Patient safety culture in hospitals of Iran: a systematic review and meta-analysis

Background: healthcare organizations is being increasingly used. The aim of this study was to clarify PSC statusin Iranian hospitals using a meta-analysis method.Nowadays, for quality improvement, measuring patient safety culture (PSC) inMethodsSID and IranMedex using the search terms including patient safety, patient safety culture, patientsafety 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 HospitalSurvey on Patient Safety Culture (HSOPSC) questionnaire initially were reviewed. To estimateoverall PSC status and perform the meta-analyses, Comprehensive Meta-Analysis (CMA) softwarev. 2 was employed.: Six databases were searched: PubMed, Scopus, Google Scholar, Cochrane Library, Magiran,Resultsunits” 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 reportany adverse event in the past 12 months.: The overall PSC score based on the random model was 50.1%. “Teamwork within hospitalConclusionAmong the 12 dimensions of HSOPSC questionnaire, the “Non-punitive response to error” achievedthe lowest score and could be a priority for future interventions. In this regard, hospitals staff shouldbe encouraged to report adverse event without fear of punitive action.: The results of this study show that Iranian hospitals’ performances in PSC were poor.