SynthesisBMC family practice2018
Patient safety and safety culture in primary health care: a systematic review.
Synthesis in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 5 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
78 citing papers in PubMed, 5 syntheses or guidelines pooled it, 258 citations in OpenAlex.
- Implementation of patient safety monitoring systems in hospitals: a systematic review.BMJ health & care informatics · 2025Pooled it
- Quality and Safety of Proximity Care Centered on the Person and Their Domiciliation: Systematic Literature Review.International journal of environmental research and public health · 2023Pooled it
- A meta-review of methods of measuring and monitoring safety in primary care.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021Pooled it
- What do we really assess with organisational culture tools in healthcare? An interpretive systematic umbrella review of tools in healthcare.BMJ open quality · 2020Pooled it
- Comparative Studies on Patient Safety Culture to Strengthen Health Systems Among Southeast Asian Countries.Frontiers in public health · 2020Pooled it
- Effects of Mindfulness Meditation on Doctors' Mindfulness, Patient Safety Culture, Patient Safety Competency and Adverse Event.International journal of environmental research and public health · 2022Trial
- Patient Safety in Family Medicine through the Eyes of People with Chronic Conditions in Slovenia.Zdravstveno varstvo · 2026Article
- Determinants, patterns, and gaps in patient safety and quality of care research in Israel: a scoping review.Israel journal of health policy research · 2026Article
- Quality Challenges in Municipal Telecare Call Center Services: Qualitative Evaluation Using the Anchored, Realistic, Cocreated, Human, Integrated, and Evaluated (ARCHIE) Framework.Journal of medical Internet research · 2026Article
- Article
- Impact of patient safety culture on resilience and turnover intention: a multi-site study.BMC health services research · 2026Article
- Attitudes toward patients' safety among healthcare professionals in the United Arab Emirates: A cross-sectional study.Medicine · 2026Article
- The associated factors of root cause analysis of incident reporting in public primary healthcare in Malaysia.Scientific reports · 2026Article
- Evaluation of patient safety culture education program among healthcare professionals: A cross-sectional study.Journal of education and health promotion · 2026Article
- Occupational burnout mediates the association between team climate and nurses' safety behaviours: a multicentre cross-sectional study.Frontiers in public health · 2026Article
- Formation and influencing factors of health communication competence among Chinese physical education teachers based on the ecological systems theory.Scientific reports · 2025Article
- Delphi analysis of how the practice team should organise event analysis in primary care.BMJ open quality · 2025Article
- Healthcare workers' perceptions of patient safety culture in emergency departments: a scoping review.BMJ open · 2025Article
- Exploring the barriers to nursing students' speaking up for patient safety in Iran: a qualitative study.BMC nursing · 2025Article
- Psychometric Properties for the Safety Attitudes Questionnaire in Child and Youth Health Clinics and School Health Services: A Validation Study.Nursing open · 2025Article
18 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
4 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient safety in primary care is an emerging field of research with a growing evidence base in western countries but little has been explored in the Gulf Cooperation Council Countries (GCC) including the Sultanate of Oman. This study aimed to review the literature on the safety culture and patient safety measures used globally to inform the development of safety culture among health care workers in primary care with a particular focus on the Middle East.
methodsA systematic review of the literature. Searches were undertaken using Medline, EMBASE, CINAHL and Scopus from the year 2000 to 2014. Terms defining safety culture were combined with terms identifying patient safety and primary care.
resultsThe database searches identified 3072 papers that were screened for inclusion in the review. After the screening and verification, data were extracted from 28 papers that described safety culture in primary care. The global distribution of the articles is as follows: the Netherlands (7), the United States (5), Germany (4), the United Kingdom (1), Australia, Canada and Brazil (two for each country), and with one each from Turkey, Iran, Saudi Arabia and Kuwait. The characteristics of the included studies were grouped under the following themes: safety culture in primary care, incident reporting, safety climate and adverse events. The most common theme from 2011 onwards was the assessment of safety culture in primary care (13 studies, 46%). The most commonly used safety culture assessment tool is the Hospital survey on patient safety culture (HSOPSC) which has been used in developing countries in the Middle East.
conclusionsThis systematic review reveals that the most important first step is the assessment of safety culture in primary care which will provide a basic understanding to safety-related perceptions of health care providers. The HSOPSC has been commonly used in Kuwait, Turkey, and Iran.
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.