Validación de un cuestionario para evaluar la cultura de seguridad del paciente de los profesionales de atención primaria en España

Torijano-Casalengua, María Luisa; Olivera, Guadalupe; Peña, María Pilar Astier; Maderuelo‐Fernández, José Ángel; Silvestre, Carmen

doi:10.1016/j.aprim.2012.07.003

Cited by 32 publications

(24 citation statements)

References 8 publications

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“…On the other hand, there are many studies conducted in developing and developed countries on patient safety culture in primary care with diversity both in the tools used and outcomes reporting. But only one published study used MOSPSC in primary care [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…The medical office survey tool composed of two overall safety outcomes and twelve dimensions. It has been adapted and validated for use in primary healthcare settings in Spain, it has been found to be useful and recommended for international comparison [ 16 ]. It has been translated into Arabic by a translator who has experience in patient safety research, then back-translated to test translation accuracy.…”

Section: Methodsmentioning

confidence: 99%

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

et al. 2015

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BackgroundPatient safety culture in primary care is the first step to achieve high quality health care. This study aims to provide a baseline assessment of patient safety culture in primary care settings in Al-Mukala, Yemen as a first published study from a least developed country.MethodsA survey was conducted in primary healthcare centres and units in Al-Mukala District, Yemen. A comprehensive sample from the available 16 centres was included. An Arabic version of the Medical Office Survey on Patient Safety Culture was distributed to all health workers (110). Participants were physicians, nurses and administrative staff.ResultsThe response rate from the participating centres was 71 %. (N = 78). The percent positive responses of the items is equal to the percentage of participants who answered positively. Composite scores were calculated by averaging the percent positive response on the items within a dimension. Positive safety culture was defined as 60 % or more positive responses on items or dimensions. Patient safety culture was perceived to be generally positive with the exception of the dimensions of ‘Communication openness’, ‘Work pressure and pace’ and ‘Patient care tracking/follow-up’, as the percent positive response of these dimensions were 58, 57, and 52 % respectively. Overall, positive rating on quality and patient safety were low (49 and 46 % respectively).ConclusionsAlthough patient safety culture in Al-Mukala primary care setting is generally positive, patient safety and quality rating were fairly low. Implementation of a safety and quality management system in Al-Mukala primary care setting are paramount. Further research is needed to confirm the applicability of the Medical Office Survey on Patient Safety Culture (MOSPSC) for Al-Mukala primary care.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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

et al. 2015

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“…The questionnaire was structured into three sections assessing the following variables: the effect of safety culture, as a modulator of the impact of AEs on professionals (6 items for PC and 7 items for hospitals); the experience of professionals in informing patients about AEs and the frequency and intensity of the most common personal- and work-related problems among second victims and the type of support received. The safety culture items were chosen from validated questionnaires used in previous Spanish studies on Safety Culture [ 23 , 24 ]. These were identical to other questionnaires used in studies conducted in other countries [ 25 ].…”

Section: Methodsmentioning

confidence: 99%

The aftermath of adverse events in Spanish primary care and hospital health professionals

Mira

Carrillo

Lorenzo

et al. 2015

BMC Health Serv Res

Self Cite

106

122

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BackgroundAdverse events (AEs) cause harm in patients and disturbance for the professionals involved in the event (second victims). This study assessed the impact of AEs in primary care (PC) and hospitals in Spain on second victims.MethodsA cross-sectional study was conducted. We carried out a survey based on a random sample of doctors and nurses from PC and hospital settings in Spain. A total of 1087 health professionals responded, 610 from PC and 477 from hospitals.ResultsA total of 430 health professionals (39.6%) had informed a patient of an error. Reporting to patients was carried out by those with the strongest safety culture (Odds Ratio –OR- 1.1, 95% Confidence Interval –CI- 1.0-1.2), nurses (OR 1.9, 95% CI 1.5-2.3), those under 50 years of age (OR 0.7, 95% CI 0.6-0.9) and primary care staff (OR 0.6, 95% CI 0.5-0.9). A total of 381 (62.5%, 95% CI 59-66%) and 346 (72.5%, IC95% 69-77%) primary care and hospital health professionals, respectively, reported having gone through the second-victim experience, either directly or through a colleague, in the previous 5 years. The emotional responses were: feelings of guilt (521, 58.8%), anxiety (426, 49.6%), re-living the event (360, 42.2%), tiredness (341, 39.4%), insomnia (317, 38.0%) and persistent feelings of insecurity (284, 32.8%). In doctors, the most common responses were: feelings of guilt (OR 0.7 IC95% 0.6-0.8), re-living the event (OR 0.7, IC95% o.6-0.8), and anxiety (OR 0.8, IC95% 0.6-0.9), while nurses showed greater solidarity in terms of supporting the second victim, in both PC (p = 0.019) and hospital (p = 0.019) settings.ConclusionsAdverse events cause guilt, anxiety, and loss of confidence in health professionals. Most are involved in such events as second victims at least once in their careers. They rarely receive any training or education on coping strategies for this phenomenon.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-015-0790-7) contains supplementary material, which is available to authorized users.

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“…For data collection, we used a questionnaire developed by the research team using as references the SARS Team Questionnaire ( Lee et al, 2005 ), the Practice Environment Scale of the Nursing Work Index (PES-NWI) ( de Pedro-Gómez et al, 2009 ), the Medical Office Survey on Patient Safety Culture (MOSPSC) ( Torijano-Casalengua et al, 2013 ), and the Granada Burnout Questionnaire applied to nurses ( de la Fuente et al, 2015 ), including socio-demographic, occupational, and academic variables. Our questionnaire consists of 31 items rated with a 4-point Likert scale, and measures the following dimensions: safety (10 items); organization (6 items); decision making (4 items); communication and relationships between the members of the team (5 items); psycho-socio-emotional needs (6 items).…”

Section: Introductionmentioning

confidence: 99%

Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services

González-Gil

González-Blázquez

Moreno

et al. 2021

Intensive and Critical Care Nursing

203

226

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Highlights Critical care nurses have had to perform tasks for which they have not received proper training. Nurses have had to manage the fear of becoming infected and spreading it to their families. Moral suffering and emotional exhaustion are major consequences of front-line care. Heavy workloads, high patient-nurse ratios, and lack of rest are causing exhaustion among nurses.

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Validación de un cuestionario para evaluar la cultura de seguridad del paciente de los profesionales de atención primaria en España

Abstract: Traslated, adapted, extended and validated AHRQ questionnaire is, in this setting, a reliable and useful instrument and it must be used for international comparisons.

Cited by 32 publications

References 8 publications

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

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

The aftermath of adverse events in Spanish primary care and hospital health professionals

Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services

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