Numerous studies, especially in high-risk industries, have looked into how safety culture might help a company improve its safety performance. However, healthcare facilities are still in their early stages of safety performance development. A systematic review (SR) of Scopus, Web of Science, Dimensions, ScienceDirect, and Google Scholar, was conducted using the Preferred Reporting Items for Systematic Reviews (PRISMA) technique. The purpose is to look into the link involving safety culture or climate and safety performance in healthcare facilities. A number of keywords ‘safety culture’, ‘safety climate’, ‘safety performance’, ‘injury’, ‘incident’, ‘healthcare’, ‘hospital’, ‘clinic’, ‘health office’, ‘health division’, and ‘health authority’ were chosen by researchers in this SR. The inclusion criteria were (1) studies in healthcare facilities involving safety culture or safety climate-linked with safety performance, (2) English language, and (3) research published in peer-reviewed journals within five years (2016 to 2020). The EPHPP-Quality Assessment Tool was used to assess the quality of the studies. The influence of safety culture, climate, and safety performance in 11 research was reviewed by researchers in the current paper. Only one study was rated as strong quality, six of the studies were rated as moderate quality, and the rest were rated as weak quality. The EPHPP quality assessment tool dictionary aided evaluation of article bias. The proactive measure is favored among researchers in healthcare and has a significant relationship with safety culture or safety climate. Despite the importance of this field, quality research is still insufficient, according to our evaluation. Additional research is needed to explain the link between the variables evaluated, particularly in healthcare facilities and other low-risk industries.

许多研究，尤其是在高风险行业，已经研究了安全文化如何帮助公司提高安全绩效。然而，医疗机构仍处于安全绩效发展的早期阶段。使用系统评价首选报告项目 (PRISMA) 技术对 Scopus、Web of Science、Dimensions、ScienceDirect 和 Google Scholar 进行了系统评价 (SR)。目的是研究医疗设施中涉及安全文化或气候与安全绩效的联系。多个关键词“安全文化”、“安全气氛”、“安全绩效”、“伤害”、“事故”、“医疗”、“医院”、“诊所”、“卫生办公室”、“卫生部门”和'健康权威' 是由该 SR 中的研究人员选择的。纳入标准是 (1) 涉及安全文化或与安全绩效相关的安全气候的医疗机构研究，(2) 英语语言，以及 (3) 五年内（2016 年至 2020 年）在同行评审期刊上发表的研究。EPHPP-质量评估工具用于评估研究质量。研究人员在当前论文中回顾了安全文化、气候和安全绩效对 11 项研究的影响。只有一项研究被评为强质量，六项研究被评为中等质量，其余研究被评为弱质量。EPHPP 质量评估工具字典有助于评估文章偏见。主动措施受到医疗保健研究人员的青睐，并且与安全文化或安全氛围有显着关系。尽管这个领域很重要，根据我们的评估，质量研究仍然不足。需要进行更多研究来解释所评估变量之间的联系，尤其是在医疗保健设施和其他低风险行业中。