Evidence map›Paper›PMID 40329339›Full record

ArticleArchives of public health = Archives belges de sante publique2025

Revisiting hospital patient safety culture in China: a nationwide network analysis.

Haoning Shi, Zhiyu Chen, Xingyao Du, Jing Jiang, Ying Peng, Chunni Wang, Shuangjiang Zheng, Qi Huang, Mingzhao Xiao, Qinghua Zhao and 1 more

Abstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

11 authors.

Haoning ShiNursing Department, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 40016, China.
Zhiyu ChenDepartment of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 40016, China.
Xingyao DuNursing Department, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 40016, China.
Jing JiangNursing Department, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 40016, China.
Ying PengNursing Department, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 40016, China.
Chunni WangNursing Department, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 40016, China.
Shuangjiang ZhengDepartment of Medical Affairs, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 40016, China.
Qi HuangSchool of Public Health, Chongqing Medical University, Chongqing, 40016, China.
Mingzhao XiaoNursing Department, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 40016, China.
Qinghua Zhao *Nursing Department, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 40016, China. qh20063@163.com.
Huanhuan Huang *Nursing Department, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 40016, China. hxuehao@126.com.

Funding

the First Affiliated Hospital of Chongqing Medical University CYYY-YJSJGXM-202402
6 · The paper itself

Abstract

backgroundPatient safety culture (PSC) is crucial for reducing medical errors and improving patient outcomes globally. This study aims to identify key improvement targets in China's PSC to promote a safer healthcare environment.

methodsData were extracted from two national PSC surveys conducted in 2016 and 2020 and were analyzed using the 12-dimensional Hospital Survey on Patient Safety Culture (HSOPSC) 1.0 questionnaire. Central targets were identified through strength, closeness, and betweenness centrality. Network stability was assessed using the case dropping bootstrap method.

resultsA total of 24,529 responses were included, with an average positive response rate of 63.92%. Teamwork within units had the highest rate, and nonpunitive response to error the lowest. Feedback and communication about errors showed the greatest strength (1.302), closeness (0.008), and betweenness (22), occupying a core node position in both genders and correlating strongly with communication openness. After the COVID-19 pandemic, the core node position of management support for patient safety has become more prominent.

conclusionsWhile teamwork is a notable strength, there is room to enhance the nonpunitive response to errors. Improving feedback and communication practices can further bolster openness and collaboration within teams, leading to an overall healthier work environment.

Indexed as

Betweenness centralityClosenessNetwork analysisPatient safetyStrength

Identifiers

PMID40329339
PMCPMC12057197

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.