Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Aug 23:29:251.
eCollection 2015.

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

Saber Azami-Aghdash  1 , Farbod Ebadifard Azar  2 , Aziz Rezapour  3 , Akbar Azami  4 , Vahid Rasi  5 , Khalil Klvany  6
Affiliations

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

Saber Azami-Aghdash et al. Med J Islam Repub Iran. .

Abstract

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.

Keywords: Culture; HSOPSC questionnaire; Iranian hospitals; Meta-analysis; Patient safety; Quality improvement.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Fig. 2
Fig. 2
Fig. 3
Fig. 3
Fig. 4
Fig. 4
Fig. 5
Fig. 5
Fig. 6
Fig. 6
Fig. 7
Fig. 7
See this image and copyright information in PMC

References

    1. Azami-Aghdash S, Mohammadi R. Using Tracer Methodology in Clinical Setting and Research to Measure and Improve Quality. J Clin Res Gov. 2013;2:39–40.
    1. Azami-Aghdash S, Ghaffari S, Sadeghi-Bazargani H, Tabrizi JS, Yagoubi A, Naghavi-Behzad M. Developing Indicators of Service Quality Provided for Cardiovascular Patients Hospitalized in Cardiac Care Unit. JCTR. 2013;5(1):23–8. - PMC - PubMed
    1. Tabrizi J, Gholipoor K, Asghari jafarabadi M, Farahbakhsh M, Mohammadzedeh M. Customer quality and maternity care in Tabriz urban health centers and health posts. J Clin Res Gov. 2012;1:12–5.
    1. Farahbakhsh M, Sadeghi-Bazargani H, Nikniaz AR, Tabrizi JS, Zakeri A, Azami-Aghdash S. . Iran's Experience of Health Cooperatives as a Public-Private Partnership Model in Primary Health Care: A Comparative Study in East Azerbaijan HPP. 2012;2(2):287–98. - PMC - PubMed
    1. Tabrizchi N, Sedaghat M. The first study of patient safety culture in Iranian primary health centers. Acta Med Iran. 2012;50(7):505–10. - PubMed

LinkOut - more resources