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What is Patient Safety Culture? A Review of the Literature

2010; Wiley; Volume: 42; Issue: 2 Linguagem: Inglês

10.1111/j.1547-5069.2009.01330.x

1547-5069

Christine Sammer, Kristine Lykens, Karan P. Singh, Douglas Mains, Nuha A. Lackan,

Healthcare Quality and Management

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