Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Mini Review Volume 7 Issue 1

Strategies to Improve Safety Culture in the Hospitals

Iqbal Ratnani and Salim Surani

1Center for Critical Care, Houston Methodist Hospital, USA
2Texas A&M University, Corpus Christie Campus, Texas, USA

*Corresponding Author: Iqbal Ratnani, Center for Critical Care, Houston Methodist Hospital, USA.

Received: November 25, 2022; Published: December 05, 2022


This article addresses potential minefields of patient safety in healthcare organizations across the globe, particularly in the post-COVID era. This paper also suggests strategies at ground level to ensure a proper safety environment for staff as well as for patients. This article encompasses and addresses domains about patient safety and suggestions to provide a positive and viable working environment.

Keywords: Patient Safety; Healthcare Quality; Healthcare Leadership; Enabling Environment; Organizational Learning; Error Wisdom


  1. NSPF 2017 Leading a Culture of Safety: A Blueprint for Success (2017).
  2. Arredondo E., et al. “Tsunami of economic turmoil to hit the healthcare in 2021-2022. COVID-19 pandemic is just an earthquake”. Hospital Practice4 (2022): 232-239.
  3. Nembhard IM and Edmondson AC. “Making it safe: the effects of leader inclusiveness and professional status on psychological safety and improvement efforts in health care teams”. Journal of Organizational Behavior 7 (2006): 941-966.
  4. Singer SJ and Vogus TJ. “Reducing hospital errors: interventions that build safety culture”. Annual Review of Public Health 34 (2013): 373-396.
  5. Carroll J and Edmondson A. “Leading organizational learning in health care”. Quality and Safety in Health Care 1 (2002): 51-56.
  6. Alonazi W. “Building learning organizational culture during COVID-19 outbreak: a national study”. BMC Health Services Research 21 (2021): 422.
  7. Vogus TJ and Sutcliffe KM. “The safety organizing scale: development and validation of a behavioral measure of safety culture in hospital nursing units”. Medical Care1 (2007): 46-54.
  8. Vogus TJ and Sutcliffe KM. “The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units”. Medical Care10 (2007): 997-1002.
  9. Reason J. “Human error: models and management”. BMJ7237 (2000): 768-770.
  10. Reason J. “Beyond the organisational accident: the need for “error wisdom” on the frontline”. Quality and Safety in Health Care 13 (2004): ii28-33.
  11. Rosen MA., et al. “Teamwork in healthcare: Key discoveries enabling safer, high-quality care”. American Psychology 4 (2018): 433-450.
  12. Vincent C. “Patient Safety”. (Chapter 7) 2nd Oxford: Wiley Blackwell; (2010).
  13. Shen K., et al. “Staffing patterns in US nursing homes during COVID-19 outbreaks”. JAMA Health Forum7 (2022): e222151.
  14. Preuss G. “High performance work systems and organizational outcomes: the mediating role of information quality”. Industrial and Labor Relations Review 56 (2003): 590-605.
  15. West MA., et al. “Reducing patient mortality in hospitals: the role of human resource management”. Journal of Organizational Behavior 7 (2006): 983-1002.
  16. McFadden KL., et al. “The patient safety chain: transformational leadership’s effect on patient safety culture, initiatives, and outcomes”. Journal of Operations Management5 (2009): 390-404.
  17. Benzer JK., et al. “The relationship between organizational climate and quality of chronic disease management”. Health Service Research3 (2011): 691-711.
  18. Weick Karl E and Kathleen M Sutcliffe. “Managing the Unexpected - Assuring High Performance in an Age of Complexity”. San Francisco, CA, USA: Jossey-Bass (2001).
  19. Pronovost PJ., et al. “Creating high reliability in health care organizations”. Health Services Research 4 (2006): 1599-1617.
  20. Piotrowski M., et al. “The safety case management committee: expanding the avenues for addressing patient safety”. Joint Commission journal on quality improvement 6 (2002): 296-305.


Citation: Iqbal Ratnani and Salim Surani. “Strategies to Improve Safety Culture in the Hospitals”.Acta Scientific Medical Sciences 7.1 (2023): 09-11.


Copyright: © 2022 Iqbal Ratnani and Salim Surani. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In

News and Events

Contact US