Evidence map›Paper›PMID 39920686›Full record

ArticleBMC health services research2025

Patient safety culture through the lenses of surgical patients: a qualitative study.

Magnhild Vikan, Arvid S Haugen, Berit T Valeberg, Ann K Bjørnnes, Vigdis K S Husby, Ellen Ct Deilkås, Stein O Danielsen

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Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Magnhild VikanDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, St. Olavs Place, P.O. Box 4, 0130, Oslo, Norway. magnhil@oslomet.no.
Arvid S HaugenDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, St. Olavs Place, P.O. Box 4, 0130, Oslo, Norway.
Berit T ValebergDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, St. Olavs Place, P.O. Box 4, 0130, Oslo, Norway.
Ann K BjørnnesDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, St. Olavs Place, P.O. Box 4, 0130, Oslo, Norway.
Vigdis K S HusbyDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, St. Olavs Place, P.O. Box 4, 0130, Oslo, Norway.
Ellen Ct DeilkåsDepartment of Health Services Research, Akershus University Hospital, Lørenskog, Norway.
Stein O DanielsenDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, St. Olavs Place, P.O. Box 4, 0130, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient engagement and learning from patients' experiences may increase patient safety and reduce the occurrence of adverse events. Most adverse events are related to surgery, and patient outcomes are positively associated with patient safety culture. This study aimed to explore former surgical patients' perspectives and experiences of adverse events and patient safety culture during their surgical pathway and identify themes relevant to adverse event causes and quality improvement projects.

methodsThe design of this qualitative study was explorative, utilizing an abductive approach. We purposefully recruited former surgical patients from Norwegian user organizations based on group characteristics sampling. The participants were 57% men and 43% women, aged 35 to 64 years. We conducted 14 individual semi-structured interviews between 18/01/24 and 07/03/24 using Zoom's video audio software, with an average duration of 65 min. We analyzed the data using Braun and Clarke's method for reflexive thematic analysis, and generated themes by examining patterns of meaning throughout the dataset.

resultsData analysis generated three themes concerning the former surgical patients' perspectives of patient safety culture and adverse events: (1) "Personalized care and predictable pathways increase patients' sense of safety"; (2) "Surgical patients' involvement: Aspire to be a resource - Not a threat"; and (3) "Time to cultivate a culture that fosters improvements and reconciliation."

conclusionsThis study provided insight into patients' perspectives on adverse events and patient safety culture in the surgical context. The patients underscored the value of predictable plans in caregiving, tailored information, personalized care, and dialogue on equal terms. They considered the demand for efficiency, professional hierarchy, status, prestige, and authority to be barriers to patient engagement and safety. Interventions to improve a culture of openness, psychological safety, and organizational learning in the surgical context could increase the safety of patients and healthcare professionals. Finally, acknowledgment of adverse events, information, and follow-up were essential for patients and next of kin to move on after an adverse event.

Indexed as

Patient ParticipationPatient SafetySafety ManagementSurgical Procedures, OperativeAdultFemaleHumansInterviews as TopicMaleMedical ErrorsMiddle AgedNorwayOrganizational CultureQualitative ResearchQuality ImprovementAdverse eventsDisclosureMedical errorsPatient engagementPatient experiencesPatient safetyPatient safety cultureQuality improvementSurgery

Identifiers

PMID39920686
PMCPMC11804094

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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.