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J Nurs Scholarsh. 2010 Jun;42(2):156-65. doi: 10.1111/j.1547-5069.2009.01330.x.

What is patient safety culture? A review of the literature.

Author information

  • 1Clinical Care Transformation, Office of Clinical Effectiveness, Adventist Health System, 1035 Greenwood Boulevard, Lake Mary, FL 32746, USA. christine.sammer@ahss.org

Abstract

PURPOSE:

To organize the properties of safety culture addressed by many studies and to develop a conceptual culture of safety model.

DESIGN AND METHODS:

A comprehensive review of the culture of safety literature within the U.S. hospital setting. The review was a qualitative meta-analysis from which we generated a conceptual culture of safety framework and developed a typology of the safety culture literature.

FINDINGS:

Seven subcultures of patient safety culture were identified: (a) leadership, (b) teamwork, (c) evidence-based, (d) communication, (e) learning, (f) just, and (g) patient-centered.

CONCLUSIONS:

Safety culture is a complex phenomenon that is not clearly understood by hospital leaders, thus making it difficult to operationalize. We found senior leadership accountability key to an organization-wide culture of safety.

CLINICAL RELEVANCE:

Hospital leaders are increasingly pressured by federal, state, regulatory, and consumer groups to demonstrate an organizational safety culture that assures patients are safe from medical error. This article defines a safety culture framework that may support hospital leadership answer the question "what is a patient safety culture?"

PMID:
20618600
[PubMed - indexed for MEDLINE]
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