Effectiveness of an educational intervention to improve the safety culture in primary care: a randomized trial

González-Formoso, Clara; Fontán, Antonio; Fernández-Domínguez, Ma José; Lago-Deibe, Fernando; Hermida-Rial, Luis; Rial, Antonio; Gude‐Sampedro, Francisco; Pita-Fernández, Salvador; Martín-Miguel, Victoria

doi:10.1186/s12875-018-0901-8

Cited by 14 publications

(7 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This is also evident in our national-level survey results as it was one of the lowest-scored domains among the PSC domains among 366 hospitals in Saudi Arabia. On the other hand, the association of “nonpunitive response to error” with higher numbers of reported SEs might indicate a positive culture of reporting without a fear of blame indicating a safer organization, which is a topic of debate [ 57 – 59 ]. This is evident in the influence of “frequency of events reported” domain on the positive events reported (PER) model as per our stepwise regression analysis.…”

Section: Discussionmentioning

confidence: 99%

The relationships between patient safety culture and sentinel events among hospitals in Saudi Arabia: a national descriptive study

Binkheder

Alaska

Albaharnah³

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

Background Sentinel events (SEs) can result in severe and unwanted outcomes. To minimize the fear of sentinel events reporting and the occurrence of sentinel events, patient safety culture improvements within healthcare organizations is needed. To our knowledge, limited studies explored the relationships between patient safety culture and sentinel events on a local level and no research has been conducted at the national level in Saudi Arabia. Objectives This study aimed to explore the relationships between the patient safety culture and the reported-SEs on a national level during the year 2020 in Saudi hospitals. Methods This was a descriptive study. We utilized two data sources (the reported-SEs and the patient safety culture survey) that were linked using hospitals information. To explore the relationships between patient safety culture and reported-SEs rates, we performed descriptive statistics, a test of independence, post-hoc analysis, correlation analysis, and multivariate regression and stepwise analyses. Results The highest positive domain scores in patient safety culture domains in the Saudi hospitals (n = 366) were “Teamwork Within Units” (80.65%) and “Organizational learning-continuous improvement” (80.33%), and the lowest were “Staffing” (32.10%) and “Nonpunitive Response to Error” (26.19%). The highest numbers of reported-SEs in 103 hospitals were related to the contributory factors of “Communication and Information” (63.20%) and “Staff Competency and Performance” (61.04%). The correlation analysis performed on 89 Saudi hospitals showed that higher positive patient safety culture scores were significantly associated with lower rates of reported-SEs in 3 out of the 12 domains, which are “Teamwork Within Units”, “Communication Openness”, and “Handoffs and Transitions”. Multivariate analyses showed that “Handoffs and Transitions”, “Nonpunitive Response to Error”, and “Teamwork Within Units” domains were significant predictors of the number of SEs. The "Staff Competency and Performance" and "Environmental Factors" were the most contributory factors of SEs in the number of significant correlations with the patient safety culture domains. Conclusion This study identified patient safety culture areas of improvement where hospitals in Saudi Arabia need actions. Our study confirms that a more positive patient safety culture is associated with lower occurrence of sentinel events. To minimize the fear of sentinel events reporting and to improve overall patient safety a culture change is needed by promoting a blame-free culture and improving teamwork, handoffs, and communication openness.

show abstract

Section: Discussionmentioning

confidence: 99%

The relationships between patient safety culture and sentinel events among hospitals in Saudi Arabia: a national descriptive study

Binkheder

Alaska

Albaharnah³

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…A comunicação é compreendida como a base do trabalho diário dos serviços de saúde e identificada como ponto forte para melhorar áreas problemáticas da SP (HICKNER et al, 2015;ROMERO;GONZÁLEZ;CALVO, 2017). Favorece a discussão e a troca de experiências, o que leva ao compartilhamento de conhecimento e à aprendizagem organizacional (PEÑA et al, 2015;TABRIZCHI;SEDAGHAT, 2012;ASTUDILLO et al, 2015;GHOBASHI et al, 2014;REE;SIRI, 2019).…”

Section: Discussionunclassified

“…A fim de superar esta fragilidade, é importante estabelecer um clima em que a equipe de saúde possa expor erros possíveis ou presentes, sem medo de punições (TABRIZCHI; SEDAGHAT, 2012), pois em uma equipe em que há confiança mútua entre colegas, os eventos podem ser discutidos e resolvidos no próprio grupo, sem que haja a obrigação de denunciar os erros dos colegas (REE; SIRI, 2019). Nesse sentido, momentos que permitam o diálogo aberto com a equipe, livres do sentimento de culpa e vergonha e não aliados à punição, contribuem para o reconhecimento que os problemas existem (BODUR; FILIZ, 2009; ASTU-DILLO et al, 2015) e revela-se como um componente importante do aprendizado organizacional com base no fluxo de informações (GONZÁLEZ-FORMOSO et al, 2019).…”

Section: Discussionunclassified

Fatores Intervenientes Da Cultura De Segurança Do Paciente Na Atenção Primária À Saúde

Pai¹,

Langendorf

Alves³

et al. 2020

Rev. Cont. Saúde

View full text Add to dashboard Cite

Introdução: Identificar os fatores que interferem na cultura de segurança do paciente na atenção primária à saúde. Método: Revisão integrativa, realizada nas bases de dados LILACS, PubMed, WoS e Scopus, no mês de agosto de 2017. Utilizou-se a classificação do nível de evidência para realizar avaliação crítica dos estudos primários. Totalizaram-se 16 produções científicas. Resultados: Os fatores que interferem na cultura de segurança do paciente na atenção primária à saúde são condições relacionadas a educação permanente, comunicação, condições de trabalho e liderança. Conclusões: As evidências científicas revelam que os alguns fatores interferem positivamente, outros negativamente para a cultura de segurança do paciente na atenção primária à saúde e devem ser utilizados com intuito de efetivar ações de saúde para os usuários.

show abstract

“…In 2019, González-Formoso shows that education is a key pillar of quality improvement and is considered the most important factor in improving patient safety, especially in primary care where the effectiveness of the educational intervention given to residents and their tutors in family medicine teaching units was measured by the number of events reported [18]. Training in patient safety improves knowledge and the process of care.…”

Section: Recommendationsmentioning

confidence: 99%

Community and Primary Care

Alti¹,

Mereu²

2020

Textbook of Patient Safety and Clinical Risk Management

View full text Add to dashboard Cite

WHO defined primary care “as socially appropriate, universally accessible, scientifically sound first level care provided by a suitably trained workforce supported by integrated referral systems and in a way that gives priority to those most needed, maximizes community and individual self-reliance and participation and involves collaboration with other sectors, including health promotion, illness prevention, care of the sick, advocacy and community development” [1].

show abstract

Effectiveness of an educational intervention to improve the safety culture in primary care: a randomized trial

Cited by 14 publications

References 36 publications

The relationships between patient safety culture and sentinel events among hospitals in Saudi Arabia: a national descriptive study

The relationships between patient safety culture and sentinel events among hospitals in Saudi Arabia: a national descriptive study

Fatores Intervenientes Da Cultura De Segurança Do Paciente Na Atenção Primária À Saúde

Community and Primary Care

Contact Info

Product

Resources

About