Culture de sécurité des soins dans les centres de soins primaires tunisiens : une étude multicentrique

Mallouli, Manel; Aouicha, Wiem; Tlili, Mohamed Ayoub; Limam, Manel; Ajmi, Thouraya; Mtiraoui, Ali; Zedini, Chekib

doi:10.3917/spub.175.0685

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…Culture de sécurité des soins dans les centres de soins primaires tunisiens une étude multicentrique (12) Tunísia/2017…”

Section: Resultsunclassified

“…O estudo realizado na França mostra que estes têm uma dificuldade em entender o conceito de EA e a importância de sua notificação, mesmo após instrução. Esses fatos podem estar interligados com a cultura da SP no ambiente profissional, visto que outros estudos (12,20) já demonstraram que a mesma é um fator que reforça a SP, mas não é fortalecida pelos profissionais.…”

Section: Journal Of General Practiceunclassified

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Eventos adversos na atenção primária à saúde

Santos¹,

Santana²,

Cunha³

et al. 2023

Enfermagem Em Foco

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Identificar na literatura os principais fatores contribuintes para ocorrência de Eventos Adversos na Atenção Primária à Saúde. Métodos: Trata-se de uma revisão integrativa. A partir da formação da questão norteadora, foi realizada uma pesquisa nas bases de dados: MEDLINE, PubMed, BDENF, SciELO e LILACS. Ao final, foram incluídos 15 artigos. Resultados: 7 dos artigos traziam fatores ligados a medicação como principal, 3 traziam prática e procedimentos, 2 organização e gestão, 1 comunicação e 2 outros fatores. Conclusão: Percebeu-se que erros relacionados a medicação e diagnóstico são os mais comuns nas instâncias de saúde. A falha na comunicação entre funcionários e entre os serviços de saúde, além de fatores organizacionais e diagnósticos tardios também foram apontadas, sendo boa parte, evitável. A subnotificação foi comumente relatada nos artigos, revelando que os dados existentes possam não estar condizentes com a realidade.

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“…Culture de sécurité des soins dans les centres de soins primaires tunisiens une étude multicentrique (12) Tunísia/2017…”

Section: Resultsunclassified

Section: Journal Of General Practiceunclassified

Eventos adversos na atenção primária à saúde

Santos¹,

Santana²,

Cunha³

et al. 2023

Enfermagem Em Foco

View full text Add to dashboard Cite

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La culture de sécurité des patients dans les unités de soins intensifsnéonatals vue par les équipes

Soussi¹,

Hamouda²,

Dalinda³

et al. 2022

Soins Pédiatrie/Puériculture

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Measuring Organizational Culture in Ethiopia’s Primary Care System: Validation of a Practical Survey Tool for Managers

Liu

Curry²,

Nadew

et al. 2022

Int J Health Policy Manag

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Background: Organizational culture has been widely recognized as predictive of health system performance and improved outcomes across various healthcare settings. Research on organizational culture in healthcare has been largely conducted in high-income settings, and validated scales to measure this concept in primary healthcare systems in low- and middle-income country (LMIC) settings are lacking. Our study aimed to validate a tool to measure organizational culture in the context of the Ethiopian Primary Healthcare Transformation Initiative, a collaborative of the Federal Ministry of Health and the Yale Global Health Leadership Initiative to strengthen primary healthcare system performance in Ethiopia. Methods: Following established survey development and adaptation guidelines, we adapted a 31-item U.S.-based organizational culture scale using (1) cognitive interviewing, (2) testing with 1176 district and zonal health officials from four regions in Ethiopia, and (3) exploratory factor analysis. Results: Based on the results of cognitive interviewing, an adapted 30-item survey was piloted. The factor analyses of 1,034 complete surveys (88% complete responses) identified five constructs of the scale which demonstrated strong validity and internal consistency: learning and problem solving, psychological safety, resistance to change, time for improvement, and commitment to the organization. Of the 30 a priori items, 26 items loaded well on the five constructs (loading values 0.40- 0.86), and 4 items failed to load. Cronbach alpha coefficients were 0.86 for the scale as a whole and ranged from 0.65 to 0.90 for the subscales. The five-factor solution accounted for 62% of total variance in culture scores across respondents. Conclusion: Through validation and factor analyses, we generated a 26-item scale for measuring organizational culture in public primary healthcare systems in low-and middle-income country settings. This validated tool can be useful for managers, implementers, policymakers, and researchers to assess and improve organizational culture in support of improved primary healthcare system performance.

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Culture de sécurité des soins dans les centres de soins primaires tunisiens : une étude multicentrique

Abstract: This study demonstrates that the level of safety culture needs to be improved in primary healthcare centres in Tunisia and also highlights the need to implement a quality management system in primary healthcare centres.

Cited by 3 publications

References 20 publications

Eventos adversos na atenção primária à saúde

Eventos adversos na atenção primária à saúde

La culture de sécurité des patients dans les unités de soins intensifsnéonatals vue par les équipes

Measuring Organizational Culture in Ethiopia’s Primary Care System: Validation of a Practical Survey Tool for Managers

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