C. G., Knight, A. P., Wu, Y., & Pronovost, P. J. (2006b). Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Anesthesiology, 105(5), 877–884.
• Singer, S. J., Falwell, A., Gaba, D. M., & Baker, L. C. (2008). Patient safety climate in US hospitals: variation by management level. Medical Care, 46(11), 1149–1156.
• Singer, S., Lin, S., Falwell, A., Gaba, D., & Baker, L. (2009). Relationship of safety climate and safety performance in hospitals. Health Services Research, 44(2), 399-421.
• Slawomirski, L, Auraaen, A., & Klazinga, N.S. (2018). The economics of patient safety: Strengthening a value-based approach to reducing patient harm at national level. OECD Health Working Papers No. 96. https://www.oecd-ilibrary.org/docserver/5a9858cd-en.pdf?expires=1616500793&id=id&accname=guest&checksum=98FED8C1A9AF161F45C19E59591BD71C (accessed 23 March 2021).
• Smith, S.A., Yount, N., & Sorra, J. (2017). Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. BMC Health Services Research, 17(1), 143.
• Smits, M., Keizer, E., Giesen, P., Deilkås, E. C., Hofoss, D., & Bondevik, G. T. (2017). The psychometric properties of the 'safety attitudes questionnaire' in out-of-hours primary care services in the Netherlands. PloS one, 12(2), e0172390.
• Sorra, J., & Dyer, N. (2010). Multilevel psychometric properties of the AHRQ hospital survey on patient safety culture. BMC Health Services Research, 10, 199.
• Sorra, J., Khanna, K., Dyer, N., Mardon, R., & Famolaro, T. (2014). Exploring relationships between patient safety culture and patients' assessments of hospital care. The Journal of Nursing Administration, 44(10), 45-53.
• Sorra, J.S., & Battles, J. (2014). Lessons from the AHRQ hospital survey on patient safety culture. In Patrick Waterson (Ed.), Patient Safety Culture: Theory, Methods and Application (pp. 263-284). Ashgate Publishing Limited.
• Şeref, İ., & Karagöz, B. (2019). Türkçe Eğitimi Akademik Alanına İlişkin Bir Değerlendirme: Web of Science Veri Tabanına Dayalı Bibliyometrik İnceleme. Dil Eğitimi ve Araştırmaları Dergisi, 5(2), 213-231.
• Tevis, S.E., Schmocker, R.K., & Kennedy, G.D. (2014). Can patients reliably identify safe, high quality care? Journal of Hospital Administration, 3(5), 150-160.
• The Health Foundation (2011). Evidence scan: measuring safety culture. http://www.health.org.uk/publications/measuring-safety-culture (accessed 5 March 2021).
• The Joint Commission (2017). Sentinel Event Alert 57: The essential role of leadership in developing a safety culture. https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/sea_57_safety_culture_leadership_0317pdf.pdf (accessed 28 March 2021).
• Thomas, E. J., Sexton, J. B., & Helmreich, R. L. (2003). Discrepant attitudes about teamwork among critical care nurses and physicians. Critical Care Medicine, 31(3), 956–959.
• Valentine, M.A., Nembhard, I.M., & Edmondson, A.C. (2015). Measuring teamwork in health care settings: a review of survey instruments. Medical Care, 53(4), e16–e30.
• van Eck, N. J., & Waltman, L. (2010). Software survey: VOSviewer, a computer program for bibliometric mapping. Scientometrics, 84(2), 523–538.
• van Eck, N.J., & Waltman, L. (2014). Visualizing Bibliometric Networks. In Y. Ding, R. Rousseau, D. Wolfram (Eds.), Measuring Scholarly Impact: Methods and Practice (pp. 285-320). Springer International Publishing.
• van Eck, N.J., & Waltman, L. (2020). Manual for VOSviewer version 1.6.16. 25 November 2020. Universiteit Leiden, CWTS.
• van Nunen, K., Li, J., Reniers, G., & Ponnet, K. (2018). Bibliometric analysis of safety culture research. Safety Science, 108, 248–258.
• Verbeek-Van Noord, I., Wagner C, Van Dyck C, Twisk J.W., & De Bruijne M.C. (2014). Is culture associated with patient safety in the emergency department? A study of staff perspectives. International Journal for Quality in Health Care, 26(1), 64-70.
• Vigorito, M. C., McNicoll, L., Adams, L., & Sexton, B. (2011). Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. Joint Commission Journal on Quality and Patient Safety, 37(11), 509–514.
• Wang, B., Pan, S.-Y., Ke, R.-Y., Wang, K., & Wei, Y.-M. (2014). An overview of climate change vulnerability: a bibliometric analysis based on Web of Science database. Natural Hazards, 74, 1649–1666.
• Wang, X., Liu, K., You, L., Xiang, J., Hu, H., Zhang, L., Zheng, J., & Zhu, X. (2014). The relationship between patient safety culture and adverse events: A questionnaire survey. International Journal of Nursing Studies, 51(8), 1114-22.
• Watts, B. V., Percarpio, K., West, P., & Mills, P. D. (2010). Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. Journal of Patient Safety, 6(4), 206–209.
• Weaver, M.D., Wang, H.E., Fairbanks, R.J., & Patterson, D. (2012). The association between EMS workplace safety culture and safety outcomes. Prehospital Emergency Care, 16(1), 43-52.
• Weaver, S.J., Lubomksi, L.H., Wilson, R.F., Pfoh, E.R., Martinez, K.A., & Dy, S.M. (2013). Promoting a culture of safety as a patient safety strategy: a systematic review. Annals of Internal Medicine, 158(5), 369-374.
• Web of Science (2021). http://apps.webofknowledge.com/WOS_GeneralSearch_input.do?product =WOS&search_mode=GeneralSearch&SID=E4BuxpJFCdxx2Aw4Rpc&preferencesSaved= (accessed 19 April 2021).
• WHO (2017). Patient Safety: Making health care safer. https://www.who.int/publications/i/item/patient-safety-making-health-care-safer (accessed 23 March 2021).
• WHO (2019a). Patient Safety Fact File. https://www.who.int/features/factfiles/patient_safety/patient-safety-fact-file.pdf?ua=1 (accessed 23 March 2021).
• WHO (2019b). Seventy-Second World Health Assembly. https://apps.who.int/gb/ebwha/pdf_files/WHA72/A72_R6-en.pdf?ua=1 (accessed 26 March 2021).
• WHO (2021a). Patient Safety. https://www.who.int/teams/integrated-health-services/patient-safety/about (accessed 24 March 2021).
• WHO (2021b). Global Patient Safety Action Plan 2021–2030 Towards Eliminating Avoidable Harm in Health Care, Third Draft. January 2021. https://cdn.who.int/media/docs/default-source/integrated-health-services-(ihs)/psf/gpsap/global-patient-safety-action-plan-2021-2030_third-draft_january-2021_web.pdf?sfvrsn=6767dc05_13 (accessed 24 March 2021).
• Yılmaz, A., Işık, O., & Akca, N. (2017). Hastane Çalışanlarının Hasta Güvenliği Tutumu Algı Düzeylerinin Belirlenmesi. Hacettepe Sağlık İdaresi Dergisi, 20(1), 69-80.
• Yu, B., Wen, C. F., Lo, H. L., Liao, H. H., & Wang, P. C. (2020). Improvements in patient safety culture: a national Taiwanese survey, 2009-16. International Journal for Quality in Health Care, 32(1), A9–A17.
• Yuce, T. K., Yang, A. D., Johnson, J. K., Odell, D. D., Love, R., Kreutzer, L., Schlick, C., Zambrano, M. I., Shan, Y., O'Leary, K. J., Halverson, A., & Bilimoria, K. Y. (2020). Association Between Implementing Comprehensive Learning Collaborative Strategies in a Statewide Collaborative and Changes in Hospital Safety Culture. JAMA Surgery, 155(10), 934–940.
• Zhang, F., Tian, L., Shang, X., Li, X., Xue, R., Cheng, S., & Chen, C. (2018). Exploring relationships between first-line nurse manager's safety attitudes and safety factors in Henan, China. Journal of Nursing Management, 26(3), 314–320.
• Zimmermann, N., Küng, K., Sereika, S.M., Engberg, S., Sexton, B., & Schwendimann, R. (2013). Assessing the Safety Attitudes Questionnaire (SAQ), German language version in Swiss university hospitals--a validation study. BMC Health Services Research, 13(347), 1-11.