Kian Pourak, Nicholas Zugris, Itai Palmon, Demetri Monovoukas, Seth Waits
Nodo-Tie: an innovative, 3-D printed simulator for surgical knot-tying skills development
Surgery open science
era safety systems hospital interventions build culture safety deliver organisational learning methodologies staff benefits hospital staff unknown examined literature evidence staff outcomes research questions 1 safety culture defined studies interventions aim enhance 2 effects interventions improve safety culture hospital staff 3 intervention features explain effects 4 staff outcomes experiences identified conducted mixedmethods systematic review published literature using preferred reporting items systematic reviews metaanalyses guidelines search conducted medline embase cinahl health business elite scopus adopted convergent approach synthesis integration identified intervention staff outcomes categorised thematically combined available data measures effects identified 42 articles inclusion safety culture outcomes prominent themes leadership teamwork specific benefits staff included increased stress recognition job satisfaction reduced emotional exhaustion burnout turnover improvements working conditions effects documented interventions longer time scales strong institutional support comprehensive theoryinformed designs situated within specific units review contributes international evidence interventions improve safety culture may benefit hospital staff designed implemented focus staff outcomes includes staff perceptions behaviours part safety culture staff experiences resulting safety culture results generated small number articles varied quality effect review focused hospital staff merit using concept safety culture lens understand staff experience complex healthcare system