SynthesisAnnals of internal medicine2013
Promoting a culture of safety as a patient safety strategy: a systematic review.
Synthesis in Annals of internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 220 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
220 citing papers in PubMed, 10 syntheses or guidelines pooled it, 577 citations in OpenAlex.
- Safety Climate and Safety Behavior and Outcomes: A Comprehensive Systematic Review in Healthcare From the Perspective of Staff and Patients.Human factors · 2026Pooled it
- Pooled it
- Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature.BMJ open quality · 2024Pooled it
- Interventions to Increase Patient Safety in Long-Term Care Facilities-Umbrella Review.International journal of environmental research and public health · 2022Pooled it
- [Patient Safety Management Activities of Korean Nurses: A Meta-Analytic Path Analysis].Journal of Korean Academy of Nursing · 2022Pooled it
- Patient Safety in the Eyes of Aspiring Healthcare Professionals: A Systematic Review of Their Attitudes.International journal of environmental research and public health · 2021Pooled it
- Comparative Studies on Patient Safety Culture to Strengthen Health Systems Among Southeast Asian Countries.Frontiers in public health · 2020Pooled it
- Safety attitudes in hospital emergency departments: a systematic review.International journal of health care quality assurance · 2019Pooled it
- Organisation of health services for preventing and treating pressure ulcers.The Cochrane database of systematic reviews · 2018Pooled it
- Healthcare Professional's Perception of Patient Safety Measured by the Hospital Survey on Patient Safety Culture: A Systematic Review and Meta-Analysis.TheScientificWorldJournal · 2018Pooled it
- Shaping a positive occupational safety climate in general practice teams-findings of the baseline survey of the cluster randomized IMPROVEFrontiers in public health · 2025Trial
- Effectiveness of an educational intervention to improve the safety culture in primary care: a randomized trial.BMC family practice · 2019Trial
- Improving patient safety culture in general practice: an interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Trial
- Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Trial
- Review
- Physicians' Perspectives on Collaboration with Community Pharmacists: Implications for Collaborative Care in Jordan.Healthcare (Basel, Switzerland) · 2026Article
- Organizational patient safety culture and workforce well-being among healthcare workers: associations with resilience and work-life balance in a hospital-wide cross-sectional study.BMC health services research · 2026Article
- Implementing after action review in an Irish tertiary hospital: a mixed-methods evaluation of safety culture and second victim experience and support.BMC health services research · 2026Article
- Patient safety as an ethical interface: alignment between staff safety culture, speaking up climate and inpatient perceptions in Romania: a cross-sectional multi-informant survey.BMC health services research · 2026Article
- Exploring heterogeneity in ICU nurses' perceived intrahospital transport safety: a latent profile analysis.BMC health services research · 2026Article
160 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
Developing a culture of safety is a core element of many efforts to improve patient safety and care quality. This systematic review identifies and assesses interventions used to promote safety culture or climate in acute care settings. The authors searched MEDLINE, CINAHL, PsycINFO, Cochrane, and EMBASE to identify relevant English-language studies published from January 2000 to October 2012. They selected studies that targeted health care workers practicing in inpatient settings and included data about change in patient safety culture or climate after a targeted intervention. Two raters independently screened 3679 abstracts (which yielded 33 eligible studies in 35 articles), extracted study data, and rated study quality and strength of evidence. Eight studies included executive walk rounds or interdisciplinary rounds; 8 evaluated multicomponent, unit-based interventions; and 20 included team training or communication initiatives. Twenty-nine studies reported some improvement in safety culture or patient outcomes, but measured outcomes were highly heterogeneous. Strength of evidence was low, and most studies were pre-post evaluations of low to moderate quality. Within these limits, evidence suggests that interventions can improve perceptions of safety culture and potentially reduce patient harm.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.