Patient Safety in Nursing: A Systematic Review

Mahmood Motamedzadeh, Hosein Mahmoudi, Batool Nehrir, Abbas Ebadi


Introduction: Patient safety is a major public health problem. In fact, patient safety is a global health concern that affects patients in all areas of healthcare throughout the world, whether in developed or developing countries, and it is important to have a wide range of nursing practices such as education, clinics, and management. Considering the importance of patient safety in the quality of care and outcomes of patients, this study was conducted to systematically review patient safety in Iran and in the world.

Methods: This article follows the review of texts on patient safety dated between 2008 and 2016 found in Internet searches and library studies with the keywords "patient safety training", "quality of care", and "nursing" using databases such as MEDLINE, CINAHL, and ISI, which index the vast majority of published journals and publications. From the articles searched, 23 were obtained and reviewed. Out of the large amount of quantitative and qualitative studies found, articles about the patient safety in nursing were selected and their results are summarized in Table 1 below.

Results: The results of the review of 23 articles showed that patient safety in the majority of Iranian hospitals was at acceptable levels, and only in a few cities such as Shiraz and Hamadan.

Conclusion: According to the review, further planning is needed to improve the patient's safety, such as reducing mistakes, incidents of falling, hospital infections, surgical complications, and improving other safety features so that all hospitals in the future will be upgraded to safety-friendly hospitals.


Patient Safety Education; Quality of Care and Nursing

Full Text:



Lenburg CB, Abdur-Rahman VZ, Spencer TS, Boyer SA, Klein CJ. Implementing the COPA model in nursing education and practice settings: promoting competence, quality care, and patient safety. Nurs Educ Perspect. 2011;32(5):290-6. pmid: 22029239.

Rashvand F, Ebadi A. Designing and validation of safe nursing care assessment tool: A sequential exploratory mixed -methods design. Tehran Tehran Medical University; 2014.

Johnstone MJ, Kanitsaki O. Culture, language, and patient safety: Making the link. Int J Qual Health Care. 2006;18(5):383-8. doi: 10.1093/intqhc/mzl039. pmid: 16956931.

Fleming M, Wentzell N. Patient safety culture improvement tool: development and guidelines for use. Healthc Q. 2008;11(3 Spec No.):10-5. pmid: 18382154.

Vincent C. Patient safety: John Wiley & Sons; 2011.

Hosseini F, Kazemi M, Akbari A. [he Role of General health, in the Occurrence of Nursing Errors among Nurses in Rafsanjan University of Medical Sciences in 2012]. Rafsanjan Univ Med Sci J. 2014;7(4):27-35.

Vaismoradi M, Salsali M, Turunen H, Bondas T. Patients' understandings and feelings of safety during hospitalization in Iran: a qualitative study. Nurs Health Sci. 2011;13(4):404-11. doi: 10.1111/j.1442-2018.2011.00632.x. pmid: 21883768.

Mohebi Far R, Safari Variani A, Khoshtarkib H, Ghanati E, Teymouri F, Zakaria Kiaei M, et al. [Studying patient safety culture from the viewpoint of staffs in educational hospitals in Tehran City]. Health Saf Work. 2015;5(1):57-64.

Vaismoradi M, Bondas T, Jasper M, Turunen H. Nursing students' perspectives and suggestions on patient safety--implications for developing the nursing education curriculum in Iran. Nurse Educ Today. 2014;34(2):265-70. doi: 10.1016/j.nedt.2012.10.002. pmid: 23116928.

Baghaei R, Nourani D, Khalkhali H, Pirnejad H. [Evaluating Patient Safety Culture in Personnel of Academic Hospitals in Urmia University of Medical Sciences in 2011]. J Urmia Nurs Midwifery Fac. 2012;10(2).

Shahrabadi R, Moeini B, Roshanai G, Dashti S, Kafami V, Haghighi M. [Assessing Hamadans Nurses Perceptions of Patient Safety Cultures Dimensions]. J Hosp. 2014;12(4):83-90.

Abdi J, Maleki M, Khosravi A. [Employee perception of patient safety culture in selected hospitals of Tehran University of Medical Sciences]. Monitoring. 2009;10(4):411-9.

Mahfoozpour S, Ainy E, Mobasheri F, Faramarzi A. [Patients’ safety culture status among educational hospitals of Shahid Beheshti University of Medical Sciences in 2011]. Pajoohandeh J. 2012;17(3):134-41.

Salavati S, Fanoosi T, Dehghan D, Tabesh H. [Nurses’ perspectives on patient safety culture]. Iran J Nurs. 2013;26(84):24-33.

Moghri J, Akbari Sari A, Rahimi Forooshani A, Arab M. [Patient safety culture status in general hospitals affiliated to Tehran University of Medical Sciences]. Hakim Health Sys Res. 2013;16(3):243-50.

Momeni B, Golpira R, Mayelafshar M. [The study of the domains of patient safety culture in Rajaie Cardiovascular, Medical and Research Center in 2012]. Iranian J Cardiovasc Nurs. 2014;3(1):34-41.

Zendegani N, Zarezadeh N, Montasari M, Rabiei S. [Evaluating patient's safety from the perspective of health-care officials in hospitals affiliated with jahrom University of Medical Sciences in 2014]. J Educ Ethics Nurs. 2015;3(4):49-57.

Hatam N. Investigating patient safety culture from nurses' point of view in educational hospitals of Shiraz and providing solutions for improving the status. Shiraz: Shiraz university of medical sciences.

Zaboli R, Hasani M, Khalagi K, Bahadori M, Shirzad H. [The Relationship between Patient Safety Culture and Patients' Perception of Healthcare Quality in Military Hospitals in 2013]. Q Mil Med. 2014;1(3):19-30.

Saber M, Tehrani H, Kabootarkhani MH, Sabagh MG, Bagheri M. [Acquaintance of Kerman Hospitals’ Staff about Patient Safety Culture]. J Health Dev. 2015;4(2):124-32.

Rezaean M, Aqaie Borz Abad P, Yazdanpanah A, Zinat Motlagh S. [Patient Safety Culture Status From The Perspective Medical Staff Of Yasuj Hospitals In 2015]. Armaghan-e-danesh. 2016;20(10):935-46.

Faryabi R, Shahbazi H, Alizadeh Siuki H, Rahimi T. The Investigation of the patient safety culture status in Hospitals of Jiroft City in 2014. J Torbat Heydariyeh Univ Med Sci. 2015;2(4):23-30.

Ajalli A, Khoshknab M, Dibaee M. The survey of patient safety culture in razi psychiatric center in Tehran. Health Promot Manage. 2015;4:85-94.

Najafpour J, Boroumand S, Zahiri M. Evaluation of Patient Safety Indicators in Public Hospitals Covered by Ahwaz University of Medical Sciences Based on the Patient Safety Assessment Protocol of the World Health Organization. Ahwaz Univ Med Sci J. 2012;5(1):47-58.

Faghizadeh S, Asoori M. Assessment of Nurses Viewpoints on Patient Safety Culture in Amol Hospitals in Iran, 2012. Prev Care Nurs Midwifery J. 2015;4(2):45-55.

Jabari F, Ooshaksaraie M, Azadehdel M, Mehrabian F. Relationship between patient safety culture and professional conduct of nurses in context of clinical governance implementation. J Holist Nurs Midwifery. 2015;25(3):27-33.

Salarwand S, Moayed Kazemi A, Bahri N, Dalvand P, Moghimiyan M. Patient safety culture from the perspective of medical staff Assessing medical staff's view of patient safety culture. Q J Nurs Manage. 2013;4(3):54-64.

Izadi A, Derrickand J, Abraz A. [Assessing patient safety culture at Fatemeh Al-Zahra Hospital in Najafabad]. Sci Res. 2010.

Azami-Aghdash S, Azar FE, Rezapour A, Azami A, Rasi V, Klvany K. [Patient safety culture in hospitals of Iran: a systematic review and meta-analysis]. Med J Islamic Republic Iran. 2015;29:251.

Sharifi S, Izadi-Tame A, Hatamipour K, Sadeghigooghary N, Safabakhsh L. [Patient safety culture from Mazandaran clinical nurses’ perspective]. Iran J Nurs. 2014;27(88):77-87.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.

Creative Commons License
International Journal of Medical Reviews is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.