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Safety culture literature review

Background II. Literature Review III. Nursing Implications IV. Strategies to Address Issue V.
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Patient safety culture in care homes for older people: a scoping review

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Safety culture – Human Factors

Metrics details. In recent years, there has been an increasing focus on the role of safety culture in preventing incidents such as medication errors and falls. However, research and developments in safety culture has predominantly taken place in hospital settings, with relatively less attention given to establishing a safety culture in care homes. Despite safety culture being accepted as an important quality indicator across all health and social care settings, the understanding of culture within social care settings remains far less developed than within hospitals. It is therefore important that the existing evidence base is gathered and reviewed in order to understand safety culture in care homes.
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Safety culture and safety climate: A review of the literature

Safety culture is the collection of the beliefs , perceptions and values that employees share in relation to risks within an organization , such as a workplace or community. Studies have found that workplace related disasters are a result of a breakdown in an organization's policies and procedures that were established to deal with safety, and that the breakdown flows from inadequate attention being paid to safety issues. A good safety culture can be promoted by senior management commitment to safety, realistic practices for handling hazards, continuous organisational learning, and care and concern for hazards shared across the workforce. The Chernobyl disaster highlighted the importance of safety culture and the effect of managerial and human factors on safety performance. Since then, a number of definitions of safety culture have been published.
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This integrative literature review was conducted to examine the relationships between safety culture and patient safety and quality of care outcomes in hospital settings and to identify directions for future research. Using a search of six electronic databases, 17 studies that met the study criteria were selected for review. This review revealed semantic inconsistencies, infrequent use of a theory or theoretical framework, limited discussions of validity of instruments used, and significant methodological variations. Most notably, this review identified a large array of nonsignificant and inconsistent relationships between safety culture and patient safety and quality of care outcomes. To improve understanding of the relationships, investigators should consider using a theoretical framework and valid measures of the key concepts.
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