Meta-synthesis of qualitative research on safety culture cognition in medical institutions
10.3760/cma.j.cn111325-20230823-00100
- VernacularTitle:医疗机构安全文化认知质性研究的Meta整合
- Author:
Jiajie TANG
1
;
Fang WANG
;
Xu HU
;
Xiangling ZHOU
;
Xinhua XIE
Author Information
1. 蚌埠医学院护理学院，蚌埠 233000
- Keywords:
Patient Safety;
Safety culture;
Medical institutions;
Qualitative research;
Meta-synthesis
- From:
Chinese Journal of Hospital Administration
2024;40(6):468-476
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze qualitative research on safety culture cognition of medical staff and patients in medical institutions, for references to promote the development of safety culture in medical institutions.Methods:This study searched English databases such as PubMed and Embase, as well as Chinese databases such as CNKI and Wanfang, to collect qualitative research related literature on the safety culture cognition of medical staff and patients in medical institutions. The search period was from database establishment to July 15, 2023. The inclusion and exclusion criteria for literature, and the Australian JBI critical appraisal tool for qualitative research were used to screen the literature, and a meta-synthesis method was used to integrate and analyze the research results.Results:A total of 13 articles were included, and 30 research results were extracted and integrated into three levels: individual, organizational, and interpersonal. Among them, the individual level included three categories: responsibility and ability, personal factors, and patient factors. The organizational level included five categories: patient safety as the primary principle, management level, regulations and processes, work environment, and safety culture atmosphere. The interpersonal level included two categories: cooperation and communication.Conclusions:The development and construction of safety culture were influenced by various factors. Medical institutions should attach importance to the core competency building of medical personnel and advocate for patient participation in safety culture construction; Promote the development of safety culture in medical institutions and improve the management system for adverse events; Improve team collaboration efficiency, standardize communication and exchange modes, and improve the quality of medical safety.
