Developing a Primary Care Patient Safety Culture

2021 ◽  
Vol 66 (6) ◽  
pp. 403-405
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Primary Care Patient ◽  
Patient Safety Culture ◽  
Care Patient

scholarly journals Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697157
Author(s):  
Sally J Giles ◽  
Sahdia Parveen ◽  
Andrea Hernan
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Primary Care Patient ◽  
Statistical Significance ◽  
Patient Safety Culture ◽  
Care Patient ◽  
Internal Reliability ◽  
Practice Staff

BackgroundThe Primary Care Patient Measure of Safety (PC PMOS) questionnaire was developed to collect patient feedback on 15 latent conditions in the primary care environment that influence safety incidents. It provides a way for primary care organisations to learn about safety from the patient perspective, and to then make service improvements with the aim of reducing harm in this setting.AimTo undertake validation testing PC PMOS questionnaire.Method490 adult patients from nine general practices completed the PC PMOS, and 81 practice staff completed the AHRQ medical office survey on patient safety culture. Confirmatory factor analysis (CFA) was undertaken to assess the reliability and validity of the 10 factor PC PMOS.ResultsCFA demonstrated data did not fit the model well (CMIN/DF = 5.68; GFI = 0.61, CFI = 0.57, SRMR = 0.13 and RMSEA = 0.10), thus post hoc model fitting was conducted. This resulted in the removal of 22 items on the basis of large MIs (above 10), and SRs > ±2.58, and assessment of item content. The resulting 9 factor model consisting of 28 items was found to fit the data satisfactorily (CMIN/DF = 2.51; GFI = 0.87, CFI = 0.91, SRMR = 0.04 and RMSEA = 0.05). The new factors demonstrated good internal reliability. The PC PMOS did not demonstrate good convergent validity with the correlation between total PC PMOS score and practice staff patient safety score failing to reach statistical significance (r = −0.64, k = 9, P = 0.06). It demonstrated good discriminant validity between primary care practices (F = 2.64, df = 72, P<0.001).ConclusionValidation of the PC PMOS has led to a reliable and valid 28 item patient measure of patient safety in primary care. It could enhance or complement current data collection methods used in primary care to identify and prevent error, and is also a practical response to the growing need to find appropriate and effective ways of involving patients in improving patient safety.

scholarly journals Assessment of patient safety culture in primary care setting, Al-Mukala, Yemen

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Hana H. Webair ◽  
Salwa S. Al-assani ◽  
Reema H. Al-haddad ◽  
Wafa H. Al-Shaeeb ◽  
Manal A. Bin Selm ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Care Setting ◽  
Primary Care Setting ◽  
Patient Safety Culture

scholarly journals Development of the Prototype Concise Safe Systems Checklist Tool for General Practice

2020 ◽  
Author(s):  
Ian J Litchfield ◽  
Rachel Spencer ◽  
Brian Bell ◽  
Anthony Avery ◽  
Katherine Perryman ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Patient Safety ◽  
Primary Care Patient ◽  
Safety Information ◽  
Care Patient ◽  
Ease Of Use ◽  
Structured Interviews ◽  
Practice Staff ◽  
Safety Issues

Abstract Background In the course of producing a patient safety toolkit for primary care, we identified the need for a concise safe-systems checklist designed to address areas of patient safety which are under-represented in mandatory requirements and existing tools. This paper describes the development of a prototype checklist designed to be used in busy general practice environments to provide an overview of key patient safety related processes and prompt practice wide-discussion. Methods An extensive narrative review and a survey of world-wide general practice organisations were used to identify existing primary care patient safety issues and tools. A RAND panel of international experts rated the results, summarising the findings for importance and relevance. The checklist was created to include areas that are not part of established patient safety tools or mandatory and legal requirements. Four main themes were identified: information flow, practice safety information, prescribing, and use of IT systems from which a 13 item checklist was trialled in 16 practices resulting in a nine item prototype checklist, which was tested in eight practices. Qualitative data on the utility and usability of the prototype was collected through a series of semi-structured interviews.Results In testing the prototype four of nine items on the checklist were achieved by all eight practices. Three items were achieved by seven of eight practices and two items by six of eight practices. Participants welcomed the brevity and ease of use of the prototype, that it might be used within time scales at their discretion and its ability to engage a range of practice staff in relevant discussions on the safety of existing processes. The items relating to prescribing safety were considered particularly useful. Conclusions As a result of this work the concise patient safety checklist tool, specifically designed for general practice, has now been made available as part of an online Patient Safety Toolkit hosted by the Royal College of General Practitioners. Senior practice staff such as practice managers and GP partners should find it a useful tool to understand the safety of less explored yet important safety processes within the practice.

scholarly journals Adverse events analysis as an educational tool to improve patient safety culture in primary care: A randomized trial

2011 ◽  
Vol 12 (1) ◽  
Author(s):  
Clara González-Formoso ◽  
María Victoria Martín-Miguel ◽  
Ma José Fernández-Domínguez ◽  
Antonio Rial ◽  
Fernando Isidro Lago-Deibe ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Adverse Events ◽  
Randomized Trial ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Educational Tool ◽  
Improve Patient

scholarly journals Systematic psychometric review of self-reported instruments to assess patient safety culture in primary care

2017 ◽  
Vol 74 (3) ◽  
pp. 539-549 ◽  
Author(s):  
Melissa Desmedt ◽  
Jochen Bergs ◽  
Sonja Vertriest ◽  
Annemie Vlayen ◽  
Ward Schrooten ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture

scholarly journals Patient Safety Culture Assessment in Primary Care Settings in Greece

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 880
Author(s):  
Ioannis Antonakos ◽  
Kyriakos Souliotis ◽  
Theodora Psaltopoulou ◽  
Yannis Tountas ◽  
Maria Kantzanou
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Health Professionals ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Survey Tool ◽  
Primary Care Settings

Introduction: A positive safety culture is considered a pillar of safety in health organizations and the first crucial step for quality health services. In this context, the aim of this study was to set a reference evaluation for the patient safety culture in the primary health sector in Greece, based on health professionals’ perceptions. Methods: We used a cross-sectional survey with a 62% response rate (n = 459), conducted in primary care settings in Greece (February to May 2020). We utilized the “Medical Office Survey on Patient Safety Culture” survey tool from the Agency for Healthcare Research and Quality (AHRQ). The study participants were health professionals who interacted with patients from 12 primary care settings in Greece. Results: The most highly ranked domains were: “Teamwork” (82%), “Patient Care Tracking/Follow-up” (80% of positive scores), and “Organizational Learning” (80%); meanwhile, the lowest-ranked ones were: “Leadership Support for Patient Safety” (62%) and “Work Pressure and Pace” (46%). The other domains, such as “Overall Perceptions of Patient Safety and Quality” (77%), “Staff Training“ (70%), “Communication about Error” (70%), “Office Processes and Standardization” (67%), and “Communication Openness” (64%), ranked somewhere in between. Conclusions: A positive safety culture was identified in primary care settings in Greece, although weak areas concerning the safety culture should be addressed in order to improve patient safety.

scholarly journals Patient safety culture in primary care: developing a theoretical framework for practical use

2007 ◽  
Vol 16 (4) ◽  
pp. 313-320 ◽  
Author(s):  
S. Kirk ◽  
D. Parker ◽  
T. Claridge ◽  
A. Esmail ◽  
M. Marshall
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Theoretical Framework

scholarly journals Tools for primary care patient safety: a narrative review

2014 ◽  
Vol 15 (1) ◽  
Author(s):  
Rachel Spencer ◽  
Stephen M Campbell
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Primary Care Patient ◽  
Care Patient ◽  
Narrative Review

scholarly journals Exploring patient safety culture in primary care

2014 ◽  
Vol 26 (6) ◽  
pp. 585-591 ◽  
Author(s):  
N. J. Verbakel ◽  
M. Van Melle ◽  
M. Langelaan ◽  
T. J. M. Verheij ◽  
C. Wagner ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture

scholarly journals Identifying primary care patient safety research priorities in the UK: a James Lind Alliance Priority Setting Partnership

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e020870 ◽  
Author(s):  
Rebecca Lauren Morris ◽  
Susan Jill Stocks ◽  
Rahul Alam ◽  
Sian Taylor ◽  
Carly Rolfe ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
National Survey ◽  
Healthcare Professionals ◽  
Primary Care Patient ◽  
Research Priorities ◽  
Care Patient ◽  
Nominal Group ◽  
Safety Research ◽  
Research Questions

ObjectivesTo identify the top 10 unanswered research questions for primary care patient safety research.DesignA modified nominal group technique.SettingUK.ParticipantsAnyone with experience of primary care including: patients, carers and healthcare professionals. 341 patients and 86 healthcare professionals submitted questions.Main outcomesA top 10, and top 30, future research questions for primary care patient safety.Results443 research questions were submitted by 341 patients and 86 healthcare professionals, through a national survey. After checking for relevance and rephrasing, a total of 173 questions were collated into themes. The themes were largely focused on communication, team and system working, interfaces across primary and secondary care, medication, self-management support and technology. The questions were then prioritised through a national survey, the top 30 questions were taken forward to the final prioritisation workshop. The top 10 research questions focused on the most vulnerable in society, holistic whole-person care, safer communication and coordination between care providers, work intensity, continuity of care, suicide risk, complex care at home and confidentiality.ConclusionsThis study was the first national prioritisation exercise to identify patient and healthcare professional priorities for primary care patient safety research. The research priorities identified a range of important gaps in the existing evidence to inform everyday practice to address primary care patient safety.

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