Patient safety culture assessment in Iran using the �Hospital survey on patient safety culture� tool: A systematic review and meta-analysis

Abstract

Background: Paying attention to patient safety is a crucial aspect of the healthcare provision delivery. Integrating and coordinating the different parts of the health system can ensure a safe, high-quality and efficient care. Patient safety culture (PSC) is a broad, complex and multi-dimensional conceptual framework. In recent years, several studies have been conducted to evaluate PSC using the �Hospital Survey on Patient Safety Culture� (HSOPSC) tool. The aim of this study was to examine the level of PSC in Iranian hospitals. Methods: ISI/Web of Sciences (WoS), PubMed/MEDLINE, Embase, CINAHL, PsychINFO and Scopus as well as Iranian databases including MagIran and SID were searched from January 2000 to July 2018. The Newcastle-Ottawa Scale checklist was used to assess the quality of the studies. The mean score of the participants� responses for each dimension of the questionnaire was calculated using the DerSimonian-Laird's random model with a 95 confidence interval. Results: In the current systematic review and meta-analysis, 27 studies conducted between 2012 and 2017 were included. The participants were 9264. Low scores (in the range 37.79�65.43) were found, especially when compared to other countries such as Lebanon, Turkey and the USA. Conclusion: Our results showed that in Iran the level of PSC is low and requires special attention from healthcare managers and providers. PSC should be a very important priority in Iran's health sector. Health decision- and policy-makers should pay particular attention to offering training programs to promote and develop PSC. © 2019 INDIACLE