Patient safety and safety culture in primary health care: a systematic review

OBJECTIVE: Analyze if the patient safety culture among professionals in the primary health care differs among health care teams. METHODS: Cross-sectional and quantitative study conducted in April and May 2017, in a city in Southern Brazil. A total of 144 professionals who responded to the questionnaire “Survey on Patient Safety Culture in Primary Health Care” participated in the study. Data were analyzed in the Statistical Analysis Software program and expressed in percentage of positive responses. The ethical principles established for research with human beings were applied. RESULTS: Patient safety culture is positive among 50.81% of the professionals, and the dimensions “your health service” (63.39%) and “patient safety and quality” (61.22%) obtained the highest average of positive responses. Significant differences were found between the family health and oral health teams (α = 0.05 and p < 0.05), in the dimensions “patient safety” (p = 0.0274) and “work at the health service” (p = 0.0058). CONCLUSIONS: We concluded that, although close to the average, patient safety culture among professionals in the Primary Health Care is positive and that there are differences in safety culture between family health and oral health teams in comparison with the primary health care teams.

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Patient Safety Culture in Primary and Home Care Services

10.21203/rs.3.rs-23098/v2 ◽

2020 ◽

Author(s):

Letícia Lousada ◽

Francisco Clécio Dutra ◽

Beatriz Silva ◽

Natália Oliveira ◽

Ismael Bastos ◽

...

Keyword(s):

Health Care ◽

Patient Safety ◽

Primary Health Care ◽

Home Care ◽

Safety Culture ◽

Care Service ◽

Patient Safety Culture ◽

Home Care Services ◽

Care Services ◽

Primary Health

Abstract Background: Safety culture in primary care and home care services is still poorly studied, although this levels of care are the gateways to health services. This study aims to evaluate the culture of patient safety in Primary and Home Care Services. Methods: This is an observational cross-sectional study carried out with 147 professionals from nine district linked to the Home Care Program and six primary health care units. For the evaluation of culture, the Safety Attitudes Questionnaire (SAQ) was used, which considers a positive patient safety culture with scores ≥ 75. Results: Men who work in home care with time of professional experience of three to four years scored better for the Safety Climate, Job Satisfaction, Teamwork Climate and Total SAQ. Perception of management and Working Conditions received lower scores from professionals with long time of experience.Conclusions: It is concluded that the safety culture evaluation was better in the home care service when compared to the primary health care service.

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Patient safety culture in Primary Health Care

Rev Rene ◽

10.15253/2175-6783.20212270874 ◽

2021 ◽

Vol 22 ◽

pp. e70874

Author(s):

Jéssica Karine Lopes Bohrer ◽

Ana Catarina Laboissière Vasconcelos ◽

Ana Lúcia Queiroz Bezerra ◽

Cristiane Chagas Teixeira ◽

Juliane Andrade ◽

...

Keyword(s):

Primary Care ◽

Health Care ◽

Patient Safety ◽

Primary Health Care ◽

Safety Culture ◽

Patient Safety Culture ◽

Cross Sectional Study ◽

Cross Sectional ◽

Primary Health ◽

Primary Care Health

Objective: to evaluate the patient safety culture in a primary care health unit. Methods: cross-sectional study conducted with 51 professionals linked to Primary Health Care. Data were collected using the self-administered instrument Medical Office Survey on Patient Safety Culture, translated, adapted and validated for use in Brazil. Descriptive statistical analysis was performed. Nurses, physicians, Community Health Agents, among other professionals participated. Results: the dimensions of the patient safety culture in Primary Health Care indicated opportunities for improvement or weaknesses in the service. The general assessment of patient safety and the global assessment of the quality of care provided in Primary Health Care were appointed as good or fair. Conclusion: the safety culture in Primary Care did not identify strong dimensions; there were problems with equipment, performance and availability of test results and exchange of information with imaging centers/laboratories in the care network.

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Baseline assessment of patient safety culture in primary care centres in Kuwait: a national cross-sectional study

BMC Health Services Research ◽

10.1186/s12913-021-07199-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Talal ALFadhalah ◽

Buthaina Al Mudaf ◽

Hanaa A. Alghanim ◽

Gheed Al Salem ◽

Dina Ali ◽

...

Keyword(s):

Health Care ◽

Patient Safety ◽

Primary Health Care ◽

Safety Culture ◽

Patient Safety Culture ◽

Multivariate Regression Analysis ◽

Healthcare Services ◽

Cross Sectional ◽

Significance Level ◽

Primary Health

Abstract Background Assessments of the culture surrounding patient safety can inform healthcare settings on how their structures and processes impact patient outcomes. This study investigated patient safety culture in Primary Health Care Centres in Kuwait, and benchmarked the findings against regional and international results. This study also examined the association between predictors and outcomes of patient safety culture in these settings. Methods This cross-sectional quantitative study used the Medical Office Survey on Patient Safety Culture. The study was targeted at staff of all the Primary Health Care Centres in Kuwait with at least one year of experience. Data were analysed using SPSS 23 at a significance level of ≤ .05. Univariate (means, standard deviations, frequencies, percentages) and bivariate (chi-squared tests, student t-tests, ANOVA F-tests, Kruskal–Wallis tests, Spearman’s correlation) analyses provided an overview of participant socio-demographics and the association between patient safety culture composites and outcomes. We undertook a multivariate regression analysis to predict the determinants of patient safety culture. Results were benchmarked against similar local (Kuwait, 2014), regional (Yemen, 2015) and international (US, 2018) studies. Results The responses of 6602 employees from 94 centres were included in the study, with an overall response rate of 78.7%. The survey revealed Teamwork (87.8% positive ratings) and Organisational Learning (78.8%) as perceived areas of strength. Communication about Error (57.7%), Overall Perceptions of Patient Safety and Quality (57.4%), Communication Openness (54.4%), Owner/Managing Partner/Leadership Support for Patient Safety (53.8%) and Work Pressure and Pace (28.4%) were identified as areas requiring improvement. Benchmarking analysis revealed that Kuwait centres are performing at benchmark levels or better on four and six composites when compared to international and regional findings, respectively. Regression modelling highlighted significant predictions regarding patient safety outcomes and composites. Conclusions This is the first major study addressing the culture of patient safety in public Primary Health Care Centres regionally. Improving patient safety culture is critical for these centres to improve the quality and safety of the healthcare services they provide. The findings of this study can guide country-level strategies to develop the systems that govern patient safety practices.

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Cultura de segurança do paciente: avaliação dos enfermeiros na atenção primária à saúde

Enfermería Global ◽

10.6018/eglobal.18.4.352261 ◽

2019 ◽

Vol 18 (4) ◽

pp. 365-397

Author(s):

Sonia Maria Kalckmannde Macedo ◽

Ana Raquel Campos de Almeida Barboza ◽

Fabieli Borges ◽

Karla Crozeta Figueiredo ◽

Aida Maris Peres ◽

...

Keyword(s):

Health Care ◽

Patient Safety ◽

Primary Health Care ◽

Safety Culture ◽

Family Health ◽

Patient Safety Culture ◽

Primary Health ◽

Medical Office ◽

Health Strategy ◽

Family Health Strategy

Introduction: Studies on patient safety in Primary Health Care (PHC) are up to date; however, there are no details on professionals' actual performance in relation to this matter. Thus, it is important to evaluate the safety culture characterization among nursing professionals in this scenario, since it will promote better care for users.Objective: To evaluate the patient safety culture in the Units with Family Health Strategy (FHS) program under nurses’ perspective.Method: Descriptive study of quantitative approach carried out in fourteen health Units in Curitiba City, Paraná State (PR), Brazil from July to December 2017. There were forty-three nurses participating in this study. Medical Office Survey on Patient Safety Culture (MOSPSC) was the tool used, comprising fifty-one questions that evaluate twelve dimensions of patient safety. This tool, Portuguese version, showed a Cronbach alpha coefficient of 0.95, which expresses high reliability. All data were analyzed by Descriptive Statistics using Likert scale. Results: Inconsistencies were found related to the information exchange with other institutions, work process, fear of guilt, punishment for errors, and management. In the overall evaluation, 50% of the Family Health Strategy (FHS) professionals rated patient safety “very good”, and 73.9% of Basic Health Units (BHU) professionals rated patient safety “good”.Conclusion: Results show a safety culture with potentialities and weaknesses that need to be developed, considering the nurse the cornerstone to the success of quality and safety enhancement of patient in Primary Health Care. Introducción: Los estudios sobre seguridad del paciente en la Atención Primaria a la Salud son actuales, pero no profundizan el real desempeño de los profesionales con relación a la seguridad del paciente. Así, es relevante evaluar la caracterización de la cultura de seguridad entre los profesionales de enfermería en este escenario, pues va a favorecer la mejora del cuidado a los usuarios.Objetivo: Evaluar la cultura de seguridad del paciente en Unidades con Estrategia de Salud de la Familia en la perspectiva de los enfermeros.Método: Estudio descriptivo de abordaje cuantitativo, realizado de julio a diciembre de 2017, en catorce unidades de salud de la ciudad de Curitiba (PR). Participaron de esta investigación cuarenta y tres enfermeros. El instrumento utilizado fue el Medical Office Survey on Patient Safety Culture (MOSPSC) que consiste en cincuenta y una preguntas que miden doce dimensiones de la seguridad del paciente. La confiabilidad del instrumento es de alfa de Cronbach de 0,95. Los datos fueron analizados por estadística descriptiva, por medio de una escala de Likert. Resultados: Se notaron problemas relacionados con el intercambio de información con otras instituciones, el proceso de trabajo, el miedo a la culpa, el castigo por los errores y la gestión. En la evaluación global de la Seguridad del Paciente, 50% de los profesionales de la Estrategia Salud de la Familia consideran “muy bueno” y de las Unidades Básicas de Salud, 73,9% consideran “bueno”.Conclusión: Los resultados muestran una cultura de seguridad con potencialidades y fragilidades que necesitan ser trabajadas, y el enfermero como base de este proceso para el fortalecimiento de la calidad y seguridad del paciente en la Atención Primaria a la Salud. Introdução: Os estudos sobre segurança do paciente na Atenção Primária à Saúde são atuais, mas não aprofundam o real desempenho dos profissionais em relação à segurança do paciente. Desta forma, é relevante avaliar a caracterização da cultura de segurança entre os profissionais de enfermagem neste cenário, pois favorecerá melhoria do cuidado aos usuários.Objetivo: Avaliar a cultura de segurança do paciente em Unidades com o programa Estratégia de Saúde da Família na perspectiva dos enfermeiros. Método: Estudo descritivo de abordagem quantitativa, realizado de julho a dezembro de 2017, em catorze unidades de saúde de Curitiba (PR). Participaram desta pesquisa quarenta e três enfermeiros. O instrumento utilizado foi o Medical Office Survey on Patient Safety Culture (MOSPSC) composto por cinquenta e uma perguntas que avaliam doze dimensões da segurança do paciente. A confiabilidade do instrumento é de alfa de Cronbach de 0,95. Os dados foram analisados por Estatística Descritiva, por meio da escala de Likert. Resultados: Notaram-se problemas relacionados com a troca de informação com outras instituições, ao processo de trabalho, medo da culpa, punição pelos erros e referentes à gestão. Na avaliação global da Segurança do Paciente, 50% dos profissionais da Estratégia de Saúde da Família consideram “muito bom” e na Unidades Básicas de Saúde, 73,9% consideram “bom”. Conclusão: Resultados mostram uma cultura de segurança com potencialidades e fragilidades que necessitam ser trabalhadas, considerando o enfermeiro como alicerce deste processo para fortalecimento da qualidade e segurança do paciente na Atenção Primária à Saúde.

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