Publications scientifiques

La création, la diffusion et l’utilisation des savoirs constitue par conséquent une mission clé de la fondation. Vous trouverez ici un aperçu des publications scientifiques.

Assessment of the safety climate in outpatient diagnostic services: Development and psychometric evaluation of a questionnaire

Safe practice and safety culture are important issues in outpatient diagnostic imaging services. As questionnaires assessing safety culture through the measurement of safety climate in this setting are not yet available, the present study aimed to develop and validate such an instrument.



The final instrument presents a valid, consistent and reliable option to measure safety climate in outpatient diagnostic imaging services. Results can be used as a basis for quality improvement.

Key Points

• An adapted questionnaire that assesses safety climate in outpatient diagnostic imaging services was developed and tested in Switzerland.

• Psychometric evaluation showed the questionnaire to be a valid, consistent and reliable instrument.

• Results are of interest for imaging services as well as for stakeholders interested more globally in monitoring and quality improvement


Marianne Jossen, Fabio Valeri, Christina Heilmaier, David Schwappach

Springer Link, European Radiology



Medication safety in Switzerland: Where are we today?

Empirical research shows that medication safety is an urgent area of concern in the Swiss healthcare system. Adverse drug events and medication errors are common and risks such as polypharmacy are widespread.


No comprehensive national strategy explicitly dedicated to medication safety exists in Switzerland. The federalist system of government with relative autonomy of the cantons relating to healthcare laws influences the implementation of national healthcare reforms, also to the disadvantage of medication safety. Direct dispensing of drugs by the prescribing physician is permitted in almost all German-speaking cantons. This special feature of the Swiss system implies specific challenges for medication safety. Nonetheless, there is an increasing number of national activities dealing with various aspects of medication safety, such as the “progress!” programmes within the National Quality Strategy. Within the National Research Programme “Smarter Health Care” (NRP 74) of the Swiss National Science Foundation, several research projects are currently focusing on medication safety. Clinical pharmacy activities in hospitals are relatively widespread. In the primary care sector, pharmaceutical care practice and the corresponding competencies for pharmacists are being further developed. However, a comprehensive strategy, priority-setting and effectiveness studies involving all stakeholders are required in order for the Swiss healthcare system, to meet the challenges facing medication safety in a forward-looking manner.

Liat Fishman, Lea Brühwiler, David Schwappach

Springer Link/Bundesgesunheitsblatt - Gesundheitsforschung - Gesundheitsschutz


Nurses’ and Physicians’ Perceptions of Indwelling Urinary Catheter Practices and Culture in Their Institutions

Objectives Indwelling urinary catheters (IUCs) are commonly used devices in acute care that may lead to catheter-associated urinary tract infections or noninfectious complications. Responsibilities for IUC are usually shared between nurses and physicians, and a common mental model among the two professional groups is thus essential for a successful reduction in catheter use. The aim of this study was to determine variation in the perceptions of current practices and culture regarding IUC use between these two groups.


Nurses and physicians each have their own tasks but also share responsibilities for catheter placement, care, and removal. Overall, nurses were more positive than physicians about current practices and culture regarding IUC use within their institution (mean scale scores = 5.4 for nurses versus 5.1 for physicians, P < 0.001). Perceptions of the two professional groups diverged most strongly on practices to avoid unnecessary placement of IUCs, the presence of shared values and attitudes in support of restrictive catheter use, and the other group's leadership commitment.



Niederhauser, Andrea, MPH*; Züllig, Stephanie, PhD*; Marschall, Jonas, MD†‡; Schwappach, David LB, PhD*§ progress! Safe Urinary Catheterization Collaboration Group

Implications of involving pharmacy technicians in obtaining a best possible medication history from the perspectives of pharmaceutical, medical and nursing staff: a qualitative study

Andrea Niederhauser, Chantal Zimmermann, Liat Fishman, David L B Schwappach, BMJ Open 2018;8:e020566. doi:10.1136/bmjopen-2017-020566

Speaking up behaviors and safety climate in an Austrian university hospital

Schwappach DLBS, Sendlhofer G, Häsler L, Gombotz V, Leitgeb K, Hoffmann M, Jantscher L, Brunner G, International Journal for Quality in Health Care 2018. Doi: 10.1093/intqhc/mzy089

Speak up-related climate and its association with healthcare workers’ speaking up and withholding voice behaviours: a cross-sectional survey in Switzerland

Schwappach DLB, Richard A, BMJ Quality & Safety 2018. Doi: 10.1136/bmjqs-2017-007388

Medication Safety in Oncology Care: Mapping Checking Procedures From Prescription to Administration of Chemotherapy

Pfeiffer YP, Gut SS, Schwappach DLB, Journal of Oncology Practice 2018; Doi: 10.1200/JOP.2017.026427

Oncology nurses‘ beliefs and attitudes towards the double-check of chemotherapy medications: a cross-sectional survey study

Schwappach DLB, Taxis K, Pfeiffer Y, BMC Health Services Research 2018. Doi: 10.1186/s12913-018-2937-9

Implementation status of morbidity and mortality conferences in Swiss hospitals: a national cross-sectional survey study

Isabelle Praplan-Rudaz, Yvonne Pfeiffer, David L B Schwappach, International Journal for Quality in Health Care 2018; doi: 10.1093/intqhc/mzx204

Morbidity and mortality conferences (M&MCs) in Switzerland are widely used to promote medical education, patient safety and quality improvements. However, the term M&MC seems to cover different types of meetings. Although the overall goals are similar, various types of M&MCs are used in practice and different objectives are pursued. Tools such as checklists, guidelines and templates are considered helpful.

Chief physicians’ perceived need for improvement of morbidity and mortality conferences: the role of structural and procedural characteristics.

David L B Schwappach, Lynn Häsler, Yvonne Pfeiffer, BMJ Leader 2018; doi: 10.1136/leader-2017-000052

Chief physicians' attitudes towards early warning score systems in Switzerland: Results of a cross‐sectional survey

Aline Richard, Olga Frank, David Schwappach, Eval Clin Pract. 2017;1–7.

Development and Psychometric Evaluation of the Speaking Up About Patient Safety Questionnaire

Richard, Aline PhD; Pfeiffer, Yvonne PhD; Schwappach, David D.L. PhD, Journal of Patient Safety: August 28, 2017


Patient safety climate profiles across time: Strength and level of safety climate associated with a quality improvement program in Switzerland: A cross-sectional survey study

Anna C. Mascherek, David L. B. Schwappach, PLOS ONE

Patient safety priorities in mental healthcare in Switzerland: a modified Delphi study

Anna C Mascherek, David L B Schwappach, BMJ Open 2016;6:e011494. doi:10.1136/bmjopen-2016-011494

Surgical checklist use in Switzerland 2015 – where are we today?: a cross-sectional national survey study

Anna C. Mascherek, David L. B. Schwappach, Safety in Health (2016) 2:6, DOI 10.1186/s40886-016-0017-6

Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences.

Schwappach DLB, Pfeiffer Y, Taxis K, BMJ Open 2016; 6:e011394 Doi:10.1136/bmjopen-2016-011394

Effect of a two-year national quality improvement program on surgical checklist implementation

Anna C. Mascherek, Paula Bezzola, Katrin Gehring, David L.B. Schwappach, Zeitschrift fuer Evidenz, Fortbildung und Qualitaet im Gesundheitswesen Jan 2016

Taking up national safety alerts to improve patient safety in hospitals: The perspective of healthcare quality and risk managers

Pfeiffer Y, Schwappach D. Z. Evid. Fortbild. Qual. Gesundh. wesen (ZEFQ) (2015),

Using the theory of planned behaviour to model antecedents of surgical checklist use: a cross-sectional study.

Mascherek AC, Gehring K, Bezzola P, Schwappach, DLB BMC Health Services Research. (2015) 15:462. DOI 10.1186/s12913-015-1122-7

The impact of medical errors on Swiss anaesthesiologists: a cross-sectional survey

McLennan S, Engel-Glatter S, Meyer AH, Schwappach DLB, Scheidegger, Acta Anaesthesiologica Scandinavica 2015. Doi: 10.1111/aas.12517