Mesure de la culture sécurité : utilisation du Safety Attitudes Questionnaire en réanimation (SAQ-ICU)

To measure the development of safety climate in ICU by an adapted questionnaire. The Safety Attitudes Questionnaire (SAQ) is a measurement tool of safety climate with a specific version for ICU (SAQ-ICU). The aim of this study was to translate and validate this North-American questionnaire in French, and to measure the safety climate in 2 ICUs. With the authors' consent, we realised a French version tested and submitted to a back-translation. This questionnaire comprises 30 items exploring 6 dimensions of safety climate (teamwork climate, job satisfaction, perceptions of management, safety climate, working conditions, stress recognition) considered as developed if the score is > 75%, “needs improvement” if < 50%. The questionnaire was proposed to all staff members (doctors, nurses, nurse-aids). One hundred and sixteen questionnaires were received (83% response rate). Responders had a median age of 36 years, a median job seniority of 10 years with 4.5 years in the 2 ICUs. The results are comparable in the 2 units, four dimensions out of six obtain a score between 50 and 75% and 2 dimensions (perceptions of management, working conditions) “needs improvement”. SAQ-ICU allows the study of the security climate in an ICU. A nationwide study is ongoing using a French version of the questionnaire in order to study its psychometric properties.