Patient safety culture in Primary Health Care

Jéssica Karine Lopes Bohrer; Ana Catarina Laboissière Vasconcelos; Ana Lúcia Queiroz Bezerra; Cristiane Chagas Teixeira; Juliane Andrade; Paulo Henrique Fernandes dos Santos; Thatianny Tanferri de Brito Paranaguá

doi:10.15253/2175-6783.20212270874

Authors

Jéssica Karine Lopes Bohrer Universidade de Brasília https://orcid.org/0000-0002-5037-3273
Ana Catarina Laboissière Vasconcelos Universidade de Brasília https://orcid.org/0000-0002-7757-8535
Ana Lúcia Queiroz Bezerra Universidade Federal de Goiás https://orcid.org/0000-0002-6439-9829
Cristiane Chagas Teixeira Universidade Federal de Goiás https://orcid.org/0000-0002-4752-0439
Juliane Andrade Universidade de Brasília https://orcid.org/0000-0002-4321-0118
Paulo Henrique Fernandes dos Santos Universidade de Brasília https://orcid.org/0000-0003-4533-0129
Thatianny Tanferri de Brito Paranaguá Universidade de Brasília https://orcid.org/0000-0003-0562-8975

DOI:

https://doi.org/10.15253/2175-6783.20212270874

Keywords:

Primary Health Care; Organizational Culture; Safety Management; Patient Safety.

Abstract

Objective: to evaluate the patient safety culture in a primary care health unit. Methods: cross-sectional study conducted with 51 professionals linked to Primary Health Care. Data were collected using the self-administered instrument Medical Office Survey on Patient Safety Culture, translated, adapted and validated for use in Brazil. Descriptive statistical analysis was performed. Nurses, physicians, Community Health Agents, among other professionals participated. Results: the dimensions of the patient safety culture in Primary Health Care indicated opportunities for improvement or weaknesses in the service. The general assessment of patient safety and the global assessment of the quality of care provided in Primary Health Care were appointed as good or fair. Conclusion: the safety culture in Primary Care did not identify strong dimensions; there were problems with equipment, performance and availability of test results and exchange of information with imaging centers/laboratories in the care network.

References

World Health Organization (WHO). The third draft of the global patient safety action plan. [Internet]. 2021 [cited Mar 27, 2021]. Available from: https://cdn.who.int/media/docs/default-source/patient-safety/gpsap/global-patient-safety-action-plan-2021-2030_third-draft_january-2021_web.pdf?sfvrsn=6767dc05_15&download=true

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. doi: https://doi.org/10.1186/s12875-018-0793-7

Michel P, Brami J, Chanelière M, Kret M, Mosnier A, Dupie I, et al. Patient safety incidents are common in primary care: a national prospective active incident reporting survey. PLoS One. 2017; 12(2):e0165455. doi: https://doi.org/10.1371/journal.pone.0165455

Cooper A, Edwards A, Williams H, Evans HP, Avery A, Hibbert P, et al. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Age Ageing. 2017; 46(5):833-9. doi: https://doi.org/10.1093/ageing/afx044

Auraaen A, Slawomirski L, Klazinga N. The economics of patient safety in primary and ambulatory care: flying blind. OECD Health Working Papers. 2018; 106:1-57. doi: https://doi.org/10.1787/baf425ad-en

Aguiar TL, Lima DS, Moreira MAB, Santos LF, Ferreira JMBB. Patient safety incidents in Primary Healthcare in Manaus, AM, Brazil. Interface. 2020; 24(Suppl 1):e190622. doi: https://doi.org/10.1590/interface.190622

Nora CRD, Beghetto MG. Patient safety challenges in primary health care: a scoping review. Rev Bras Enferm. 2020; 73(5):e20190209. doi: https://doi.org/10.1590/0034-7167-2019-0209

Andrade AM, Rodrigues JS, Lyra BM, Costa JS, Braz MNA, Dal Sasso MA, et al. Evolução do programa nacional de segurança do paciente: uma análise dos dados públicos disponibilizados pela Agência Nacional de Vigilância Sanitária. Visa Debate. 2020; 8(4):37-46. doi: https://doi.org/10.22239/2317-269x.01505

Timm M, Rodrigues MC. Cross-cultural adaptation of safety culture tool for Primary Health Care. Acta Paul Enferm. 2016; 29(1):26-37. doi: http://dx.doi.org/10.1590/1982-0194201600005

Lawati MHA, Short SD, Abdulhadi NN, Panchatcharam SM, Dennis S. Assessment of patient safety culture in primary health care in Muscat, Oman: a questionnaire - based survey. BMC Fam Pract. 2019; 20(1):50. doi: https://doi.org/10.1186/s12875-019-0937-4

Galhardi NM, Roseira CE, Orlandi FS, Figueiredo RM. Assessment of the patient safety culture in primary health care. Acta Paul Enferm. 2018; 31(4):409-16. doi: http://doi.org/10.1590/1982-0194201800057

Souza MM, Ongaro JD, Lanes TC, Andolhe R, Kolankiewicz ACB, Magnago TSBS. Patient safety culture in the Primary Health Care. Rev Bras Enferm. 2019; 72(1):27-34. doi: https://dx.doi.org/10.1590/0034-7167-2017-0647

González-Formoso C, Clavería A, Fernández-Domínguez MJ, Lago-Deibe FL, Hermida-Rial L, Rial A, et al. Effectiveness of an educational intervention to improve the safety culture in primary care: a randomized trial. BMC Fam Pract. 2019; 20(1):15. doi: https://doi.org/10.1186/s12875-018-0901-8

Raimondi DC, Bernal SCZ, Oliveira JLC, Matsuda LS. Patient safety culture in primary health care: analysis by professional categories. Rev Gaúcha Enferm. 2019; 40(esp):e20180133. doi: https://doi.org/10.1590/1983-1447.2019.20180133

Paranaguá TTB, Bezerra ALQ, Tobias GC, Ciosak SI. Support for learning in the perspective of patient safety in primary health care. Rev Latino-Am Enfermagem. 2016; 24:e2771. doi: http://dx.doi.org/10.1590/1518-8345.0784.2771

Silva LS, Menezes C, Nascimento LC, Nitscke RG, Duarte DC, Viegas SMF. Demanda espontânea e acesso no Sistema Único de Saúde: vivências de usuários da atenção primária. Av Enferm. 2021; 39(1):30-9. doi: http://doi.org/10.15446/av.enferm.v39n1.85573

Ribeiro SP, Cavalcanti MLT. Primary health care and coordination of care: device to increase access and improve quality. Ciênc Saúde Coletiva. 2020; 25(5):1799-808. doi: https://doi.org/10.1590/1413-81232020255.34122019

Janes G, Mills T, Budworth L, Johnson J, Lawton R. The association between health care staff engagement and patient safety outcomes: a systematic review and meta-analysis. J Patient Saf. 2021; 17(3):207-16. doi: https://doi.org/10.1097/PTS.0000000000000807

Blumenthal KJ, Chien AT, Singer SJ. Relationship among team dynamics, care coordination and perception of safety culture in primary care. Fam Pract. 2018; 35(6):718-23. doi: https://doi.org/10.1093/fampra/cmy029

Macedo LL, Haddad MCFL, Silva AMR, Girotto E. Culture of patient safety in primary health care in a large municipality in the perception of workers. Texto Contexto Enferm. 2020; 29:e20180410. doi:https://doi.org/10.1590/1980-265X-TCE-2018-0410