Evidence map›Paper›PMID 34711229›Full record

ArticleBMC health services research2021

Baseline assessment of patient safety culture in primary care centres in Kuwait: a national cross-sectional study.

Talal ALFadhalah, Buthaina Al Mudaf, Hanaa A Alghanim, Gheed Al Salem, Dina Ali, Hythem M Abdelwahab, Hossam Elamir

Erratum issuedAbstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Review
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  6. Article
  7. Level of Patient Safety Culture Awareness Among Healthcare Workers.Journal of multidisciplinary healthcare · 2023
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  10. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Talal ALFadhalahQuality and Accreditation Directorate, Ministry of Health, Kuwait City, Kuwait.
Buthaina Al MudafAssistant Undersecretary of Public Health Affairs, Ministry of Health, Kuwait City, Kuwait.
Hanaa A AlghanimSafety Department, Quality and Accreditation Directorate, Ministry of Health, Kuwait City, Kuwait.
Gheed Al SalemAccreditation Affairs Department, Quality and Accreditation Directorate, Ministry of Health, Kuwait City, Kuwait.
Dina AliSafety Department, Quality and Accreditation Directorate, Ministry of Health, Kuwait City, Kuwait.
Hythem M AbdelwahabNational Blood Transfusion Services, Ministry of Health and Population, Giza, Egypt.
Hossam ElamirResearch and Technical Support Department, Quality and Accreditation Directorate, Ministry of Health, Kuwait City, Kuwait. dr_hossam_elamir@hotmail.com.ORCID https://orcid.org/0000-0002-5573-4023

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssessments of the culture surrounding patient safety can inform healthcare settings on how their structures and processes impact patient outcomes. This study investigated patient safety culture in Primary Health Care Centres in Kuwait, and benchmarked the findings against regional and international results. This study also examined the association between predictors and outcomes of patient safety culture in these settings.

methodsThis cross-sectional quantitative study used the Medical Office Survey on Patient Safety Culture. The study was targeted at staff of all the Primary Health Care Centres in Kuwait with at least one year of experience. Data were analysed using SPSS 23 at a significance level of ≤ .05. Univariate (means, standard deviations, frequencies, percentages) and bivariate (chi-squared tests, student t-tests, ANOVA F-tests, Kruskal-Wallis tests, Spearman's correlation) analyses provided an overview of participant socio-demographics and the association between patient safety culture composites and outcomes. We undertook a multivariate regression analysis to predict the determinants of patient safety culture. Results were benchmarked against similar local (Kuwait, 2014), regional (Yemen, 2015) and international (US, 2018) studies.

resultsThe responses of 6602 employees from 94 centres were included in the study, with an overall response rate of 78.7%. The survey revealed Teamwork (87.8% positive ratings) and Organisational Learning (78.8%) as perceived areas of strength. Communication about Error (57.7%), Overall Perceptions of Patient Safety and Quality (57.4%), Communication Openness (54.4%), Owner/Managing Partner/Leadership Support for Patient Safety (53.8%) and Work Pressure and Pace (28.4%) were identified as areas requiring improvement. Benchmarking analysis revealed that Kuwait centres are performing at benchmark levels or better on four and six composites when compared to international and regional findings, respectively. Regression modelling highlighted significant predictions regarding patient safety outcomes and composites.

conclusionsThis is the first major study addressing the culture of patient safety in public Primary Health Care Centres regionally. Improving patient safety culture is critical for these centres to improve the quality and safety of the healthcare services they provide. The findings of this study can guide country-level strategies to develop the systems that govern patient safety practices.

Indexed as

Patient SafetySafety ManagementCross-Sectional StudiesHumansKuwaitOrganizational CulturePrimary Health CareSurveys and QuestionnairesKuwaitMOSPSCPatient safetyPrimary careSafety culture

Identifiers

PMID34711229
PMCPMC8555195

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.