The patient safety culture: a systematic review by characteristics of Hospital Survey on Patient Safety Culture dimensions

Abstract

Purpose: To learn the weaknesses and strengths of safety culture as expressed by the dimensions measured by the Hospital Survey on Patient Safety Culture (HSOPSC) at hospitals in the various cultural contexts. The aim of this study was to identify studies that have used the HSOPSC to collect data on safety culture at hospitals; to survey their findings in the safety culture dimensions and possible contributions to improving the quality and safety of hospital care. Data sources: Medline (via PubMed), Web of Science and Scopus were searched from 2005 to July 2016 in English, Portuguese and Spanish. Study selection: Studies were identified using specific search terms and inclusion criteria. A total of 33 articles, reporting on 21 countries, was included. Data extraction: Scores were extracted by patient safety culture dimensions assessed by the HSOPSC. The quality of the studies was evaluated by the STROBE Statement. Results: The dimensions that proved strongest were 'Teamwork within units' and 'Organisational learning-continuous improvement'. Particularly weak dimensions were 'Non-punitive response to error', 'Staffing', 'Handoffs and transitions' and 'Teamwork across units'. Conclusion: The studies revealed a predominance of hospital organisational cultures that were underdeveloped or weak as regards patient safety. For them to be effective, safety culture evaluation should be tied to strategies designed to develop safety culture hospital-wide.

Assessment of patient safety climate by nurses in Slovak Public and private hospitals

“…The instrument focuses on the clinicians' point of view and on their perceptions about important domains of the patient safety climate. Reis et al (2018) reported in their systematic review of the studies using the HSOPSC that in 80% of the studies, nurses accounted for the largest group of participants. Nurses' assessments of patient safety climate are important as nurses are key players in patient safety and are mainly responsible for adverse events reporting (Mitchell, Schuster, Smith, Pronovost, & Wu, 2016).…”

Núcleo de segurança do paciente: o caminho das pedras em um hospital geral

“…In compliance with legal requirements (6)(7) , eight strategies were implemented up to 2017 (figure 2). The punitive culture is present in hospital institutions (12) . Overcoming this barrier requires time, support from top management, strengthened leadership, training and capacity building, besides a strong safety program disseminated in the organization.…”

A cultura de segurança do paciente em um hospital público de urgência e emergência

“…Pesquisas realizadas em diversos países indicam que a CS é predominantemente subdesenvolvida e se apresenta fraca em relação à segurança do paciente. Em especial, salienta-se a necessidade de pensar sobre estratégias para preparar o pessoal para uma cultura favorável, processos de trabalho que favoreçam a comunicação eficaz, espírito de trabalho em equipe em toda a unidade e cultura de não culpabilidade, que melhora a responsabilidade do profissional e do hospital de priorizar a identificação de falhas (Reis, et al, 2018).…”

“…O uso do HSOPSC se destaca como uma estratégia eficiente para medir, avaliar e oferecer como base de conhecimento para tomadas de decisões e melhorias. O objetivo desta pesquisa é utilizar este instrumento para conhecer a percepção dos profissionais quanto à CS do paciente e discorrer sobre a sua importância para a promoção de processos cada vez mais seguros no hospital (Reis, Paiva & Sousa, 2018).…”