Volume 29, Issue 1 (1-2015)                   Med J Islam Repub Iran 2015 | Back to browse issues page

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Azami-Aghdash S, Ebadifard Azar F, Rezapour A, Azami A, Rasi V, Klvany K. Patient safety culture in hospitals of Iran: a systematic review and meta-analysis. Med J Islam Repub Iran. 2015; 29 (1) :724-736
URL: http://mjiri.iums.ac.ir/article-1-3141-en.html
Health management and economics research center, Iran University of Medical Sciences, Tehran, Iran. , f_ebadi@yahoo.com
Abstract:   (3256 Views)


healthcare organizations is being increasingly used. The aim of this study was to clarify PSC status

in Iranian hospitals using a meta-analysis method.

Nowadays, for quality improvement, measuring patient safety culture (PSC) in


SID and IranMedex using the search terms including patient safety, patient safety culture, patient

safety climate and combined with hospital (such as “hospital survey on patient safety culture”),

measurement, assessment, survey and Iran. A total of 11 articles which conducted using Hospital

Survey on Patient Safety Culture (HSOPSC) questionnaire initially were reviewed. To estimate

overall PSC status and perform the meta-analyses, Comprehensive Meta-Analysis (CMA) software

v. 2 was employed.

: Six databases were searched: PubMed, Scopus, Google Scholar, Cochrane Library, Magiran,


units” dimension received the highest score of PSC (67.4%) and “Non-punitive response to error”

the lowest score (32.4%). About 41% of participants in reviewed articles evaluate their hospitals’

performance in PSC as ‘excellent/very good’. Approximately %52.7 of participants did not report

any adverse event in the past 12 months.

: The overall PSC score based on the random model was 50.1%. “Teamwork within hospital


Among the 12 dimensions of HSOPSC questionnaire, the “Non-punitive response to error” achieved

the lowest score and could be a priority for future interventions. In this regard, hospitals staff should

be encouraged to report adverse event without fear of punitive action.

: The results of this study show that Iranian hospitals’ performances in PSC were poor.
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