{
  "abstract": "Background Improving patient safety in healthcare settings requires a culture of shared values, beliefs, attitudes, perceptions and knowledge. Despite the fact that medical errors are inevitable, patient safety culture (PSC) initiatives may be able to lessen their frequency and effects. To improve patient safety, it is essential to investigate how healthcare professionals see hospital PSC. In Ethiopia, no evidence has been studied nationally. In order to assess the pooled status of PSC and its associated factors at Ethiopian public hospitals, a systematic review and meta-analysis was conducted.Methods The Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines were followed throughout our study. Pub-Med, CINAHL, Web of Sciences, Google Scholar and repository databases were used for the search. Stata V.17 was used to analyse the data using the random-effects model. Forest plots were used to present the pooled results.Results A total of 6583 participants were involved in 16 studies that were included in this systematic review and meta-analysis. The overall PSC for healthcare professionals working in Ethiopian public hospitals was found to be 47.78% (95% CI 44.72 to 50.84; I 2=84.56%). ‘Teamwork within units’ was the only PSC dimension with a satisfactory percentage of positive responses (75.53%; 95% CI 73.57 to 77.49). Compared with other hospital settings (48.77%), PSC at referral hospitals was lower (43.49%). A positive response rate to overall PSC was significantly predicted by being a nurse or midwife (OR=3.06; 95% CI 1.27 to 7.41), participating in patient safety training (OR=3.23; 95% CI 2.33 to 4.48), having a BSc degree or higher (OR=2.62; 95% CI 1.56 to 4.38), working in medical-surgical units (OR=4.32; 95% CI 2.71 to 6.90) and having more work experience (OR=5.69; 95% CI 2.52 to 12.87).Conclusion The pooled status of PSC among healthcare professionals in Ethiopia is low. Compared with other hospital settings, the PSC was lower in referral hospitals. A higher positive response rate to the overall PSC was predicted by professional type, educational attainment, patient safety training, working units and longer work experiences. In order to promote patient safety, the Ministry of Health, hospital managers and policymakers must work collaboratively by launching initiatives to strengthen a positive PSC.",
  "authors": [
    {
      "affiliations": [
        "Department of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia"
      ],
      "name": "Ayenew Takele Alemu"
    },
    {
      "affiliations": [
        "College of Medicine and Health Sciences, School of Nursing and Midwifery, Department of Pediatrics and Child Health Nursing, Bahir Dar University, Bahir Dar, Ethiopia"
      ],
      "name": "Azeb Geddif"
    },
    {
      "affiliations": [
        "Department of Environmental Health, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia"
      ],
      "name": "Genet Gedamu Kassie"
    },
    {
      "affiliations": [
        "Department of Public Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia"
      ],
      "name": "Kalkidan Worku Mitiku"
    },
    {
      "affiliations": [
        "Department of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia"
      ],
      "name": "Mahider Awoke Belay"
    },
    {
      "affiliations": [
        "Department of Public Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia"
      ],
      "name": "Mulat Belay Simegn"
    },
    {
      "affiliations": [
        "Department of Nutrition and Dietetics, School of Public Health, College of Medicine Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia"
      ],
      "name": "Samuel Dagne Chanie"
    },
    {
      "affiliations": [
        "Department of Public Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia"
      ],
      "name": "Werkneh Melkie Tilahun"
    },
    {
      "affiliations": [
        "Department of Nutrition and Dietetics, School of Public Health, College of Medicine Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia"
      ],
      "name": "Yonatan Menber"
    },
    {
      "affiliations": [
        "Department of Health Promotion and Behavioral Sciences, School of Public Health, College of Medicine & Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia"
      ],
      "name": "Yosef Wasihun"
    },
    {
      "affiliations": [
        "Department of Epidemiology and Biostatistics, School of Public Health, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Birhan, Ethiopia"
      ],
      "name": "Zenebe Abebe Gebreegziabher"
    },
    {
      "affiliations": [
        "Department of Environmental Health, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia",
        "Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia"
      ],
      "name": "Zewudu Andualem"
    }
  ],
  "title": "Patient safety culture and associated factors among healthcare professionals at public hospitals in Ethiopia: a systematic review and meta-analysis",
  "uid": "0e0cc223-f51a-5dda-9f5e-8b5cf3960fa1"
}