How to Develop a Model of High Reliability Organization, Patient Safety Culture, and Safety Culture Maturity? A Systematic Review
This literature review aims to identify and describe organizations with high reliability, patient safety culture, and a mature safety culture.
This literature review uses the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) method. Sources of literature in this study are online database journals in English in PDF format from Scopus, PubMed, Science Direct, Proquest, National Library, and Google Scholar. The time of publication of references in the literature review is 2015-2022. Keyword search for selection process Article term is “Organization” OR “Reliability Organization” OR “High Reliability Organization” OR “HRO's” OR “Safety” OR “Patient Safety” OR “Patient safety incident” OR “safety climate” OR “Safety Culture” OR “Patient Safety Culture” OR “PSC” OR Maturity Safety Culture” OR Maturity and Safety Culture Model” OR “SCM” OR “Hospital” OR “Health Care”.
The issue of high-reliability organizational literacy has dimensions of leadership, a safety-focused culture, and a system of continuous learning and improvement. The evolving dimensions of patient safety culture described according to the HSoPSC of the AHRQ are error communication, communication, receipt and exchange of information, hospital management support for patient safety, organizational learning and improvement, patient safety incident reporting, response to errors, staffing and speed. work, supervisors, managers, or clinical leaders support patient safety, and the work team. The dimensions of safety culture maturity according to MaPSaf are: commitment to overall continuous improvement, priority is given to safety, system faults and individual responsibility, incident reporting and best practices, incident evaluation and best practices, learning and making changes, communication of safety issues, personal management and safety issues, staff education and training, and teamwork. The level of safety culture is in the range of pathological, reactive, calculative or bureaucratic, proactive, and generative.
The theoretical and methodological considerations for further research are to make the development of high-reliability organizational models and to identify and describe the influence of high-reliability organizations on patient safety culture and safety culture. For this reason, the results of the study need to be recorded in the policy notes as recommendations for patient safety.
Keywords – High Reliability Organization, Patient Safety Culture, Safety Culture Maturity