MAPPING THE SCIENTIFIC LANDSCAPE OF PATIENT SAFETY WALKROUNDS: A BIBLIOMETRIC REVIEW
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Abstract
This study seeks to thoroughly map the scientific discourse on patient safety walkarounds by conducting an extensive bibliometric assessment. A Scopus search was performed for English-language publications containing the terms “patient safety” AND (“leadership walkround*” OR “walkarounds” OR “walk-around”). Thirty-three documents published between 2004 and 2024 were identified, averaging 1.65 publications per year, with the highest output in 2014. The United States produced the most literature, followed by the United Kingdom. The Joint Commission Journal on Quality & Patient Safety and BMJ Quality & Safety were the primary publication venues, and Frankel, A. emerged as the most productive author. Keyword mapping showed three dominant thematic clusters: (1) safety and leadership, (2) organizational culture, and (3) humans. Recent density patterns indicate rising attention to the first two themes. Publication trends demonstrate uneven and fluctuating growth. Patient safety culture is strongly linked to walkarounds, safety management, patient safety, organizational culture, and leadership.
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References
Abdollahi R (2024) Patient safety culture can improve the quality of nursing care. J Nurs Rep Clin Pract 3:412–414. doi: 10.32598/JNRCP.2404.1067
Adair KC, Heath A, Frye MA, Frankel A, Proulx J, Rehder KJ, Eckert E, Penny C, Belz F, Sexton JB (2022) The psy-chological safety scale of the safety, communication, operational, reliability, and engagement (SCORE) survey: a brief, diagnostic, and actionable met-ric for the ability to speak up in healthcare settings. J Patient Saf 18:513–520. doi: 10.1097/PTS.0000000000001048
Ahmed Z, Ellahham S, Soomro M, Shams S, Latif K (2024) Exploring the impact of compassion and leadership on pa-tient safety and quality in healthcare systems: a narrative review. BMJ Open Qual 13:e002651. doi: 10.1136/bmjoq-2023-002651
Ahn J, Sim M, Foo Z, Tan KH (2025) Patient safety leaders’ perception of patient safety practices in eight asia-pacific countries: survey based on the global patient safety action plan framework. Risk Manag Healthc Policy 18:2217–2231. doi: 10.2147/RMHP.S487580
Albaalharith T, A’aqoulah A (2023) Level of patient safety culture awareness among healthcare workers. J Multidis-cip Healthc 16:321–332. doi: 10.2147/JMDH.S376623
Amin B, Javadi M, Navabi P, Salehi N (2024) The effect of executive man-agers’ walk round on patient safety culture in emergency nurses. Disaster Emerg Med J 9:226–236. doi: 10.5603/demj.100451
Chen S-Y, Wang S-H, Wang Y-M, Huang Y-W, Chi S-C (2024) Strengthening resilience and patient safety in healthcare institutions during the COVID-19 pandemic: experience from a quasi-medical center. J Formos Med Assoc 123:S200–S206. doi: 10.1016/j.jfma.2024.09.035
de Carvalho REFL, Bates DW, Syrowatka A, Almeida I, Sousa L, Goncalves J, Oliveira N, Gama M, Alencar AP (2023) Factors determining safety cul-ture in hospitals: a scoping review. BMJ Open Qual 12:e002310. doi: 10.1136/bmjoq-2023-002310
Demeke GW, van Engen ML, Markos S (2025) Servant leadership and patient safety culture in Ethiopian public hos-pitals: a qualitative study. BMC Health Serv Res 25:984. doi: 10.1186/s12913-025-13118-5
Finn M, Walsh A, Rafter N, Mellon L, Chong HY, Naji A, O’Brien N, Williams DJ, McCarthy SE (2024) Effect of inter-ventions to improve safety culture on healthcare workers in hospital set-tings: a systematic review of the inter-national literature. BMJ Open Qual 13:e002506. doi: 10.1136/bmjoq-2023-002506
Foster M, Mha BS, Mazur L (2023) Impact of leadership walkarounds on opera-tional, cultural and clinical outcomes: a systematic review. BMJ Open Qual 12:e002284. doi: 10.1136/bmjoq-2023-002284
Gallo EBR, De La Cruz SGT (2025) Análisis bibliométrico de publicaciones en Scopus sobre evaluación de la Cultu-ra de Seguridad del Paciente [Biblio-metric analysis of publications in Sco-pus on the evaluation of patient safety culture]. Enferm Glob 24:1–17. doi: 10.6018/eglobal.621031
González GG, Ramírez LMP, González MLA, Martín AB (2023) Rondas de seguridad: ¿mejoran la cultura de se-guridad del paciente en profesionales asistenciales y directivos? Estudio transversal en Atención Primaria [Walkrounds: do this improve safety culture of clinicians and managers? cross-sectional study at primary care setting]. Aten Primaria 55:102733. doi: 10.1016/j.aprim.2023.102733
Huang T, Wu Y (2025) Patient safety culture research: a bibliometric analysis from 2001 to 2023. J Patient Saf 21:e62. doi: 10.1097/PTS.0000000000001338
Jarrett MP (2017) Patient safety and leader-ship: do you walk the walk? J Healthc Manag 62:88–92. doi: 10.1097/JHM-D-17-00005
Jaya DA, Darmawan ES (2023) Leadership walkrounds dalam meningkatkan bu-daya keselamatan pasien di rumah sakit: scoping review. J Ilm Kesehat Masy Media Komun Komunitas Kesehat Masy 15:158–166. doi: 10.52022/jikm.v15i3.492
Kang S, Ho TTT, Lee N-J (2021) Compara-tive studies on patient safety culture to strengthen health systems among Southeast Asian countries. Front Pub-lic Health 8:600216. doi: 10.3389/fpubh.2020.600216
Klimmeck S, Sexton JB, Schwendimann R (2021) Changes in safety and team-work climate after adding structured observations to patient safety walkrounds. Jt Comm J Qual Patient Saf 47:783–792. doi: 10.1016/j.jcjq.2021.09.001
Martin G, Ozieranski P, Willars J, McKee L, Charles K, Minion J, Dixon-Woods M (2014) Walkrounds in practice: cor-rupting or enhancing a quality im-provement intervention? a qualitative study. Jt Comm J Qual Patient Saf 40:303–310. doi: 10.1016/S1553-7250(14)40040-0
Meliala AS, Yustina I, Zulfendri Z, Setiawan S (2024) Advancements in patient safety: a bibliometric insight into health policy services. Univers J Pub-lic Health 12:675–686. doi: 10.13189/ujph.2024.120407
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stew-art LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic re-views. BMJ 372:n71. doi: 10.1136/bmj.n71
Pham X-L, Le TT (2024) Bibliometric analy-sis and systematic review of research on expert finding: a PRISMA-guided approach. Int Arab J Inf Technol 21:661–674. doi: 10.34028/iajit/21/4/9
Sexton JB, Adair KC, Leonard MW, Frankel TC, Proulx J, Watson SR, Magnus B, Bogan B, Jamal M, Schwendimann R, Frankel AS (2018) Providing feedback following leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. BMJ Qual Saf 27:261–270. doi: 10.1136/bmjqs-2016-006399
Sexton JB, Adair KC, Profit J, Bae J, Re-hder KJ, Gosselin T, Milne J, Leonard M, Frankel A (2021) Safety culture and workforce well-being associations with positive leadership WalkRounds. Jt Comm J Qual Patient Saf 47:403–411. doi: 10.1016/j.jcjq.2021.04.001
Sølvtofte A-S, Larsen P, Laustsen S (2017) Effectiveness of patient safety leader-ship WalkRoundsTM on patient safety culture: a systematic review protocol. JBI Database Syst Rev Implement Rep 15:1306–1315. doi: 10.11124/JBISRIR-2016-003004
Van Nunen K, Li J, Reniers G, Ponnet K (2018) Bibliometric analysis of safety culture research. Saf Sci 108:248–258. doi: 10.1016/j.ssci.2017.08.011
Wang M, Dewing J (2021) Exploring mediat-ing effects between nursing leader-ship and patient safety from a person-centred perspective: a literature re-view. J Nurs Manag 29:878–889. doi: 10.1111/jonm.13226
WHO (2024) Global patient safety report 2024. WHO. https://iris.who.int/. Ac-cessed 26 June 2025
Wu AW, Busch IM (2019) Patient safety: a new basic science for professional education. GMS J Med Educ 36:Doc21. doi: 10.3205/zma001229