J Patient Saf. 2021 Dec 01;17(8):e1216-e1222. doi: 10.1097/PTS.0000000000000458.
Exploring and Evaluating Patient Safety Culture in a Community-Based Primary Care Setting.
Journal of patient safety
Melissa Desmedt, Jochen Bergs, Benjamin Willaert, Ward Schrooten, Annemie Vlayen, Johan Hellings, Neree Claes, Dominique Vandijck
Affiliations
Affiliations
- From the Faculty of Medicine and Life Sciences, Hasselt University, Hasselt.
- White-Yellow Cross West-Flanders, Bruges.
- Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.
PMID: 29394195
DOI: 10.1097/PTS.0000000000000458
Abstract
OBJECTIVES: The primary aim was to measure patient safety culture in two home care services in Belgium (Flanders). In addition, variability based on respondents' profession was examined.
METHODS: A cross-sectional study was conducted by administering the SCOPE-Primary Care questionnaire in two home care service organizations.
RESULTS: In total, 1875 valid questionnaires were returned from 2930 employees, representing a response rate of 64%. The highest mean patient safety culture score was found for "organizational learning" (mean [SD] = 3.81 [0.53]), followed by "support and fellowship" (mean [SD] = 3.76 [0.61]), "open communication and learning from error" (mean [SD] = 3.73 [0.64]), and "patient safety management" (mean [SD] = 3.71 [0.60]). The lowest mean scores were found for "handover and teamwork" (mean [SD] = 3.28 [0.58]) and "adequate procedures and working conditions" (mean [SD] = 3.30 [0.56]). Moreover, managers/supervisors scored significantly higher on the dimensions "open communication and learning from error," "adequate procedures and working conditions," "patient safety management," "support and fellowship," and "organizational learning" than clinical and nonclinical staff.
CONCLUSIONS: In conclusion, organizational learning is perceived as most positive. However, large gaps remain in the continuity of care as "handover and teamwork" is perceived as the most negative safety culture dimension. With knowledge of the current patient safety culture, organizations can redesign processes or implement improvement strategies to avoid patient safety incidents and patient harm in the future.
Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
Conflict of interest statement
The authors disclose no conflict of interest.
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