Patient safety culture in primary and home care services
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RESEARCH ARTICLE
Open Access
Patient safety culture in primary and home care services Letícia Martins Lousada1 , Francisco Clécio da Silva Dutra1 , Beatriz Viana da Silva1 , Natália Lúcia Lima de Oliveira1 , Ismael Brioso Bastos1 , Patrícia Freire de Vasconcelos2 Rhanna Emanuela Fontenele Lima de Carvalho1*
and
Abstract Background: Safety culture is still a poorly studied subject in primary care and home care, although these settings are considered gateways to access to healthcare. This study aims to evaluate safety culture in primary and home care settings. Methods: An observational cross-sectional study was carried out with 147 professionals from nine districts covered by one home care program and six primary healthcare centres. The Safety Attitudes Questionnaire (SAQ) was used to evaluate the safety culture, in which scores ≥75 are indicative of a positive safety culture. Results: A total of 56 (86,1%) questionnaires returned from the home care professionals and 91 (86,6%) from the primary care professionals. The Job satisfaction domain was the best evaluated, achieving a score of 88.8 in home care and 75.1 in primary care. The achievement of high scores on Safety Climate, Job Satisfaction, Teamwork Climate, and Total SAQ was related to male gender, and time of professional experience of three to 4 years. Perception of management and Working conditions had the lowest scores, and this result was related with long time of experience. Conclusions: It is concluded that professionals working in home care gave higher scores for safety culture in their workplace than the primary care workers. Keywords: Patient safety culture, Primary care, Home care services
Background Providing safe care means changing attitudes and practices of all professionals involved in patient care. In the workplace, this requires a safety culture that strengthens the commitment and performance of the multidisciplinary team, as well as specific competencies to ensure patient safety [1]. According to the World Health Organization (WHO), patient safety is the reduction of risk of unnecessary harm associated with health care to an acceptable * Correspondence: [email protected] 1 Ceara State University, Mister Hull avenue. 2933, apto 401b, violete, Fortaleza, Ceará, Brazil Full list of author information is available at the end of the article
minimum. To ensure patient safety in Brazil, the National Patient Safety Program (PNSP in Portuguese) stands out promoting safety culture and emphasizing the importance of learning about patient safety and organizational improvement. This program reinforces that professionals must adhere to incident prevention and that institutions must develop safer systems and processes that avoid individual accountability for success or failure of care [2]. Safety culture is the product of a set of values, attitudes, perceptions, competencies, and behaviours that determine the commitment, style, and competence of an individual or a group in safety promotion. These behaviours include how managers and professionals ac
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