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

Lawati, Muna Habib Al.; Dennis, Sarah; Short, Stephanie; Abdulhadi, Nadia Noor

doi:10.1186/s12875-018-0793-7

Cited by 182 publications

(180 citation statements)

References 38 publications

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“…This allows the organizations to gain insight and an understanding of their cultures as well as to get a critical closer look at their strengths and limitations [13]. Therefore to be able to improve the patient safety culture and patient safety practices in the organization, the first step is to assess the system, which is mostly achieved through the use of quantitative methods [14,15]. Numerous different assessment tools are used around the world, each of which is based on a combination of dimensions.…”

Section: Introductionmentioning

confidence: 99%

Assessing Patient Safety Culture: Application of the Safety Attitudes Questionnaire in a Kenyan Setting

Mbuthia¹,

Moleki²

2020

TONURSJ

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Background: Patient safety has recently been declared a global health priority. Achievement and sustenance of a culture of patient safety require a regular and timely assessment of the organization. The Safety Attitudes Questionnaire is a patient safety culture assessment tool whose usefulness has been established in countries, but a few studies have been published from Africa, more so, in Kenyan settings. Objective: To evaluate the reliability of the Safety Attitudes Questionnaire in assessing the patient safety culture in a Kenyan setting and to assess healthcare workers' perceptions of patient safety culture. Methods: A descriptive quantitative approach was utilized whereby the Safety Attitudes Questionnaire was administered to 241 healthcare workers in two public hospitals. The Cronbach’s α was calculated to determine the internal consistency of the SAQ. Descriptive and inferential statistics were used to analyze and describe the data on patient safety culture. Results: The total scale Cronbach’s alpha of the SAQ was 0.86, while that of the six dimensions was 0.65 to 0.90. The overall mean score of the total SAQ was 65.8 (9.9). Participants had the highest positive perception for Job Satisfaction with a mean score of 78.3 (16.1) while the lowest was evaluated for Stress Recognition with a mean score of 53.8 (28.6). Conclusion: The SAQ demonstrated satisfactory internal consistency and is suitable for use in the Kenyan context. The perception of patient safety culture in the Kenyan hospital is below international recommendations. There is a need for implementation of strategies for the improvement of the organization culture in Kenyan hospitals.

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Section: Introductionmentioning

confidence: 99%

Assessing Patient Safety Culture: Application of the Safety Attitudes Questionnaire in a Kenyan Setting

Mbuthia¹,

Moleki²

2020

TONURSJ

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“…[9][10][11] Previous research on safety in primary care has examined the epidemiology of medication errors, 12,13 error reporting tools, 14 and perceptions of safety culture. 15,16 A distinct way of contributing to this increasingly important area is to investigate what patient safety in primary care means to those on the frontlines delivering care as well as the patients receiving it. This investigation is useful because, first, clarifying conceptual meanings is often a foundational step for addressing burgeoning topics in the health sciences.…”

Section: Introductionmentioning

confidence: 99%

Patient Safety in Primary Care: Conceptual Meanings to the Health Care Team and Patients

et al. 2020

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Introduction: Patient safety in primary care is an emerging priority, and experts have highlighted medications, diagnoses, transitions, referrals, and testing as key safety domains. This study aimed to (1) describe how frontline clinicians, administrators, and staff conceptualize patient safety in primary care; and (2) compare and contrast these conceptual meanings from the patient's perspective. Methods: We conducted interviews with 101 frontline clinicians, administrators and staff, and focus groups with 65 adult patients at 10 patient-centered medical homes. We used thematic analysis to approach coding. Results: Findings indicate that frontline personnel conceptualized patient safety more in terms of work functions, which reflect the grouping of tasks or responsibilities to guide how care is being delivered. Frontline personnel and patients conceptualized patient safety in largely consistent ways. Discussion: Function-based conceptualizations of patient safety in primary care may better reflect frontline personnel and patients' experiences than domain-based conceptualizations, which are favored by experts.

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“…Although patient safety in primary care has not been explored to the same extent as in secondary and tertiary levels, recently more and more studies are emerging (5,6). The most common theme within the topic was safety culture.…”

Section: Introductionmentioning

confidence: 99%

“…To establish a positive safety culture in primary care, the first step is to evaluate the current patient safety culture, which will provide basic understanding to safety-related perceptions of the healthcare providers (5). Therefore, we wanted to assess the self-perceived level of safety culture among the employees in the Ljubljana Community Health Centre.…”

Section: Introductionmentioning

confidence: 99%

Safety Culture at Primary Healthcare Level: A Cross-Sectional Study among Employees with a Leadership Role

Klemenc–Ketiš

Susič

2019

Slovenian Journal of Public Health

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Introduction An effective leadership is critical to the development of a safety culture within an organization. With this study, the authors wanted to assess the self-perceived level of safety culture among the employees with a leadership function in the Ljubljana Community Health Centre. Methods This was a cross-sectional study in the largest community health centre in Slovenia. We sent an invitation to all employees with a leadership role (N=211). The Slovenian version of the SAQ – Short Form as a measurement of a safety culture was used. The data on demographic characteristics (gender, age, role, work experience, working hours, and location of work) were also collected. An electronic survey was used. Results The final sample consisted of 154 (69.7%) participants, out of which 136 (88.3%) were women. The mean age and standard deviation of the sample was 46.2±10.5 years. The average scores for the safety culture domains on a scale from 1 to 5 were 4.1±0.6 for Teamwork Climate, Safety Climate, and Working Conditions and Satisfaction, 3.7±0.5 for Perception of Management, 3.6±0.4 for Communication, and 3.5±0.6 for Stress Recognition. Conclusion The safety culture among leaders in primary healthcare organizations in Slovenia is perceived as positive. There is also a strong organizational culture. Certain improvements are needed, especially in the field of communication and stress recognition with regards to safety culture.

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

Cited by 182 publications

References 38 publications

Assessing Patient Safety Culture: Application of the Safety Attitudes Questionnaire in a Kenyan Setting

Assessing Patient Safety Culture: Application of the Safety Attitudes Questionnaire in a Kenyan Setting

Patient Safety in Primary Care: Conceptual Meanings to the Health Care Team and Patients

Safety Culture at Primary Healthcare Level: A Cross-Sectional Study among Employees with a Leadership Role

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