ArticleInternational journal of environmental research and public health2022
Safety Culture and the Positive Association of Being a Primary Care Training Practice during COVID-19: The Results of the Multi-Country European PRICOV-19 Study.
Article in International journal of environmental research and public health, 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, 10 citations in OpenAlex.
- Moving forward after the COVID-19 pandemic: Lessons learned in primary care from the multi-country PRICOV-19 study.The European journal of general practice · 2024Article
- Recruitment, data collection, participation rate, and representativeness of the international cross-sectional PRICOV-19 study across 38 countries.BMC primary care · 2024Article
- Patient safety incidents in Irish general practice during the COVID-19 pandemic: an exploratory practice level analysis.BMC primary care · 2024Article
- Quality and safety actions in primary care practices in COVID-19 pandemic: the PRICOV-19 study in Spain.BMC primary care · 2024Article
- Educational actions conducted during the pandemic with primary health care professionals: a scoping review.Revista brasileira de enfermagem · 2024Article
- Responding to COVID-19: The Suitability of Primary Care Infrastructure in 33 Countries.International journal of environmental research and public health · 2022Article
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Authors and funding
16 authors at 11 institutions in 11 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The day-to-day work of primary care (PC) was substantially changed by the COVID-19 pandemic. Teaching practices needed to adapt both clinical work and teaching in a way that enabled the teaching process to continue, while maintaining safe and high-quality care. Our study aims to investigate the effect of being a training practice on a number of different outcomes related to the safety culture of PC practices. PRICOV-19 is a multi-country cross-sectional study that researches how PC practices were organized in 38 countries during the pandemic. Data was collected from November 2020 to December 2021. We categorized practices into training and non-training and selected outcomes relating to safety culture: safe practice management, community outreach, professional well-being and adherence to protocols. Mixed-effects regression models were built to analyze the effect of being a training practice for each of the outcomes, while controlling for relevant confounders. Of the participating practices, 2886 (56%) were non-training practices and 2272 (44%) were training practices. Being a training practice was significantly associated with a lower risk for adverse mental health events (OR: 0.83; CI: 0.70-0.99), a higher number of safety measures related to patient flow (Beta: 0.17; CI: 0.07-0.28), a higher number of safety incidents reported (RR: 1.12; CI: 1.06-1.19) and more protected time for meetings (Beta: 0.08; CI: 0.01-0.15). No significant associations were found for outreach initiatives, availability of triage information, use of a phone protocol or infection prevention measures and equipment availability. Training practices were found to have a stronger safety culture than non-training practices. These results have important policy implications, since involving more PC practices in education may be an effective way to improve quality and safety in general practice.
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