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Healthcare professional's perception of patient safety assessed by the hospital survey on patient safety culture in Taiwan: a systematic review

Hsin-Hung Wu (Department of Business Administration, National Changhua University of Education, Changhua, Taiwan) (Faculty of Education, State University of Malang, Malang, Indonesia)
Yii-Ching Lee (Department of Health Business Administration, Hung Kuang University, Shalu, Taiwan)
Chih-Hsuan Huang (Hubei University of Economics, Wuhan, China)
Li Li (Law and Business College of Hubei University of Economics, Wuhan, China)

The TQM Journal

ISSN: 1754-2731

Article publication date: 16 March 2022

Issue publication date: 7 March 2023




Safety activities have been initiated in healthcare organizations in Taiwan, but little is known about the performance and trends of safety culture on a timely basis. This study aims to comprehensively review the articles that have conducted two worldwide patient safety culture instruments (HSPSC and SAQ) in Taiwan to provide the extent of existing knowledge about healthcare professionals' perception related to patient safety.


The Web of Science, Medline (Pubmed) and Embas were used as the database to search papers related to the patient safety culture in Taiwan from 2008 to June 30, 2019.


Twenty-four relative articles in total were found and further investigations confirmed that the regular assessment of patient safety culture among hospital staff is essentially important for healthcare organizations to reduce the rates of medical errors and malpractice. Moreover, the elements influencing patient safety culture may vary due to the difference in job positions, age, experience in organization and cultural settings.

Research limitations/implications

The summary of findings enables healthcare administrators and practitioners to understand key components of patient safety culture for continuous improvement in medical quality.


Assessing the safety culture in healthcare organizations is a foundation to achieve excellent medical quality and service. The implications of this study could be useful for hospitals to establish a safer environment for patients.



Declarations: None of the authors have any conflicts of interest to report.

Funding: This study was supported by The National Social Science Fund of China with the grant number of 21CGL019

Conflict of interest: The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.


Wu, H.-H., Lee, Y.-C., Huang, C.-H. and Li, L. (2023), "Healthcare professional's perception of patient safety assessed by the hospital survey on patient safety culture in Taiwan: a systematic review", The TQM Journal, Vol. 35 No. 3, pp. 615-629.



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