TY - JOUR
T1 - What is patient safety culture? A review of the literature
AU - Sammer, Christine E.
AU - Lykens, Kristine
AU - Singh, Karan P.
AU - Mains, Douglas A.
AU - Lackan, Nuha A.
PY - 2010/6/1
Y1 - 2010/6/1
N2 - 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?"
AB - 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?"
KW - Hospital safety culture framework
KW - Patient safety
UR - http://www.scopus.com/inward/record.url?scp=77954182526&partnerID=8YFLogxK
U2 - 10.1111/j.1547-5069.2009.01330.x
DO - 10.1111/j.1547-5069.2009.01330.x
M3 - Article
C2 - 20618600
AN - SCOPUS:77954182526
SN - 1527-6546
VL - 42
SP - 156
EP - 165
JO - Journal of Nursing Scholarship
JF - Journal of Nursing Scholarship
IS - 2
ER -