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Int J Qual Health Care. 2009 Oct;21(5):348-55. doi: 10.1093/intqhc/mzp035. Epub 2009 Aug 22.

A survey on patient safety culture in primary healthcare services in Turkey.

Author information

1
Department of Public Health, Selcuk University, Konya, Turkey. saidbodur@gmail.com

Abstract

OBJECTIVE:

To evaluate the patient safety culture in primary healthcare units.

DESIGN:

A cross-sectional study, utilizing the Turkish version of the Hospital Survey on Patient Safety Culture developed by the Agency for Healthcare Research and Quality and a demographic questionnaire.

SETTING:

Twelve primary healthcare centers in the center of the city of Konya, Turkey.

PARTICIPANTS:

One hundred and eighty healthcare staff, including general practitioners (GPs), nurses, midwives and health officers.

INTERVENTION:

None.

MAIN OUTCOME MEASURE(S):

The patient safety culture score including subscores on 12 dimensions and 42 items; patient safety grade and number of events reported.

RESULTS:

Fifty-four (30%) of the participants were GPs, 48 (27%) were nurses, 51 (28%) were midwives and 27 (15%) were health officers. The mean overall score for positive perception of patient safety culture in primary healthcare units was 46 +/- 20 (43-49 CI). No differences were found by staff members' profession. Among the dimensions of patient safety, those with the highest percentage of positive ratings were teamwork within units (76%) and overall perceptions of safety (59%), whereas those with the lowest percentage of positive ratings were the frequency of event reporting (12%) and non-punitive response to error (18%). Reporting of errors was infrequent with 87% of GPs, 92% of nurses and 91% of other health staff indicating that they did not report or provide feedback about errors.

CONCLUSIONS:

Improving patient safety culture should be a priority among health center administrators. Healthcare staff should be encouraged to report errors without fear of punitive action.

PMID:
19700779
DOI:
10.1093/intqhc/mzp035
[Indexed for MEDLINE]

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