Patient safety culture in hospital settings across continents: a systematic review.
Establishing a strong patient safety culture is a global public health goal. This systematic review identified 75 research studies from around the world that used the Hospital Survey on Patient Safety Culture to measure patient safety culture in hospitals. Teamwork and organizational learning emerged as strengths, and non-punitive responses to error and staffing surfaced as weaknesses across continents. Nurses comprised the largest response group and rated patient safety culture lower than other staff groups did.