Maturity Model and Safety Culture in Healthcare: A Systematic Review

Abstract

not yet involved safety and occupational accidents. Previous research uses the Manchester Patient SafetyFramework (Ma PSaF) instrument to measure 5 levels of patient safety culture maturity: Pathological,Reactive, Bureaucratic, Proactive and Generative. This study aims to investigate the level of patient safetyculture maturity in hospitals.Method: This study used a systematic literature review of 5 databases: PubMed, EBSCO, Proquest, ScienceDirect and Scopus. Inclusion criteria in this study are articles related to patient safety criteria; researchoutcome in this study is patient safety maturity level; 3) articles in the form of results obtained from thekeywords used;articles have been published since 2009-2019; the article is an academic journal;englisharticles. 498 articles were obtained and after screening 2 articles selected.Results: The two articles involved 2 countries: United Kingdom and Indonesia. There are 10 indicatorsexamined in both studies which one developed 10 indicators with 24 dimensions. Study in UK, usingunivariate quantitative method. Research in Indonesia uses a qualitative method by interviewing expertsand literature studies, there is a change in the definition of maturity in 3 dimensions to maintain researchreliability, such as safety, communication and teamwork. Maturity of patient safety culture in the UK isproactive level.Conclusions: There are 10 keys indictors for maturity of a patient safety culture: commitment to overallcontinuous improvement, priority given to safety, system errors and individual responsibility, recordingincidents and best practices, evaluating incidents and practices best, study and make changes, communicationabout safety issues, personnel management and safety issues, staff education and training, teamwork.At present the safety culture maturity measuring instrument only patient safety. Further research shouldmeasure the maturity of safety culture more comprehensive including patient safety, occupational safety andhealth (OSH).