SynthesisBMJ open quality2024
Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature.
Synthesis in BMJ open quality, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis 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
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of operating room occupational health cluster: a systematic review and meta-analysis.Frontiers in public health · 2026Pooled it
- Promoting Positive Nursing Practice Environments: Outcomes of a Randomized Trial in Primary Care.Journal of nursing management · 2026Trial
- Perceived health, musculoskeletal disorders, work conditions and safety climate in relation to patient handling and movement - a multicentre cross-sectional study at healthcare workplaces.BMC musculoskeletal disorders · 2025Trial
- Shaping a positive occupational safety climate in general practice teams-findings of the baseline survey of the cluster randomized IMPROVEFrontiers in public health · 2025Trial
- Medication Safety in India and Southeast Asia: A SWOT Analysis of Policies and Practices.Pharmaceutical medicine · 2026Review
- The Role of Nurse Managers in Promoting Psychological Safety and Patient Safety Culture in Nursing Teams: A Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
- Fitting in or standing out: a scoping review of gender-related findings in Nordic EMS through an organizational socialization lens.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Organizational Culture Patterns and Safety-Relevant Dimensions in Teaching Hospitals: A Cross-Sectional Study.Health science reports · 2026Article
- Healthcare Quality Systems: International Frameworks, Evaluation and Improvement Strategies.Healthcare (Basel, Switzerland) · 2026Review
- Soft skills during residency in Spain: an analysis of the specialized training programmes.BMC medical education · 2026Observational
- Simulation beyond Residency: A Call to Action for Anesthesiology Leaders and Perioperative Teams.Anesthesiology · 2026Review
- Relational and Organisational Factors Relating to Job Satisfaction Among Critical Care Nurses.Nursing in critical care · 2026Article
- Dental students' perceptions of professional ethics practices demonstrated by faculty: a cross-sectional study.BMC medical education · 2026Article
- Process Evaluation of a Structured Method for Systematic and Integrated Occupational Safety and Health and Patient Safety Management Systems (SIOHPS): Protocol for a Convergent Parallel Mixed Methods Study.JMIR research protocols · 2026Article
- Lean Six Sigma for Sharps Waste Management and Occupational Biosafety in Emergency Care Units.International journal of environmental research and public health · 2026Article
- The Influence of Organizational and Social Work Environmental Factors on Patient Safety Climate.Journal of nursing management · 2026Article
- Impact of a dual-prevention nursing risk-management system on in-hospital adverse events, staff competence, and stakeholder satisfaction: a two-year quasi-experimental implementation study.Frontiers in medicine · 2026Article
- Reflections of Nurse Leaders on Optimising Organisational Culture in Aged Care in Rural and Regional Australia: A Critical Discourse Analysis.Journal of nursing management · 2026Article
- Workplace management practices and quiet quitting among primary healthcare workers: a sequential-parallel mediation analysis.Frontiers in public health · 2026Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn an era of safety systems, hospital interventions to build a culture of safety deliver organisational learning methodologies for staff. Their benefits to hospital staff are unknown. We examined the literature for evidence of staff outcomes. Research questions were: (1) how is safety culture defined in studies with interventions that aim to enhance it?; (2) what effects do interventions to improve safety culture have on hospital staff?; (3) what intervention features explain these effects? and (4) what staff outcomes and experiences are identified? METHODS AND ANALYSIS: We conducted a mixed-methods systematic review of published literature using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The search was conducted in MEDLINE, EMBASE, CINAHL, Health Business Elite and Scopus. We adopted a convergent approach to synthesis and integration. Identified intervention and staff outcomes were categorised thematically and combined with available data on measures and effects.
resultsWe identified 42 articles for inclusion. Safety culture outcomes were most prominent under the themes of leadership and teamwork. Specific benefits for staff included increased stress recognition and job satisfaction, reduced emotional exhaustion, burnout and turnover, and improvements to working conditions. Effects were documented for interventions with longer time scales, strong institutional support and comprehensive theory-informed designs situated within specific units. DISCUSSION: This review contributes to international evidence on how interventions to improve safety culture may benefit hospital staff and how they can be designed and implemented. A focus on staff outcomes includes staff perceptions and behaviours
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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.