SynthesisBMJ open2019
Hospital Survey on Patient Safety Culture (HSPSC): a systematic review of the psychometric properties of 62 international studies.
Synthesis in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06926504 (TeamBirth - an Intervention to Improve Patient Safety and Person-centered Care During Childbirth), which is not on this map. Cited by 51 papers, 3 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.
TeamBirth - an Intervention to Improve Patient Safety and Person-centered Care During Childbirth
Who cites it
51 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Defining Speaking Up in the Healthcare System: a Systematic Review.Journal of general internal medicine · 2023Pooled it
- 'Development and psychometric evaluation of the safety feeling scale in adult patients at hospital: Exploratory sequential mixed method'.Nursing open · 2023Pooled it
- Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Cross-Cultural Adaptation and Psychometric Validation of the Hospital Survey on Patient Safety Culture Version 2 (HSOPSv2) in Spanish Hospitals.Journal of evaluation in clinical practice · 2026Article
- Article
- Psychometric properties of the second version of the hospital survey on patient safety culture across a regional hospital system of Brazil.BMC health services research · 2026Article
- Ready for change? The effect of profession and organization on patient safety culture and organizational readiness for change - a cross-sectional study.BMC health services research · 2026Article
- Enhancing adoption of patient safety culture assessments in Brazil: a strategy informed by CFIR and ERIC.Implementation science communications · 2026Article
- National insights into patient safety culture in Chinese psychiatric hospitals: the role of hospital-level disparities.Frontiers in health services · 2026Article
- Perceived Crises and Preparedness Gaps in Operating Room Nursing: A Qualitative Study of Training Priorities With Nurses and Educators.Journal of nursing management · 2026Article
- Article
- Patient Safety Culture of Hospitals in Southern Laos: A Cross-Sectional Study Using the Hospital Survey on Patient Safety Culture.Healthcare (Basel, Switzerland) · 2025Article
- Observational
- Portuguese cross-cultural adaptation and validation of the hospital survey on patient safety culture 2.0.BMC health services research · 2025Article
- Assessment of patient safety non-technical skills among consultants and residents in tertiary care hospitals: An analytical study.Pakistan journal of medical sciences · 2025Article
- The relationship between patient safety culture and attitudes toward incident reporting among registered nurses.BMC health services research · 2025Article
- Assessing safety culture and second victim experience following adverse events among Romanian nurses: a cross-sectional study.BMC nursing · 2025Article
- Exploring the development of safety culture among physicians with text mining of patient safety reports: a retrospective study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- Examining psychosocial risks and their impact on nurses' safety attitudes and medication error rates: A cross-sectional study.AIMS public health · 2025Article
- Adverse event reporting and patient safety: the role of a just culture.Frontiers in health services · 2025Article
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.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo carry out a systematic review of the psychometric properties of international studies that have used the Hospital Survey on Patient Safety Culture (HSPSC).
designLiterature review and an analysis framework to review studies.
settingHospitals and other healthcare settings in North and South America, Europe, the Near East, the Middle East and the Far East. DATA SOURCES: A total of 62 studies and 67 datasets made up of journal papers, book chapters and PhD theses were included in the review. PRIMARY AND SECONDARY OUTCOME MEASURES: Psychometric properties (eg, internal consistency) and sample characteristics (eg, country of use, participant job roles and changes made to the original version of the HSPSC).
resultsJust over half (52%) of the studies in our sample reported internal reliabilities lower than 0.7 for at least six HSPSC dimensions. The dimensions 'staffing', 'communication openness', 'non-punitive response to error', 'organisational learning' and 'overall perceptions of safety' resulted in low internal consistencies in a majority of studies. The outcomes from assessing construct validity were reported in 60% of the studies. Most studies took place in a hospital setting (84%); the majority of survey participants (62%) were drawn from nursing and technical staff. Forty-two per cent of the studies did not state what modifications, if any, were made to the original US version of the instrument.
conclusionsWhile there is evidence of a growing worldwide trend in the use of the HSPSC, particularly within Europe and the Near/Middle East, our review underlines the need for caution in using the instrument. Future use of the HSPSC needs to be sensitive to the demands of care settings, the target population and other aspects of the national and local healthcare contexts. There is a need to develop guidelines covering procedures for using, adapting and translating the HSPSC, as well as reporting findings based on its use.
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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.