Evidence map›Paper›PMID 40465761›Full record

SynthesisPloS one2025

Patient safety culture in public hospitals of Ethiopia: A systematic review and meta-analysis.

Gedion Asnake Azeze, Kirubel Eshetu Haile, Amanuel Yosef Gebrekidan, Gizachew Ambaw Kassie, Berhan Tsegaye Negash, Yordanos Sisay Asgedom

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 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

6 authors.

Gedion Asnake AzezeDepartment of Midwifery, College of Medicine and Health Science, Hawassa University, Sidama region, Ethiopia.
Kirubel Eshetu HaileSchool of Nursing, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.ORCID https://orcid.org/0009-0002-2641-3703
Amanuel Yosef GebrekidanSchool of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Gizachew Ambaw KassieSchool of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Berhan Tsegaye NegashDepartment of Midwifery, College of Medicine and Health Science, Hawassa University, Sidama region, Ethiopia.
Yordanos Sisay AsgedomSchool of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient safety is a major health care challenge and is an issue of global concern. Poor healthcare system in Ethiopia, alongside increasing concerns for safety and patient safety culture, prompted to this systematic review and meta-analysis. Our systematic review and meta-analysis aims to determine the pooled prevalence of patient safety culture among healthcare providers in Ethiopia from studies that administered Hospital Survey on Patient Safety Culture (HSOPSC) tool.

methodThis study employed a systematic review and meta-analysis and followed the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines. We carried out a comprehensive search for studies in Science Direct, Medline, African Journals Online (AJOL), Excerpta Medical Database (EMBASE), Scopus and Google Scholar to identify relevant observational studies published in the English language. Data sources were searched on the 10th of October 2024 and updated the search on the 29th of March 2025. All selected articles met the inclusion criteria according to the Participants, Intervention, Comparison and Outcome (PICOS) criteria.. Random effects model meta-analysis using STATA version 15 statistical software was conducted to estimate the pooled prevalence with 95% confidence intervals (CI). Funnel plot and I2 test were used to check publication bias and heterogeneity between studies, respectively. Subgroup analysis and leave-out-one sensitivity analysis was done.

resultsSearches retrieved a total of 667. After removing duplicates, 610 remained. 138 studies were reviewed in full, but only 14, which included 5,901 health care providers, were considered in the final meta-analysis. The pooled prevalence of patient safety culture among health care providers in public hospitals of Ethiopia was 45.52% (95% CI: 41.27, 49.76; I2 = 91.3; p-value<0.001). CONCLUSION AND IMPLICATIONS: Patient safety culture among health care providers in Ethiopia remained poor. These findings underscore the need for increased focus on education and training, development of guidelines and policies for patient safety to integrate a patient safety culture into the existing health system. Additionally, integrating patient safety education and training topics early in pre-service curricula is crucial. REGISTRATION: Registered in PROSPERO database with registration number of CRD42023407601.

Indexed as

Hospitals, PublicPatient SafetySafety ManagementEthiopiaHealth PersonnelHumansOrganizational Culture

Identifiers

PMID40465761
PMCPMC12136323

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.