Healthcare Professional’s Perception of Patient Safety Measured by the Hospital Survey on Patient Safety Culture: A Systematic Review and Meta-Analysis

Abstract

Objective To assess the culture of patient safety in studies that employed the hospital survey on patient safety culture (HSOPS) in hospitals around the world. Method We searched MEDLINE, EMBASE, SCOPUS, CINAHL, and SciELO. Two researchers selected studies and extracted the following data: year of publication, country, percentage of physicians and nurses, sample size, and results for the 12 HSOPS dimensions. For each dimension, a random effects meta-analysis with double-arcsine transformation was performed, as well as meta-regressions to investigate heterogeneity, and tests for publication bias. Results 59 studies with 755,415 practitioners surveyed were included in the review. 29 studies were conducted in the Asian continent and 11 in the United States. On average studies scored 9 out of 10 methodological quality score. Of the 12 HSOPS dimensions, six scored under 50% of positivity, with “nonpunitive response to errors” the lowest one. In the meta-regression, three dimensions were shown to be influenced by the proportion of physicians and five by the continent where survey was held. Conclusions The HSOPS is widely used in several countries to assess the culture of patient safety in hospital settings. The culture of culpability is the main weakness across studies. Encouraging event reporting and learning from errors should be priorities in hospitals worldwide.

Nurses as second victims: A Brazilian perspective

“…In Brazil, there are few reliable statistics being used to raise awareness about the impact of care errors on the lives of professionals. There is a strong punitive culture in the management of institutions, and the processes judged by the councils that regulate the profession perpetuate the argument that caregivers cannot make mistakes (Campos, Feldman, & D'innocenzo, ; Okuyama, Galvao, & Silva, ). This could be due to strong Christian influences in Brazil that promote punishment as a means of atonement for guilt.…”

THE SURVEY OF SAFETY CULTURE IN RSUP Dr.KARIADI SEMARANG

“…Similarly, Alharbi et al (2018) state that this dimension yielded around 65.3% positive response. A meta-analysis (Okuyama et al, 2018) found that this dimension becomes the second-highest dimension (70%).…”

“…Similar findings are found in China and Saudi Arabia showing that employment dimension has the lowest positive response in China (45%) (Jia et al, 2014), Saudi Arabia (Alwabel et al, 2015) and Brazil (33%). A meta-analysis (Okuyama et al, 2018) shows that the employment dimension is one of three factors with the lowest positive response (36%). Meanwhile, the employment dimension has become a strength area in Japan (Hirose et al, 2013).…”

Segurança do paciente em serviços de saúde: uma análise na cidade de Salvador, Bahia

“…Além disso, a maioria dos profissionais que trabalham nesses núcleos não possui capacitação específica na área da segurança do paciente, o que pode ser um elemento dificultador para a sua atuação. Esses achados podem desafiar a implantação de uma cultura de segurança nessas organizações, liderada pelos NSP e definida como padrões de comportamento individuais e de grupo, os quais determinam o compromisso, o estilo e a proficiência da administração de uma organização saudável e segura 2,3,11,16 .…”

“…Os avanços tecnológicos incorporados aos cuidados à saúde têm possibilitado benefícios para a restauração da saúde e o prolongamento da vida, entretanto a utilização dessas tecnologias trouxe, também, sérios riscos para o paciente, suscitando questões teórico-práticas de segurança e efetividade dos processos. Nesse contexto, milhares de pacientes sofrem danos decorrentes de erros diagnósticos e terapêuticos ocorridos durante os cuidados com a saúde, e o papel dos hospitais, das agências reguladoras e de gestores dos serviços de saúde tem sido amplamente discutido, bem como a identificação dos fatores de risco que comprometem a segurança do paciente [1][2][3] .…”