Weaver SJ, et al
Ann Intern Med. 2013 Mar 5;158(5 Pt 2):369-74.
- This systematic review identifies and assesses interventions used to promote safety culture or climate in acute care settings.
- Includes English-language studies published from January 2000 to October 2012.
- They selected studies that targeted health care workers practicing in inpatient settings and included data about change in patient safety culture or climate after a targeted intervention.
- In the 33 studies identified
- 8 studies included executive walk rounds or interdisciplinary rounds;
- 8 evaluated multicomponent, unit-based interventions; and
- 20 included team training or communication initiatives.
- 29 studies reported some improvement in safety culture or patient outcomes, but measured outcomes were highly heterogeneous.
- Strength of evidence was low but evidence suggests that interventions can improve perceptions of safety culture and potentially reduce patient harm.
