An investigation of occupational subgroups with respect to patient safety culture

There are varying views about the consistency of safety culture across a given organisation or industrial sector: some view it as homogeneous, whereas others have suggested the presence of sub-cultures that vary according to the work group or worksite. This paper reports on a study in which job characteristics and safety climate ratings from a sample of British community pharmacists (N = 860) were subjected to a cluster analysis, with the aim of identifying whether discrete groups can be identified on the basis of these ratings. A four-cluster solution was obtained from the analysis. Examination of quantitative and qualitative data from each cluster led to them being identified as: (i) the disenfranchising pharmacy; (ii) the perilous pharmacy; (iii) the safety-focused pharmacy; (iv) the challenging pharmacy. On the basis of the data obtained, safety culture appears to have both characteristics generic to all community pharmacies and characteristics specific to each cluster, with a number of social and organisational factors influencing the culture in any one setting. Implications for the modelling and assessment of safety culture are discussed.