Journal
JOURNAL OF NURSING SCHOLARSHIP
Volume 42, Issue 2, Pages 156-165Publisher
WILEY
DOI: 10.1111/j.1547-5069.2009.01330.x
Keywords
Hospital safety culture framework; patient safety
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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?.
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