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In the following years, AHRQ of US design HSOPSC is a questionnaire that measured of perception of patient safety culture of the relationship between teamwork and health attention of patient (2).I identified studies that assess patient safety culture. All have similarities. They were assessed the perception of patient safety culture in each department of the hospitals and health staff (professional who has relation with patient directly or indirectly).This questionnaire is intended for health staff who work on the front lines in health care and others health care workers who spend substantial time in the hospital departments.
These results show that HSOPSC use to identify areas in need of improvement and raise awareness of safety culture in all health staff in an organization. Moreover, United Kingdom (57),indicate that the questionnaire may measure different areas or perception of patient safety inside principal dimensions of the questionnaire. as well as ,Overall perception of safety and Staffing increased tendency to associate staffing with safety similar dimension Organizational learning continues improvement and Hospital management support for patient safety may have been interpreted differently and difference may limit the extent that HSOPSC within the UK data compared with others countries. After all, they agree that the questionnaire is applicable outside of United States. Another hand, other studies who implemented the questionnaire in their hospitals, they detected areas of improvements in safety culture related to specific patient safety interventions over time in real-world settings (table 3) .