Maturity Model and Safety Culture in Healthcare: A Systematic Review
DOI:
https://doi.org/10.37506/ijphrd.v11i3.2769Keywords:
Maturity of patient safety, patient safety, occupational safety and health, hospital, clinicAbstract
not yet involved safety and occupational accidents. Previous research uses the Manchester Patient Safety
Framework (Ma PSaF) instrument to measure 5 levels of patient safety culture maturity: Pathological,
Reactive, Bureaucratic, Proactive and Generative. This study aims to investigate the level of patient safety
culture maturity in hospitals.
Method: This study used a systematic literature review of 5 databases: PubMed, EBSCO, Proquest, Science
Direct and Scopus. Inclusion criteria in this study are articles related to patient safety criteria; research
outcome in this study is patient safety maturity level; 3) articles in the form of results obtained from the
keywords used;articles have been published since 2009-2019; the article is an academic journal;english
articles. 498 articles were obtained and after screening 2 articles selected.
Results: The two articles involved 2 countries: United Kingdom and Indonesia. There are 10 indicators
examined in both studies which one developed 10 indicators with 24 dimensions. Study in UK, using
univariate quantitative method. Research in Indonesia uses a qualitative method by interviewing experts
and literature studies, there is a change in the definition of maturity in 3 dimensions to maintain research
reliability, such as safety, communication and teamwork. Maturity of patient safety culture in the UK is
proactive level.
Conclusions: There are 10 keys indictors for maturity of a patient safety culture: commitment to overall
continuous improvement, priority given to safety, system errors and individual responsibility, recording
incidents and best practices, evaluating incidents and practices best, study and make changes, communication
about safety issues, personnel management and safety issues, staff education and training, teamwork.
At present the safety culture maturity measuring instrument only patient safety. Further research should
measure the maturity of safety culture more comprehensive including patient safety, occupational safety and
health (OSH).