Patient Safety Culture Among Healthcare Settings in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis

Ensuring patient safety is a crucial element in providing high-quality healthcare services. Therefore, this study aimed to assess the current state of patient safety culture in healthcare settings within low- and middle-income countries. A thorough search was conducted across multiple databases, inc...

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Main Authors: Natnael Atnafu Gebeyehu, Kirubel Tegegne, Biruk Admass, Nathan Shewangashaw, Yibeltal Atalay, Dagne Sewuyew, Awoke Gebremariam, Kelemu Abebe Gelaw
Format: Article
Language:English
Published: The Beryl Institute 2024-11-01
Series:Patient Experience Journal
Subjects:
Online Access:https://pxjournal.org/journal/vol11/iss3/21
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author Natnael Atnafu Gebeyehu
Kirubel Tegegne
Biruk Admass
Nathan Shewangashaw
Yibeltal Atalay
Dagne Sewuyew
Awoke Gebremariam
Kelemu Abebe Gelaw
author_facet Natnael Atnafu Gebeyehu
Kirubel Tegegne
Biruk Admass
Nathan Shewangashaw
Yibeltal Atalay
Dagne Sewuyew
Awoke Gebremariam
Kelemu Abebe Gelaw
author_sort Natnael Atnafu Gebeyehu
collection DOAJ
description Ensuring patient safety is a crucial element in providing high-quality healthcare services. Therefore, this study aimed to assess the current state of patient safety culture in healthcare settings within low- and middle-income countries. A thorough search was conducted across multiple databases, including Science Direct, Scopus, Google Scholar, EMBASE, and PubMed. Data extraction was carried out using Microsoft Excel, and statistical analysis was performed using STATA software (version 14). To evaluate publication bias, methods such as Egger's regression tests, rank tests, and forest plots were utilized. The I2 statistic was used to assess heterogeneity, followed by an overall estimated analysis. Additionally, subgroup analyses were performed based on sample size and type of healthcare. After reviewing 1,143 articles, 21 publications involving 17,782 research participants were selected. The results indicated that the prevalence of patient safety culture in healthcare facilities in low- and middle-income countries was 48.25 percent (95 percent CI: 41.26, 55.24), with an I2 value of 78.8 percent. Among the various dimensions of patient safety culture, teamwork within units received the highest score (67.8%), while non-punitive responses to errors received the lowest score (27.6%). Compared to previous studies, it can be concluded that patient safety cultures in low- and middle-income countries are lacking, underscoring the need for targeted interventions to address this issue.
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series Patient Experience Journal
spelling doaj-art-c23ade15ba0047069f096c6498e74c672025-01-08T20:21:43ZengThe Beryl InstitutePatient Experience Journal2372-02472024-11-0111310.35680/2372-0247.1909Patient Safety Culture Among Healthcare Settings in Low and Middle-Income Countries: A Systematic Review and Meta-AnalysisNatnael Atnafu GebeyehuKirubel TegegneBiruk AdmassNathan ShewangashawYibeltal AtalayDagne SewuyewAwoke GebremariamKelemu Abebe GelawEnsuring patient safety is a crucial element in providing high-quality healthcare services. Therefore, this study aimed to assess the current state of patient safety culture in healthcare settings within low- and middle-income countries. A thorough search was conducted across multiple databases, including Science Direct, Scopus, Google Scholar, EMBASE, and PubMed. Data extraction was carried out using Microsoft Excel, and statistical analysis was performed using STATA software (version 14). To evaluate publication bias, methods such as Egger's regression tests, rank tests, and forest plots were utilized. The I2 statistic was used to assess heterogeneity, followed by an overall estimated analysis. Additionally, subgroup analyses were performed based on sample size and type of healthcare. After reviewing 1,143 articles, 21 publications involving 17,782 research participants were selected. The results indicated that the prevalence of patient safety culture in healthcare facilities in low- and middle-income countries was 48.25 percent (95 percent CI: 41.26, 55.24), with an I2 value of 78.8 percent. Among the various dimensions of patient safety culture, teamwork within units received the highest score (67.8%), while non-punitive responses to errors received the lowest score (27.6%). Compared to previous studies, it can be concluded that patient safety cultures in low- and middle-income countries are lacking, underscoring the need for targeted interventions to address this issue.https://pxjournal.org/journal/vol11/iss3/21patient safety culturepatient safetyhealthcare settingslow and middle-income countriesmeta-analysis
spellingShingle Natnael Atnafu Gebeyehu
Kirubel Tegegne
Biruk Admass
Nathan Shewangashaw
Yibeltal Atalay
Dagne Sewuyew
Awoke Gebremariam
Kelemu Abebe Gelaw
Patient Safety Culture Among Healthcare Settings in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis
Patient Experience Journal
patient safety culture
patient safety
healthcare settings
low and middle-income countries
meta-analysis
title Patient Safety Culture Among Healthcare Settings in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis
title_full Patient Safety Culture Among Healthcare Settings in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis
title_fullStr Patient Safety Culture Among Healthcare Settings in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis
title_full_unstemmed Patient Safety Culture Among Healthcare Settings in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis
title_short Patient Safety Culture Among Healthcare Settings in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis
title_sort patient safety culture among healthcare settings in low and middle income countries a systematic review and meta analysis
topic patient safety culture
patient safety
healthcare settings
low and middle-income countries
meta-analysis
url https://pxjournal.org/journal/vol11/iss3/21
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