Patient safety culture in hospitals of Iran: A systematic review and meta-analysis

Azami-Aghdash, S. and Ebadifard Azar, F. and Rezapour, A. and Azami, A. and Rasi, V. and Klvany, K. (2015) Patient safety culture in hospitals of Iran: A systematic review and meta-analysis. Medical Journal of the Islamic Republic of Iran, 29 (1). pp. 724-736.

Patient safety culture in hospitals of Iran A systematic review and meta-analysis.pdf

Download (3MB) | Preview
Official URL:


Background: Nowadays, for quality improvement, measuring patient safety culture (PSC) in healthcare organizations is being increasingly used. The aim of this study was to clarify PSC status in Iranian hospitals using a meta-analysis method. Methods: Six databases were searched: PubMed, Scopus, Google Scholar, Cochrane Library, Magiran, SID and IranMedex using the search terms including patient safety, patient safety culture, patient safety climate and combined with hospital (such as "hospital survey on patient safety culture"), measurement, assessment, survey and Iran. A total of 11 articles which conducted using Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire initially were reviewed. To estimate overall PSC status and perform the meta-analyses, Comprehensive Meta-Analysis (CMA) software v. 2 was employed. Results: The overall PSC score based on the random model was 50.1. "Teamwork within hospital units" dimension received the highest score of PSC (67.4) and "Non-punitive response to error" the lowest score (32.4). About 41 of participants in reviewed articles evaluate their hospitals' performance in PSC as 'excellent/very good'. Approximately 52.7 of participants did not report any adverse event in the past 12 months. Conclusion: The results of this study show that Iranian hospitals' performances in PSC were poor. Among the 12 dimensions of HSOPSC questionnaire, the "Non-punitive response to error" achieved the lowest score and could be a priority for future interventions. In this regard, hospitals staff should be encouraged to report adverse event without fear of punitive action.

Item Type: Article
Additional Information: cited By 3
Subjects: WA Public Health
WX Hospitals and Other Health Facilities
Depositing User: eprints admin
Date Deposited: 01 Jul 2018 07:37
Last Modified: 13 Jan 2020 10:18

Actions (login required)

View Item View Item