ArticlePloS one2022
Patient safety culture in primary health care: Medical office survey on patient safety culture in a Brazilian family health strategy setting.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- [Degree of implementation of patient safety in primary health care in three Brazilian capitals].Cadernos de saude publica · 2025Article
- Patient safety culture and associated factors of regional public hospitals in Addis Ababa.BMC health services research · 2024Article
- Assessment of patient safety culture in Moroccan primary health care: a multicentric study.BMC nursing · 2024Article
- Perception Of Patient Safety Culture At The Primary Care Level: The Case Of The Community Health Centre Ljubljana.Zdravstveno varstvo · 2024Article
- Professional burnout and patient safety culture in Primary Health Care.Revista brasileira de enfermagem · 2023Article
- Factors Affecting Patient Safety Culture from Nurses' Perspectives for Sustainable Nursing Practice.Healthcare (Basel, Switzerland) · 2022Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesTo assess the patient safety culture in Primary Health Care (PHC) setting after the transition to the Family Health Strategy (FHS) model in a Brazilian metropolitan area and compare the results between the categories of health care professionals.
methodsA cross-sectional study including 246 workers from primary health care services in Federal District, Brazil. Data collection took place from October to December 2019 through the Medical Office Survey on Patient Safety Culture (MOSPSC) application. Patient safety culture was considered positive when the score was above 60%. For comparisons between the categories of health care professionals', the ANOVA and Kruskal-Wallis test were used for composite percent positive scores, and Pearson's chi-square or Fishers exact test for frequency and percentage of positive responses.
resultsThe overall MOSPSC composite percent positive score was 49.9%. Among the 12 dimensions, only three showed a positive patient safety culture: Teamwork (73.1%), Organizational learning (62.9%), and Patient care tracking/follow-up (60.1%). The percentage of positive responses on overall quality assessment (78.1%) and overall patient safety assessment (78.0%) showed a positive evaluation. There was no significant difference in the composite percent positive score of overall MOSPSC (p = 0.135) and the percentage of positive responses on overall patient safety assessment (p = 0.156) between the categories of health care professionals. Overall quality assessment showed a significant difference between job roles (p < 0.001), in which nursing /health care technicians showed a significantly lower score than other job roles.
conclusionThe patient safety culture assessment showed a weakness in the patient safety in the PHC services. The MOSPSC and nine of its dimensions presented a negative safety culture assessment, regardless of the high scores in the overall patient safety and quality assessments.
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