Groves Patricia S
1University of Iowa, Iowa City, USA.
West J Nurs Res. 2014 Jan;36(1):66-83. doi: 10.1177/0193945913490080. Epub 2013 Jun 5.
Patient safety continues to be a serious health concern in acute-care hospitals. Safety culture has been a frequent target for patient safety improvement over the past decade, based on recommendations from the Institute of Medicine and its use in industry. However, the relationship between safety culture and patient safety in acute-care hospitals has yet to be systematically examined. Thus, a meta-analysis was devised to examine the relationship between patient safety outcomes and safety culture in that setting. Due to the limited empirical research reports available, five small pilot meta-analyses were conducted, examining the relationship between safety culture and each of the following: pressure ulcers, falls, medication errors, nurse-sensitive outcomes, and post-operative outcomes. No significant relationships of any size were identified. An assessment of the relevant literature is presented, offering potential explanations for this surprising finding and an agenda for future research.
在急症护理医院中，患者安全仍是一个严重的健康问题。基于医学研究所的建议及其在行业中的应用，在过去十年里，安全文化一直是改善患者安全的常见目标。然而，急症护理医院中安全文化与患者安全之间的关系尚未得到系统研究。因此，设计了一项荟萃分析来研究该环境下患者安全结果与安全文化之间的关系。由于可用的实证研究报告有限，进行了五项小型试点荟萃分析，研究安全文化与以下各项之间的关系：压疮、跌倒、用药错误、护士敏感结果和术后结果。未发现任何规模的显著关系。本文对相关文献进行了评估，对这一惊人发现提供了潜在解释，并提出了未来研究议程。
