The status of patient safety culture in Iranian hospitals: a systematic review

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.

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.

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.

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.