Level of safety culture in healthcare professionals
Systematic review protocol
Keywords:
Safety Management, Safety Culture, Patient SafetyAbstract
The assessment of the safety culture of the organization allows obtaining a clear view of the aspects and dimensions of patient safety that require more attention. The study aims to present the systematic review protocol designed to analyze the level of safety culture in a hospital setting. The reporting of this systematic review will comply with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses PRISMA Checklist. The systematic review protocol will be submitted for registration in the International Prospective Register of Systematic Reviews (PROSPERO). The systematic review will carefully follow six steps: selection of guiding question; definition of the characteristics of the primary research sample; selection of the research sample; analysis of the findings of the articles included in the review; interpretation of results; and reporting of the review, which will provide a critical examination of the findings. For analysis of the selected studies, the guiding research question, "What is the level of safety culture in the hospital environment?" will be used. A search of MEDLINE, VHL, CINAHL, Cochrane Library, and Web of Science electronic databases will be conducted. The search strategy will combine index terms and the descriptors "Safety Management," "Safety Culture," and "Patient Safety." Studies published from 2012 to 2022 will be included, with no language restriction. The following inclusion criteria will be adopted: observational and experimental studies; studies conducted in the period from 2012 to 2023; studies that measured safety culture in the hospital environment through validated instruments. Exclusion criteria are: duplicate articles; narrative or systematic review and meta-analysis; case reports; case series and experimental studies involving animals. Two reviewers will extract data from the selected studies independently. Safety culture measurement allows leaders to implement targeted strategies to improve specific dimensions of safety culture.
References
Abbasi M, Zakerian A, Akbarzade A, et al. Investigation of the relationship between work ability and work-related quality of life in nurses. Iran J Public Health. 2017;46(10):1404.
Basson T, Montoya A, Neily J, Harmon L, Watts BV. Improving patient safety culture: report of a multifaceted intervention. J Patient Saf. 2018;14(2):107-11.
Braithwaite J, Westbrook MT, Travaglia JF, Hughes C. Cultural and associated enablers of, and barriers to, adverse incident reporting. Qual Saf Health Care. 2010;19:229-33.
El-Jardali F, Dimassi H, Jamal D, Jaafar M, Hemadeh N. Predictors and outcomes of patient safety culture in hospitals. BMC Health Serv Res. 2011;11(1):1-12.
El-Jardali F, Jaafar M, Dimassi H, Jamal D, Hamdan R. The current state of patient safety culture in Lebanese hospitals: a study at baseline. Int J Qual Health Care. 2010;22(5):386-95.
G.A. Wea. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Avaliable in: http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp. 2000.
Ghasemi M, Khoshakhlagh AH, Mahmudi S, Fesharaki MG. Identification and assessment of medical errors in triage area of an educational hospital using SHERPA technique in Iran. Int J Occup Saf Ergon. 2015;21(3):382-90.
Hansen L ,Williams M ,Cantor S. Perceptions of hospital safety climate and incidence of readmission . Health Res Service 2010 ; 42 : 596 - 616 .
Hellings J, Schrooten W, Klazinga N, Vleugels A. Challenging patient safety culture: survey results. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2007;20(7):620-32.
Khater W, Akhu-Zaheya L, Al-Mahasneh S, Khater R. Nurses' perceptions of patient safety culture in Jordanian hospitals. J Nurs Res. 2015;62(1):82-91.
KOHN, L. T. et al. To err is human. Washington, DC: National Academy Press, 2000.
Kumbi M, Hussen A, Lette A, Nuriye S, Morka G. Patient Safety Culture and Associated Factors Among Health Care Providers in Bale Zone Hospitals, Southeast Ethiopia: An Institutional Based Cross-Sectional Study. Drug Healthc Patient Saf. 2020;12:1-14
Mardon RE ,Khanna K ,Sorra J ,et al. Exploring the relationships between hospital patient safety culture and adverse events . J Patient Saf 2010 ; 6 : 226 - 32.
Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA Statement. Ann Intern Med. [Internet] 2009 [cited June 14 2016];151(4):264-9. A
Singer SJ, et al. Safety climate research: taking stock and looking forward. BMJ Qual Saf 2013;22:1-4. doi:10.1136/bmjqs-2012-001572
Singer SJ, Vogus TJ. Safety climate research: taking stock and looking forward. BMJ Qual Saf. 2012.
Souza MT, Silva MD, Carvalho R. Integrative review: what is it? how to do it? Einstein [Internet]. 2010[cited 2018 Mar 06]. Available from: http://www.scielo.br/pdf/ eins/v8n1/1679-4508-eins-8-1-0102.pdf
The Joint Commission. Revisions to LD.03.01.01. Oakbrook Terrace, IL: The Joint Commission; 2012. Accessed at www.jointcommission.org/assets/1/6/Pre-Pubs_LD.03.01.01_HAP.pdf on 8 April 2022.
van Noord I, de Bruijne MC, Twisk JW. The relationship between patient safety culture and the implementation of organizational patient safety defences at emergency departments. Int J Qual Health Care. 2010;22(3):162-9.
Weaver SJ, Lubomksi LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Promoting a culture of safety as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):369-374.
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