A review of the safety climate literature as it relates to naval aviation.

The purpose of this literature review is to provide the background to an evaluation of the utility of the Command Safety Assessment Survey (CSAS) as a valid predictor of future mishaps. The end goal is to be able to use the survey to identify at risk U.S. Naval squadrons prior to the occurrence of mishaps. Safety climate describes employees' perceptions, attitudes, and beliefs about risk and safety (Mearns & Flin, 1999). Safety climate is most commonly evaluated using questionnaires. Although assessments of safety climate are not widespread in civil aviation, the United States Navy has been using the CSAS since 2000 to measure the safety climate of aviation squadrons. This review argues that a comprehensive assessment of the construct (the extent to which the questionnaire measures what it is intended to measure) and discriminate validity (correlate the data from the questionnaire with a criterion variable, such as accidents) of the CSAS should be carried out. This assessment is necessary to ensure that squadron Commanding Officers, and senior leadership, are being provided with valid and reliable information on squadron safety climate.Approved for public release; distribution is unlimited

Aerospace Medicine and Biology: A continuing bibliography with indexes, supplement 144

This bibliography lists 257 reports, articles, and other documents introduced into the NASA scientific and technical information system in July 1975

Aerospace medicine and biology: A continuing bibliography with indexes, supplement 128, May 1974

This special bibliography lists 282 reports, articles, and other documents introduced into the NASA scientific and technical information system in April 1974

Aerospace medicine and biology: A continuing bibliography with indexes (supplement 299)

This bibliography lists 96 reports, articles, and other documents introduced into the NASA scientific and technical information system in June, 1987

Aerospace Medicine and Biology. A continuing bibliography (Supplement 226)

This bibliography lists 129 reports, articles, and other documents introduced into the NASA scientific and technical information system in November 1981

Aerospace medicine and biology: A continuing bibliography with indexes (supplement 355)

This bibliography lists 147 reports, articles and other documents introduced into the NASA Scientific and Technical Information System during October, 1991. Subject coverage includes: aerospace medicine and psychology, life support systems and controlled environments, safety equipment, exobiology and extraterrestrial life, and flight crew behavior and performance

Aerospace medicine and biology: A continuing bibliography with indexes, supplement 125

This special bibliography lists 323 reports, articles, and other documents introduced into the NASA scientific and technical information system in January 1974

Aerospace Medicine and Biology: A continuing bibliography with indexes (supplement 291)

This bibliography lists 131 reports, articles and other documents introduced into the NASA scientific and technical information system in November 1986

Does Safety Culture Predict Clinical Outcomes?

Patient safety in healthcare has become a national objective. Healthcare organizations are striving to improve patient safety and have turned to high reliability organizations as those in which to model. One initiative taken on by healthcare is improving patient safety culture--shifting from one of a \u27no harm, no foul\u27 to a culture of learning that encourages the reporting of errors, even those in which patient harm does not occur. Lacking from the literature, however, is an understanding of how safety culture impacts outcomes. While there has been some research done in this area, and safety culture is argued to have an impact, the findings are not very diagnostic. In other words, safety culture has been studied such that an overall safety culture rating is provided and it is shown that a positive safety culture improves outcomes. However, this method does little to tell an organization what aspects of safety culture impact outcomes. Therefore, this dissertation sought to answer that question but analyzing safety culture from multiple dimensions. The results found as a part of this effort support previous work in other domains suggesting that hospital management and supervisor support does lead to improved perceptions of safety. The link between this support and outcomes, such as incidents and incident reporting, is more difficult to determine. The data suggests that employees are willing to report errors when they occur, but the low occurrence of such reportable events in healthcare precludes them from doing so. When a closer look was taken at the type of incidents that were reported, a positive relationship was found between support for patient safety and medication incidents. These results initially seem counterintuitive. To suggest a positive relationship between safety culture and medication incidents on the surface detracts from the research in other domains suggesting the opposite. It could be the case that an increase in incidents leads an organization to implement additional patient safety efforts, and therefore employees perceive a more positive safety culture. Clearly more research is needed in this area. Suggestions for future research and practical implications of this study are provided

Aerospace Medicine and Biology

This bibliography lists 184 reports, articles and other documents introduced into the NASA Scientific and Technical Information System during October 1989. Subject coverage includes: aerospace medicine and psychology, life support systems and controlled environments, safety equipment, exobiology and extraterrestrial life, and flight crew behavior and performance