Patient safety culture assessment outcomes of medical workers in China:a systematic review

Abstract

Objective To systematically describe and analyze the patient safety culture assessment outcomes of medical workers in China, so as to provide scientific evidence for developing corresponding intervention measures. Methods Such databases as Web of Science, PubMed, Ovid, EBSCO, Google Scholar, CBM, VIP, CNKi and WanFang Data were used to collect studies published before December 2014, on patient safety culture assessment of medical workers in mainland China.Two reviewers independently screened, extracted and cross-checked the data, and the disagreements were resolved by discussion or by consulting a third reviewer.The qualitative synthesis method was used to analyze the study results. Results Of the total 1 721 records, 65 studies were included, and most of them were cross-sectional studies.The patient safety culture assessment instruments were foreign scales by the translation and revision for the Chinese version for 52 studies, and self-made questionnaire for the other 13 studies.The main factors influencing the patient safety culture of Chinese medical workers included seniority, department, educational background, experience of patient safety training and so on. Conclusions Many studies have been carried out for patient safety culture, but the research objects mostly are nursing staffs, without extensive research on other professional medical workers.Hospitals should strengthen the teams, the patient safety training, and build patient safety culture that is fair and open to safeguard patient safety. Key words: Medical workers; Patient safety; Safety culture; Assessment outcomes; Systematic review