Said Bodur1, Emel Filiz. 1. Department of Public Health, Selcuk University, Konya, Turkey. saidbodur@gmail.com
Abstract
OBJECTIVE: To evaluate the patient safety culture in primary healthcare units. DESIGN: A cross-sectional study, utilizing the Turkish version of the Hospital Survey on Patient Safety Culture developed by the Agency for Healthcare Research and Quality and a demographic questionnaire. SETTING: Twelve primary healthcare centers in the center of the city of Konya, Turkey. PARTICIPANTS: One hundred and eighty healthcare staff, including general practitioners (GPs), nurses, midwives and health officers. INTERVENTION: None. MAIN OUTCOME MEASURE(S): The patient safety culture score including subscores on 12 dimensions and 42 items; patient safety grade and number of events reported. RESULTS: Fifty-four (30%) of the participants were GPs, 48 (27%) were nurses, 51 (28%) were midwives and 27 (15%) were health officers. The mean overall score for positive perception of patient safety culture in primary healthcare units was 46 +/- 20 (43-49 CI). No differences were found by staff members' profession. Among the dimensions of patient safety, those with the highest percentage of positive ratings were teamwork within units (76%) and overall perceptions of safety (59%), whereas those with the lowest percentage of positive ratings were the frequency of event reporting (12%) and non-punitive response to error (18%). Reporting of errors was infrequent with 87% of GPs, 92% of nurses and 91% of other health staff indicating that they did not report or provide feedback about errors. CONCLUSIONS: Improving patient safety culture should be a priority among health center administrators. Healthcare staff should be encouraged to report errors without fear of punitive action.
OBJECTIVE: To evaluate the patient safety culture in primary healthcare units. DESIGN: A cross-sectional study, utilizing the Turkish version of the Hospital Survey on Patient Safety Culture developed by the Agency for Healthcare Research and Quality and a demographic questionnaire. SETTING: Twelve primary healthcare centers in the center of the city of Konya, Turkey. PARTICIPANTS: One hundred and eighty healthcare staff, including general practitioners (GPs), nurses, midwives and health officers. INTERVENTION: None. MAIN OUTCOME MEASURE(S): The patient safety culture score including subscores on 12 dimensions and 42 items; patient safety grade and number of events reported. RESULTS: Fifty-four (30%) of the participants were GPs, 48 (27%) were nurses, 51 (28%) were midwives and 27 (15%) were health officers. The mean overall score for positive perception of patient safety culture in primary healthcare units was 46 +/- 20 (43-49 CI). No differences were found by staff members' profession. Among the dimensions of patient safety, those with the highest percentage of positive ratings were teamwork within units (76%) and overall perceptions of safety (59%), whereas those with the lowest percentage of positive ratings were the frequency of event reporting (12%) and non-punitive response to error (18%). Reporting of errors was infrequent with 87% of GPs, 92% of nurses and 91% of other health staff indicating that they did not report or provide feedback about errors. CONCLUSIONS: Improving patient safety culture should be a priority among health center administrators. Healthcare staff should be encouraged to report errors without fear of punitive action.
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