Safety culture in intensive care internationally and in Australia: A narrative review of the literature

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
Elspeth DunstanFiona Coyer

Abstract

Assessment of safety culture in health care is of particular relevance in the complex intensive care setting, where the effects of human error can have catastrophic consequences. The aim of this review was to examine the literature on safety culture in intensive care units (ICUs) and specifically, to explore the state of knowledge regarding safety culture in the context of Australian ICUs. A search was conducted of key databases for studies published in English between January 2008 and December 2017 using terms 'safety culture', 'safety climate', 'safety attitude', 'intensive care', 'ICU' and 'critical care'. Studies were included if they presented original research, utilised the teamwork and safety climate factors of a quantitative survey tool to assess safety culture, the sample population included participants working in an adult intensive care, and the findings were reported in the context of intensive care. Of the 36 studies identified, two were conducted in Australia. The studies demonstrate a rapid expansion in safety culture assessment globally. Three levels of safety culture application in intensive care were identified, including safety culture assessment, effect of an intervention on safety culture, and evaluation of...Continue Reading

Citations

Dec 21, 2020·International Emergency Nursing·Wiem AouichaManel Mallouli
Jun 6, 2020·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·M LesnyP E Bollaert
Oct 31, 2020·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Mohamed Ayoub TliliManel Mallouli

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