Instruments for evaluation of safety culture in primary health care: integrative review of the literature

Vasconcelos, Patrícia Freire de; Arruda, Lidyane Parente; Freire, Vanessa E.C. Sousa; Carvalho, Rhanna Emanuela Fontenele Lima de

doi:10.1016/j.puhe.2017.12.024

Cited by 18 publications

(30 citation statements)

References 12 publications

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“…Recent reviews of the Safety Climate Surveys in health care settings showed up to 17 [7, 8] available surveys, however only three were developed for a primary health care settings [7, 8]. Another systematic review on tools for safety culture in primary care [6] put forward the Safety Attitudes Questionnaire (SAQ) [9] as one of the widely used and also one of the most appropriate instruments for assessing patient safety culture.…”

Section: Introductionmentioning

confidence: 99%

Safety culture in the primary health care settings based on workers with a leadership role: the psychometric properties of the Slovenian-language version of the safety attitudes questionnaire – short form

Klemenc–Ketiš

Makivić

Poplas-Susič

2018

BMC Health Serv Res

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BackgroundSafety culture describes leader and staff interactions, attitudes, routines, awareness, and practices within an organisation. With this study, we aimed to determine the psychometric properties of the Slovenian-language version of the Safety Attitudes Questionnaire (SAQ) – Short Form in primary health care settings.MethodsThis was a cross-sectional study in the largest primary health care in Slovenia. We invited all employees with a leadership role to participate in the study (N = 211). We used the Slovenian-language version of the SAQ – Short Form.ResultsThere were 154 participants in the final sample (73.0% response rate), of which 136 (88.3%) were women. The mean age of the sample was 46.2 ± 10.0 years. Exploratory factor analysis put forward six factors: 1) Perceptions of Management; 2) Stress recognition; 3) Teamwork Climate; 4) Communication; 5) Safety Climate; 6) Working Conditions and Satisfaction. This model explained 61.7% of the variance of the safety culture in the primary health care setting. The reliability of the whole scale and of the six factors, assessed using Cronbach’s alpha, was all above 0.78.ConclusionThe results of our study suggests that the Slovenian-language version of the SAQ – Short Form with six factors could be a reliable and valid tool for measuring the safety culture in the primary health care workers with leadership role In Slovenia. The Slovenian version differed from the original SAQ – Short Form and the majority of other translated versions. Also, the data was from one health centre only and therefore we cannot draw strong conclusions on its external validity.

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Section: Introductionmentioning

confidence: 99%

Safety culture in the primary health care settings based on workers with a leadership role: the psychometric properties of the Slovenian-language version of the safety attitudes questionnaire – short form

Klemenc–Ketiš

Makivić

Poplas-Susič

2018

BMC Health Serv Res

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“…Before implementing patient safety programs, health care staff must understand their safety culture [3]. Quantitative instruments designed to assess safety culture have been developed, and a few review articles have been published, which allows a more comprehensive way of implementing models of safety culture [4]. Measuring health care safety culture enables us to identify improvements, safety behaviors, and outcomes for both patients and staff.…”

Section: Introductionmentioning

confidence: 99%

Patient Safety Culture in Portuguese Primary Care: Validation of the Portuguese Version of the Medical Office Survey

Eiras¹,

Escoval

Silva³

2018

Vignettes in Patient Safety - Volume 4 [Working Title]

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“…Esses questionários constituem-se ferramentas de pesquisa que possuem a vantagem de obter dados de forma rápida com vista a acessar variáveis que se queira avaliar, possibilitando a adoção de medidas e a realização de acompanhamento de planos de ação previamente implantados no serviço, bem como formulação de novas políticas (Vasconcelos, Arruda, Freire, & Carvalho, 2018).…”

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Utilização do questionário PSCHO na avaliação do clima de segurança do paciente: uma revisão integrativa

Silva

Portella

Crozeta

et al. 2021

RSD

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Objetivo: Identificar na literatura estudos que utilizaram o questionário Patient Safety Climate in Healthcare Organizations (PSCHO) na avaliação do clima de segurança do paciente em serviços de saúde hospitalares. Método: Trata-se de uma revisão integrativa da literatura, definida como pesquisa concisa em área específica. A busca e seleção dos estudos foi realizada por duas revisoras, de forma independente nas bases de dados LILACS, MEDLINE, CINAHL e WoS. Os resultados foram apresentados por meio do fluxograma PRISMA. Resultados: Foram recuperados na busca seis artigos, dos quais quatro foram incluídos e analisados. Os estudos foram realizados na China e nos Estados Unidos e as dimensões “medo de culpabilização e punição” e “medo da vergonha” sobressaíram de forma negativa nos estudos chineses. O PSCHO apresentou similaridades quando comparado a outros estudos que avaliaram o clima de segurança do paciente utilizando outros questionários de clima. Conclusão: Os resultados demonstraram que o PSCHO é útil para avaliar o clima de segurança do paciente. A ausência de estudos brasileiros utilizando o questionário indica uma potencialidade de sua aplicação em novas pesquisas, como estratégia para a melhoria da qualidade e promoção da segurança do paciente nas Organizações de Saúde.

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Instruments for evaluation of safety culture in primary health care: integrative review of the literature

Cited by 18 publications

References 12 publications

Safety culture in the primary health care settings based on workers with a leadership role: the psychometric properties of the Slovenian-language version of the safety attitudes questionnaire – short form

Safety culture in the primary health care settings based on workers with a leadership role: the psychometric properties of the Slovenian-language version of the safety attitudes questionnaire – short form

Patient Safety Culture in Portuguese Primary Care: Validation of the Portuguese Version of the Medical Office Survey

Utilização do questionário PSCHO na avaliação do clima de segurança do paciente: uma revisão integrativa

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