The status of patient safety culture in Iranian hospitals: a systematic review - Payesh (Health Monitor)
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Volume 22, Issue 2 (March-April 2023)                   Payesh 2023, 22(2): 129-138 | Back to browse issues page

Ethics code: IR.ARUMS.REC.1399.122


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Yousefian M, Eyni S, Amini K, Ershadifard S, Gheybati F, Asadi H. The status of patient safety culture in Iranian hospitals: a systematic review. Payesh 2023; 22 (2) :129-138
URL: http://payeshjournal.ir/article-1-1923-en.html
1- Department of Anesthesia, Alavi Hospital, Faculty of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran
2- Department of Psychology, Faculty of Humanities and Social Sciences, University of Kurdistan, Sanandaj, Iran
3- Department of Emergency Medicine, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran
4- Department of Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
Abstract:   (1790 Views)
Objective(s): One of the most significant influencing factors in patient safety is the existence of a patient safety culture in the hospital. Patient safety culture is one of the important topics and one of the important concerns of managers and policy makers of the health system. This systematic review was conducted with the aim of determining the status of patient safety culture in Iranian hospitals.
Methods: In this systematic review study, electronic search in Farsi and English using keywords Patient Safety, Hospital, Patient safety culture, in databases Medline, Google Scholar, Elsevier Direct Science, Ovid, PubMed and patient safety culture, patient safety and The hospital was conducted in the database of Jihad University Scientific Database (SID), Iran Nursing Publications Bank (Nindex), Magiran and Iranmedex between 2010 and 2020. Articles were extracted in 2021.
Results: A total of 182 articles were extracted and finally 23 articles were analyzed. In most hospitals, the overall scores of patient safety culture were reported as low and moderate. The highest score was related to the dimensions of the manager's expectations and actions in the direction of patient safety and the transfer of important patient information between different departments and shifts, team work within the department and organizational learning, and the lowest score was related to the dimensions of non-punitive response to events and the dimension of openness of communication channels.
Conclusion: valuing patient safety can be effective in the development and progress of hospitals in the country in order to improve the culture of patient safety. Improving relationships and teamwork within hospital units and creating a non-punitive environment can be effective in improving patient safety in the hospital.
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type of study: Systematic Reviw |
Received: 2022/08/2 | Accepted: 2023/03/1 | ePublished ahead of print: 2023/03/5 | Published: 2023/04/9

References
1. Mohebi Far R, Alijan zade M, Safari Variani A, Khoshtarkib H, Ghanati E, Teymouri F, et al. Studying patient safety culture from the viewpoint of staffs in educational hospitals in Tehran City. Journal of Health and Safety at Work 2015;5:57-65[Persian]
2. Motazedi Z, Mohammadi Beilankohi E, Taherinia J, Asghari E, Arshadi Bostanabad M, Alikhah H. Assessment of Patient Safety Culture from Viewpoint of Nurses working in Tabriz Sina Educational and Treatment Center. Medical Journal of Tabriz University Medical Sciences Health Services 2019;41:92-99[Persian] [DOI:10.34172/mj.2019.011]
3. Rahimi E, Alizadeh SH, Safaeian AR, Abbasgholizadeh N. An Investigation of Patient Safety Culture: The Beginning for Quality and Safety Improvement Plans in Patient Care Services. Journal of Health 2020;11:235-247[Persian] [DOI:10.29252/j.health.11.2.235]
4. Sheikhy-Chaman M. Patient Safety Culture from the Perspective of Nurses Working in Selected Hospitals of Tehran University of Medical Sciences. Iran Journal of Nursing 2020;33:92-103[Persian]
5. Pakzad N, Norouzi Tabrizai K, Fallahi Khoshknab M, Norouzi M. A Comparison of the Effect of Virtual and Lecture-Based Patient Safety Education on Patient Safety Culture among Nurses. Qom Univ Med Sci 2016;10:27-34[Persian]
6. Kazemi H, Najafi E, Saeidi S. Relationship between Patient Safety Culture and the Medication Errors between Nurses Working in Educational and Medical Centers of Ardabil and Khalkhal. Journal of Health and Care 2021;23:20-31[Persian] [DOI:10.52547/jhc.23.1.20]
7. Zendegani N, Zare zadeh N, Montaseri AM, Rabei S. Evaluating patient's safety from the perspective of health-care officials in hospitals affiliating with jahrom University of Medical Sciences in 2014. Journal of Education and Ethics in Nursing 2014;3:49-56[Persian]
8. Shamsadini Lori A, Osta A, Atashbahar O, Ramazani S, PourAhmadi MR, Ahmadi Kashkoli S. Patient Safety Culture from the Viewpoint of Nurses of Teaching Hospitals Affiliated with Shahid Beheshti University of Medical Sciences. Journal of Health Based Research 2016;2: 81-92[Persian]
9. Daneshkohan A, Mahfoozpour S, Palesh M, Fazli Ouchhesar B, Fazali Ouchhesar F. The Relationship between Patient Safety Culture and Barriers to Medical Errors Reporting Among Nurses in Tehran Hospitals. Journal of Health Based Research 2020; 5: 435-50[Persian]
10. Momeni B, Golpira R, Mayelafshar M. The study of the domains of patient safety culture in Rajaie Cardiovascular, Medical and Research Center in 2012. Cardiovascular Nursing Journal 2014;3: 34-41[Persian]
11. Rafiee Vardanjani L, Noorian K, Zaheri A. Study of the Status of Patient Safety Culture in Employees of Educational and Therapeutic Centers Affiliated to Shahrekord University of Medical Sciences. ijme 2018;12:527-535[Persian]
12. Sharifi S, Izadi-tame A, Hatamipour KH, Sadeghigooghary N, Safabakhsh L. Patient Safety Culture from Mazandaran Clinical Nurses' Perspective. Iran Journal of Nursing 2014; 27: 77-87[Persian] [DOI:10.29252/ijn.27.88.77]
13. Dehghani M, Hayavie Haghighi MH, Salimi J, Khorami F, Culture of Patient Safety from Nurses' Perspective. Iran Journal of Nursing 2015;28:42-54[Persian] [DOI:10.29252/ijn.28.93.94.42]
14. Salamat A, Mohammad Aliha J, Mardani Hamooleh M, Mohammadnejad E, Haghani SH. Patient Safety Culture in Intensive Care Units in the Viewpoint of Nurses in Tehran, Iran. Iran Journal of Nursing 2019;32:48-58[Persian] [DOI:10.29252/ijn.32.119.48]
15. Shahrabadi R, Moeini B, Roshanai Gh, Dashti S, Kafami V, Haghighi M. Assessing Hamadan's Nurses Perceptions of Patient Safety Culture's Dimensions. journal of hospital 2013;12:83-90[Persian]
16. Ajalli A,Fallahi Khoshknab M, Dibaee M. The survey of patient safety culture in Razi Psychiatric Center in Tehran. journal of health promotion managment 2015; 4:84-94[Persian]
17. Asadi H, Habibi Soola A, Davari M, Ershadifard S. The Status of Patient Safety Culture in Nurses of Imam Khomeini Hospital in Ardabil, Iran during the Outbreak of COVID-19, in 2020. Journal of Military Medicine 2020; 22:1162-1170[Persian]
18. Yaghobi Far M, Takbiri A, Haghgoshaye E, Tabarraye Y. The survey of patient safety culture and recognizing its weaknesses and strengths in Sabzevar hospitals 2012;20:154-164[ Persian]
19. Taghavi Larijani T, Ghane G. Actual Position of Patient Safety Culture in the Health System: A Review Study. Scientific Journal of Nursing, Midwifery and Paramedical Faculty 2018;4:1-16[Persian]
20. Pourshareiati F, amrollahi M. Patient Safety Culture from Rahnemon Hospital Nurses Perspective. Occupational Hygiene & Health Promotion Journal 2017;1: 52-61[Persian]
21. Ajalli A, Hosseini MA, Mohammadi E, Sirati nir M. The issue of patient safety in psychiatric wards and center: a systematic review. Iranian Journal of Systematic Review in Medical Sciences 2020;1:21-35[Persian]
22. AkologoA, Anongeba E. A cross-sectional survey on patient safety culture among healthcare providers in the Upper East region of Ghana. PLoS One 2019;14:1-13 [DOI:10.1371/journal.pone.0221208]
23. Alimohammadzadeh KH , Olya M, Ghaiyoomi A, Zaferani Arani H. A Comparative Study on Effective Factors in Patient Safety Culture from the Nursing Staff Points of View. Health Management & Information Science 2016;4:57-61[Persian]
24. Arshadi Bostanabad M, kargari Rezapour M. Patient safety culture assessment in neonatal intensive care units of tabriz from the perspective of nurses in 2013. Iranian Journal of Nursing Research. 2015;10:26-36[In Persian]
25. Behzad Momeni MR, Mayelafshar M. The study of the domains of patient safety culture in Rajaie Cardiovascular, Medical and Research Center in 2012. Cardiovascular Nursing Journal 2014;3:34-40[Persian]
26. Danielsson M, Rutberg H, Arestedt K. A National Study of Patient Safety Culture in Hospitals in Sweden. J Patient Saf 2017;2:1-6[Persian]
27. Farhan A E, Mohammad A, Alshammari F, Hamdan M, Tantut S, Sandro V. A survey of hospital healthcare professionals' perceptions toward patient safety culture in Saudi Arabia. International Journal of Africa Nursing Sciences 2019;11:1-6[Persian] [DOI:10.1016/j.ijans.2019.100149]
28. Faryabi R, Alizadeh siuki H , Rahimi T. The Investigation of the patient safety culture status in Hospitals of Jiroft City in 2014. Journal of Torbat Heydariyeh University of Medical Sciences 2014;2:23-30[Persian]
29. Laal F, Fazli B, Balarak D, Dalir F, Mohammadi M, Mirzaei R. Attitude toward the Patient Safety Culture in healthcare systems. Patient Safety Quality Improvment. 2016;4:363-368[Persian]
30. Gözlü K, Kaya S. Patient Safety Culture as Perceived by Nurses in a Joint Commission International Accredited Hospital in Turkey and its Comparison with Agency for Healthcare Research and Quality Data. Patient Safety Quality Improvment 2016;4:440-449[Persian]
31. 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[Persian] [DOI:10.2147/DHPS.S198146]
32. Rafiee Vardanjani L. The Relationship between Professional Commitment and Patient Safety Culture in Educational Hospitals of Shahrekord University of Medical Sciences. Journal of Health and Care 2020;21:344-52[Persian] [DOI:10.29252/jhc.21.4.344]
33. Lalegani S, Aliakbari F, Kheiri S, Masoudi R. The effectiveness of patient safety empowerment program with the technique of failure mode and effects analysis and its impact on the safety culture of nurses in critical care units. Scientific Journal of Nursing, Midwifery and Paramedical Faculty 2020:5:38-48[Persian]
34. Salamat A, Mohammad Aliha J, Mardani Hamooleh M, Mohammadnejad E, Haghani SH. Patient Safety Culture in Intensive Care Units in the Viewpoint of Nurses in Tehran, Iran. Iran Journal of Nursing 2019;32:48-58[Persian] [DOI:10.29252/ijn.32.119.48]
35. Rafiee Vardanjani L, Noorian K, Zaheri A. Study of the Status of Patient Safety Culture in Employees of Educational and Therapeutic Centers Affiliated to Shahrekord University of Medical Sciences. Iranian Journal of Medical Ethics and History of Medicine 2019;12:528-35[Persian]
36. Amiran P, Pour R, Fatemi Mehr A. Evaluation of Patient Safety Culture Based on the Viewpoint of Nurses and Physicians Employed in a Military Hospital. Military Caring Sciences 2018;5:26-33[Persian] [DOI:10.29252/mcs.5.1.26]
37. Pourshareiati F, Amrollahi M. Patient Safety Culture from Rahnemon Hospital Nurses' Perspective. Occupational Hygiene & Health Promotion 2017;1:52-61[Persian]
38. Rezaean M, Yazdanpanah A, Zinat Motlagh SF. Patient Safety Culture Status From The Perspective Medical Staff Of Yasuj Hospitals In 2015. Armaghane-danesh, Yasuj University of Medical Sciences Journal 2015;20:935-46[Persian]
39. Malekzadeh R, Abedi G, Sarafraz S, Ranjbar M, Assadi T. Assessment of Patient Safety Culture in Hospitals Affiliated with Mazandaran University of Medical Sciences, 2020. J Mazandaran Univ Med Sci 2021;30:127-133[Persian]
40. Jafarpanah M, Rezaei B. Patient Safety Culture; the Strengths and Weaknesses: A Case study of Imam Reza Hospital of Kermanshah. Health and Development Journal 2019;8:197-209[Persian]
41. Güneş ÜY, Gürlek Ö, Sönmez M. A survey of the patient safety culture of hospital nurses in Turkey. Collegian 2016;23:225-32. [DOI:10.1016/j.colegn.2015.02.005]
42. Khoshakhlagh AH, Khatooni E, Akbarzadeh I, Yazdanirad S, Sheidaei A. Analysis of affecting factors on patient safety culture in public and private hospitals in Iran. BMC Health Service Research 2019;19:10-20[Persian] [DOI:10.1186/s12913-019-4863-x]
43. Yilmaz Z, Goris S. Determination of the patient safety culture among nurses working at intensive care units. Pakistan Journal of Medical Sciences 2015;31:597-601 [DOI:10.12669/pjms.313.7059]
44. Park YM, Kim SY. Impacts of Job Stress and Cognitive Failure on Patient Safety Incidents among Hospital Nurses. Safety and Health at Work 2013;4:210-215 [DOI:10.1016/j.shaw.2013.10.003]
45. Nekoei-Moghadam M, Raadabadi M, Heidarijamebozorgi M. Patient safety culture in university hospital's emergency departments: A case study. International Journal of Health Planning and Management. 2019;4:1-7[Persian] [DOI:10.1002/hpm.2948]
46. Kim Ren A, Zin Hing C, Senok J, Peter S ,Bartholomew P. Hospital survey on patient safety culture in Sarawak General Hospital: A cross sectional study. Medical Journal of Malaysia 2019;74:385-388

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