#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Overview of instruments assessing the patient safety culture in primary care


Authors: D. Bartoníčková 1,2;  D. Kalánková 2;  B. Lazarová 1;  P. Bartošová 2;  K. Žiaková 2
Authors‘ workplace: Univerzita Palackého v Olomouci, Fakulta zdravotnických věd, Ústav ošetřovatelství, Přednostka: doc. Petra Mandysová, MSN, Ph. D. 1;  Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta, Martin, Ústav ošetrovateľstva, Prednostka: prof. Mgr. Katarína Žiaková, PhD. 2
Published in: Prakt. Lék. 2022; 102(1): 18-26
Category: Of different specialties

Overview

Approximately 10% of patients in primary outpatient care are endangered in terms of their safety. Assessing patient safety culture in this area is very challenging however, it helps organizations to identify improvement areas with the aim to support patient safety itself. The evaluation of patient safety culture might be carried out by using specific measuring tools, however, their comprehensive overview absents in literature. The aim of this study was to identify instruments for measuring patient safety culture in primary care, analyse and critically evaluate quality of methods interpreted within evaluation of the psychometric properties of these instruments. The search was performed in the scientific databases PubMed, Scopus, ProQuest, Ovid Nursing in April 2021 using the keywords and Boolean operators. The search produced 1341 studies. The search and retrieval process reflected PRISMA recommendations. The method of summative content analysis was used in the data synthesis. We identified ten tools for assessing the patient safety culture in primary care. Their common features are that they are self-assessment, and all multidisciplinary team members can use that. The differences lie mainly in the scope, the number of dimensions, and applicability in various outpatient care areas. Creating a culture of safety within primary care settings can be a primary strategy to enhance the quality and safety of care provided. Our overview can help select a suitable tool based on the results in terms of their psychometric properties and other aspects.

Keywords:

Primary care – patient safety culture – instruments – psychometric properties


Sources

1. Theodosios S. The development of patient safety culture. Health Sci J 2012; 6(2): 201–211.

2. Curran C, Lydon S, Kelly ME, et al. Perceived safety climate in Irish primary care settings – a comparison with Scotland and England. Eur J Gen Pract 2018; 24(1): 252–257.

3. World Health Organization. Conceptual framework for the international classification for patient safety 2009 [online]. Dostupný na: https://www.who.int/patientsafety/taxonomy/icps_full_report. pdf [cit. 2021-11-3].

4. Verbakel NJ, Langelaan M, Verheij TJM, et al. Improving patient safety culture in primary care: A systematic review. J Patient Saf 2016; 12(3): 152–158.

5. Lawati MHA, Dennis S, Short SD, Abdulhadi NN. Patient safety and safety culture in primary health care: a systematic review. BMC Fam Pract 2018; 19(1): 104.

6. Health and Safety Commission. Organising for safety: Third report of the ACSNI (Advisory Committee on the Safety of Nuclear Installations) study group on human factors. London: HM Stationery Office 1993.

7. Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021; 372: n71.

8. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan – a web and mobile app for systematic reviews. Syst Rev 2016; 5(1): 210.

9. Mokkink LB, Terwee CB, Patrick DL, et al. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Qual Life Res 2010; 19(4): 539–549.

10. Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Re0. 2005; 15(9): 1277–1288.

11. Hoffmann B, Domanska OM, Albay Z, et al. The Frankfurt Patient Safety Climate Questionnaire for general practices (FraSiK): analysis of psychometric properties. BMJ Qual Saf 2011; 20: 797–805.

12. Zwart DLM, Langelaan M, van de Vooren R, et al. Patient safety culture measurement in general practice. Clinimetric properties of ‚SCOPE‘. BMC Fam Pract 2011; 12: 117.

13. de Wet C, Spence W, Mash R, et al. The development and psychometric evaluation of a safety climate measure for primary care. Qual Saf Health Care 2010; 19: 578–584.

14. Gehring K, Schwappach DL, Battaglia M, et al. Safety climate and its association with office type and team involvement in primary care. Int J Qual Health Care 2013; 25: 394–402.

15. Verbakel NJ, Zwart DL, Langelaan M, et al. Measuring safety culture in Dutch primary care: psychometric characteristics of the SCOPE-PC questionnaire. BMC Health Serv Res 2013; 13: 354.

16. Modak I, Sexton JB, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire – ambulatory version. J Gen Intern Med 2007; 22(1): 1–5.

17. Cheng S, HU Y, Pfaff H, et al. The patient safety culture scale for Chinese primary health care institutions: development, validity and reliability. J Patient Saf 2021; 17(2): 114–121.

18. Schutz AL, Counte MA, Meurer S. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity. Health Care Manag Sci 2007; 10: 139–149.

19. Singer SJ, Nieva HR, Brede N, et al. Evaluating ambulatory practice safety: the PROMISES project administrators and practice staff surveys. Med Care 2015; 53: 141–152.

20. Sorra J, Gray L, Famolaro T, et al. AHRQ Medical Office Survey on Patient Safety Culture [online]. 2008. Dostupné z: https://www.ahrq.gov/sops/surveys/medical-office/index.html [cit. 2021-11- 05].

21. Sorra JS, Nieva VF. AHRQ hospital survey on patient safety culture [online]. Dostupné z: https://www.ahrq.gov/sops/surveys/ hospital/index.html [cit. 2021-10-15].

22. Sexton JB, Helmreich RL, Neilands TB, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res 2006; 6(1): 44.

23. Ashcroft DM, Morecroft C, Parker D, Noyce PR. Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework. Qual Saf Health Care 2005; 14(6): 417–421.

24. Smith S, Sorra J, Franklin M, et al. AHRQ ambulatory surgery center survey on patient safety culture [online]. Dostupné z: https://www.ahrq.gov/sops/surveys/asc/index.html [cit. 2021- 10-15].

25. Funabashi M, Pohlman KA, Mior S, et al. SafetyNET Communitybased patient safety initiatives: development and application of a Patient Safety and Quality Improvement Survey. J Can Chiropr Assoc 2018; 62(3): 130–142.

26. Avramchuk AS, McGuire SJJ. Patient Safety Climate. J Healthc Manag 2018; 63(3): 175–192.

27. Hernan AL, Giles SJ, O´Hara JK, et al. Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing. BMJ Qual Saf 2016; 25(4): 273–280.

28. Raczkiewicz D, Owoc J, Krakowiak J, et al. Patient safety culture in Polish primary healthcare centers. Int J Qual Health Care 2019; 31(8): G60–G66.

29. Antonakos I, Souliotis K, Psaltopoulou T, et al. Patient safety culture assessment in primary care settings in Greece. Healthcare 2021; 9(7): 880.

30. Desmedt M, Bergs J, Vertriest S, et al. Systematic psychometric review of self-reported instruments to assess patient safety culture in primary care. J Adv Nurs 2018; 74(3): 539–549.

31. Vasconcelos PF, Arruda LP, Sousa Freire VEC, Carvalho REFL. Instruments for evaluation of safety culture in primary health care: integrative review of the literature. Public Health 2018; (156): 147–151.

Labels
General practitioner for children and adolescents General practitioner for adults
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#