Evidence map›Paper›PMID 42416218›Full record

ArticleHealth science reports2026

Organizational Culture Patterns and Safety-Relevant Dimensions in Teaching Hospitals: A Cross-Sectional Study.

Leili Alizamani, Ehsan Mousa-Farkhani, Mahin Esmaeili-Darmian, Ali Vafaee-Najar, Elaheh Hooshmand

Abstract read
In one paragraph

Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Leili AlizamaniStudent Research Committee Mashhad University of Medical Sciences Mashhad Iran.ORCID https://orcid.org/0009-0007-0996-5940
Ehsan Mousa-FarkhaniDepartment of Epidemiology, School of Health Mashhad University of Medical Sciences Mashhad Iran.
Mahin Esmaeili-DarmianStudent Research Committee Mashhad University of Medical Sciences Mashhad Iran.
Ali Vafaee-NajarSocial Determinants of Health Research Center Mashhad University of Medical Sciences Mashhad Iran.
Elaheh HooshmandDepartment of Management Sciences and Health Economics, School of Health Mashhad University of Medical Sciences Mashhad Iran.ORCID https://orcid.org/0000-0002-8916-7426

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Organizational culture is widely recognized as an important determinant of patient safety, yet it remains unclear which cultural dimensions genuinely drive safety-related outcomes in teaching hospitals, particularly in low- and middle-income country (LMIC) contexts. This study aimed to move beyond organizational ideals by identifying dominant cultural patterns and their potential operational relevance for safety outcomes in Iranian teaching hospitals. Methods: This cross-sectional analytical study was conducted among healthcare staff working in teaching hospitals affiliated with Mashhad University of Medical Sciences, Iran. Organizational culture was assessed using a validated multilevel questionnaire measuring teamwork, responsibility, risk-taking, and accountability across beliefs, values, behaviors, and symbols. Descriptive statistics, group comparisons, correlation analyses, and regression models were used to examine cultural patterns and identify factors associated with accountability and responsibility. Results: A total of 108 hospital staff participated in the study. Among the four organizational culture dimensions, responsibility showed the highest overall mean score, followed by accountability, while teamwork and risk-taking had comparatively lower mean scores. Female participants reported significantly higher responsibility scores than male participants (4.17 ± 0.69 vs. 3.85 ± 0.54; Conclusion: Teaching hospitals in Iran exhibit a predominantly conservative organizational culture that prioritizes stability and compliance over adaptability and innovation. While responsibility and accountability represent important strengths, strengthening teamwork and collaborative practices may enhance the practical translation of organizational values into safety-related outcomes. These findings offer relevant insights for teaching hospitals in Iran and other LMIC settings seeking to balance accountability with adaptability in pursuit of safer and more resilient health systems.

Indexed as

accountabilitycross‐sectional studylow‐ and middle‐income countries (LMICs)organizational culturepatient safetyresponsibilityteaching hospitals

Identifiers

PMID42416218
PMCPMC13338568

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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.