Identifying critical dimensions and causal relationships of patient safety culture in Taiwan

Yii Ching Lee, Shao Jen Weng, James Stanworth, Liang Po Hsieh, Hsin-Hung Wu

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)


Patient safety culture plays an important role in health organizations as they seek to continuously improve patient safety. The safety culture of health organizations is generally understood through six dimensions that are captured in the hospital survey on patient safety culture. So far, these dimensions have been treated as discrete thereby limiting managers understanding of how to direct their efforts to effectively improve patient safety. In this study, we take a more holistic perspective to explore the cause and effect relationships amongst the six safety dimensions in patient safety culture. We adopt the decision-making trial and evaluation laboratory method to analyze data from fourteen experts in the area of safety culture. Findings show that teamwork climate is the only dimension that causes direct and positive impacts on both stress recognition and safety climate. This study reveals that of all the dimensions of patient safety culture managers should pay particular attention to teamwork climate in order to improve patient safety.

Original languageEnglish
Pages (from-to)995-1000
Number of pages6
JournalJournal of Medical Imaging and Health Informatics
Issue number5
Publication statusPublished - 2015 Sep 1

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Health Informatics

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