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    Patient safety culture in maternity units: a review

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    Al Nadabi_et_al_IJHCQA.pdf (560.9Kb)
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    Publication date
    2018
    Author
    Al Nadabi, W.
    McIntosh, Bryan
    McClelland, Gabrielle T.
    Mohammed, Mohammed A.
    Keyword
    Patient safety culture
    Patient safety climate
    Maternity
    Obstetrics
    Rights
    © Emerald Publishing Limited 2019 Published by Emerald Publishing Limited Licensed re-use rights only.
    Peer-Reviewed
    Yes
    
    Metadata
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    Abstract
    Purpose: To summarize studies that have examined patient safety culture (PSC) in maternity units and describe the different purposes, study designs and tools reported in these studies, whilst highlighting gaps in the literature. Methodology: Peer-reviewed studies published in English during 1961-2016 across eight electronic databases were subjected to a narrative literature review. Findings: Among 100 articles considered, 28 met the inclusion criteria. The main purposes for studying PSC were: (a) assessing intervention effects on PSC (n= 17); and (b) assessing PSC level (n=7). Patient safety culture was mostly assessed quantitatively using validated questionnaires (n=23). The Safety Attitude Questionnaire was the most commonly used questionnaire (n=17). Intervention varied from a single action lasting five weeks to a more comprehensive package lasting more than four years. The time between the baseline and the follow-up assessment varied from six months up to 24 months. No study reported measurement or intervention costs, and none incorporated the patient’s voice in assessing PSC. Practical Implications: Assessing PSC in maternity units is feasible using validated questionnaires. Interventions to enhance PSC have not been rigorously evaluated. Future studies should report PSC measurement costs, adopt more rigorous evaluation designs, and find ways to incorporate the patient’s voice. Originality/Value: This review summarized studies examining PSC in a highly important area and highlighted main limitations that future studies should consider.
    URI
    http://hdl.handle.net/10454/16625
    Version
    Accepted Manuscript
    Citation
    Al Nadabi W, McIntosh B, McClelland T et al (2018) Patient safety culture in maternity units: a review. International Journal of Health Care Quality Assurance. 32(4): 662-676.
    Link to publisher’s version
    https://doi.org/10.1108/IJHCQA-01-2018-0005
    Type
    Article
    Collections
    Health Studies Publications

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