Patient safety culture in African health facilities: a systematic review and meta-analysis (ORIGINAL ARTICLE)
Dublin Core
Title
Patient safety culture in African health facilities: a systematic review and meta-analysis (ORIGINAL ARTICLE)
Subject
patient safety, safety culture, Hospital Survey on Patient Safety Culture
Description
infection being up to 20 times higher than in developed countries. The purpose of this review was to assess the current patient safety culture
(PSC) and provide insight into areas of strength and areas for improvement in terms of PSC.
Method: English-language articles were selected by consulting PubMed databases, African Journals Online, and Google Scholar data sources
from 2012 to 2022. Medcalc software was used for all calculations. The random-effects model was used. The presence of heterogeneity and
publication bias was assessed.
Result: The systematic review and meta-analysis result showed that the overall pooled result of PSC status was 51.6% with 95% confidence
interval (43.364 to 59.773). The results of Cochran’s Q test and I
2
statistics showed substantial heterogeneity among the included studies
(Q = 119.1617, df = 16, P < 0.0001 and I
2 = 86.57%), and thus random-effects model was used for meta-analysis.
Non-punitive response to errors and staffing were the dimensions with the lowest positive response rate, whereas teamwork within units and
supervisor expectation were the areas with good positive response rate.
Conclusion: The studies indicated a predominance of hospital organizational cultures that were immature or weak in terms of patient safety.
For them to be effective, safety culture evaluation should be linked to hospital-wide safety culture development strategies.
(PSC) and provide insight into areas of strength and areas for improvement in terms of PSC.
Method: English-language articles were selected by consulting PubMed databases, African Journals Online, and Google Scholar data sources
from 2012 to 2022. Medcalc software was used for all calculations. The random-effects model was used. The presence of heterogeneity and
publication bias was assessed.
Result: The systematic review and meta-analysis result showed that the overall pooled result of PSC status was 51.6% with 95% confidence
interval (43.364 to 59.773). The results of Cochran’s Q test and I
2
statistics showed substantial heterogeneity among the included studies
(Q = 119.1617, df = 16, P < 0.0001 and I
2 = 86.57%), and thus random-effects model was used for meta-analysis.
Non-punitive response to errors and staffing were the dimensions with the lowest positive response rate, whereas teamwork within units and
supervisor expectation were the areas with good positive response rate.
Conclusion: The studies indicated a predominance of hospital organizational cultures that were immature or weak in terms of patient safety.
For them to be effective, safety culture evaluation should be linked to hospital-wide safety culture development strategies.
Creator
Oumer Sada Muhammed and Teferi Gedif Fenta
Source
DOI:https://doi.org/10.1093/ijcoms/lyae002
Publisher
Oxford University Press
Date
16 April 2024
Contributor
Sri Wahyuni
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Oumer Sada Muhammed and Teferi Gedif Fenta, “Patient safety culture in African health facilities: a systematic review and meta-analysis (ORIGINAL ARTICLE),” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11289.