J Korean Acad Soc Nurs Educ.
2025 Feb;31(1):65-83. 10.5977/jkasne.2025.31.1.65.
A review of the relationship between patient safety culture and safety activities: A systematic review focusing on the Korean version of the Hospital Survey on Patient Safety Culture 1.0
- Affiliations
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- 1Assistant Professor, Department of Nursing․ Research Institute for Basic Sciences, College of Life and Health Science, Hoseo University
- 2PhD Candidate, College of Nursing Science, Kyung Hee University
- 3Emeritus Professor, College of Nursing, Seoul National University
- 4Associate Professor, Department of Nursing, Gangneung-Wonju National University
- KMID: 2567053
- DOI: http://doi.org/10.5977/jkasne.2025.31.1.65
Abstract
- Purpose
Forming a patient safety culture is the first step in addressing patient safety issues. This study therefore examines the patient safety culture among healthcare professionals in South Korea. It also identifies the factors influencing patient safety culture and related activities.
Methods
Among the survey studies conducted in South Korea, we reviewed those that measured patient safety culture using the Korean version of the Hospital Survey on Patient Safety Culture 1.0. We identified the level of patient safety culture, the relationship between patient safety culture and patient safety activities, and the factors affecting patient safety culture.
Results
A total of 640 studies were identified through searches of seven domestic and international databases, with 58 included in the analysis. Studies targeting nurses accounted for 96.6%. The general characteristics of patient safety culture included length of service, age, working hours, department of work, hospital size, conflict occurrence, unreported incidents, and subjective safety management evaluations. A statistically significant correlation between patient safety culture and patient safety activities was confirmed in 84.5% of studies. Patient safety culture was the most frequently reported factor influencing patient safety activities.
Conclusion
Strategies to enhance patient safety culture can promote patient safety activities in South Korean healthcare institutions. Considering organizational and organizational members characteristics when devising these strategies can enhance their effectiveness.
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