ReviewBMJ global health2018
Building a safety culture in global health: lessons from Guatemala.
Review in BMJ global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Patient safety culture in public hospitals of Ethiopia: A systematic review and meta-analysis.PloS one · 2025Pooled it
- Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis.BMJ open · 2022Pooled it
- Parent-provider communication dynamics during the pediatric oncology diagnostic process in Guatemala: A qualitative study.Pediatric blood & cancer · 2024Article
- Implementation challenges to patient safety in Guatemala: a mixed methods evaluation.BMJ quality & safety · 2022Article
- How to improve patient safety in fragile, conflict-affected and vulnerable settings: a Delphi study protocol.BMJ open · 2021Article
- Communication Priorities and Experiences of Caregivers of Children With Cancer in Guatemala.JCO global oncology · 2021Article
- Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Community-Based Interventions to Reduce Child Stunting in Rural Guatemala: A Quality Improvement Model.International journal of environmental research and public health · 2021Article
- Implementation Analysis of a Perioperative Patient Safety Program in Guatemala.World journal of surgery · 2020Article
- Treating patients in a safe environment: a cross-sectional study of patient safety attitudes among doctors in the Gaza Strip, Palestine.BMC health services research · 2020Article
- Factors Related to the Differential Development of Inter-Professional Collaboration Abilities in Medicine and Nursing Students.Frontiers in psychology · 2020Article
- The Heterogeneity of Global Pediatric Surgery: Defining Needs and Opportunities Around the World.World journal of surgery · 2019Article
- Developing a national patient safety plan in Guatemala.Revista panamericana de salud publica = Pan American journal of public health · 2019Article
- Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship.BMJ global health · 2019Article
- Long-term effects of an e-learning course on patient safety: A controlled longitudinal study with medical students.PloS one · 2019Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Programmes to modify the safety culture have led to lasting improvements in patient safety and quality of care in high-income settings around the world, although their use in low-income and middle-income countries (LMICs) has been limited. This analysis explores (1) how to measure the safety culture using a health culture survey in an LMIC and (2) how to use survey data to develop targeted safety initiatives using a paediatric nephrology unit in Guatemala as a field test case. We used the Safety, Communication, Operational Reliability, and Engagement survey to assess staff views towards 13 health climate and engagement domains. Domains with low scores included personal burnout, local leadership, teamwork and work-life balance. We held a series of debriefings to implement interventions targeted towards areas of need as defined by the survey. Programmes included the use of morning briefings, expansion of staff break resources and use of teamwork tools. Implementation challenges included the need for education of leadership, limited resources and hierarchical work relationships. This report can serve as an operational guide for providers in LMICs for use of a health culture survey to promote a strong safety culture and to guide their quality improvement and safety programmes.
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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.