Perception of Patient Safety Culture at the Primary Care Level: The Case of the Community Health Centre Ljubljana

DOMAIN G	ITEMS	Mean (SD)	Median (IQ 25-75)
	G1A: Patient-centred, %	48.4 (50.0)	0.0 (0.0-100.)
	G1B: Effective, %	51.7 (50.0)	100.0 (0.0-100.0)
G1: Overall ratings on quality	G1C: Timely, %	47.1 (50.0)	0.0 (0.0-100.0)
	G1D: Efficient, %	47.1 (50.0)	0.0 (0.0-100.0)
	G1E: Equitable, %	69.8 (46.0)	100.0 (0.0-100.0)
	G1: Average overall rating on quality, %	52.8 (40.3)	60.0 (0.0-100.0)
G2: Overall rating on patient safety	G2, %	32.6 (46.9)	0.0 (0.0-100.0)
Overall ratings on quality and patient safety, %		49.4 (38.3)	50.0 (16.7-83.3)

Sociodemographic characteristics of the participants.

CHARACTERISTIC	DESCRIPTIVES
Age (years), mean (SD)	44.5 (11.1)
Age group (years), n (%)
<25	14 (1.8)
26-40	135 (17.8)
41-55	142 (18.7)
>56	86 (11.3)
Male	32 (8.5)
Female	345 (91.5)
Profile, n (%)
Physician, dentist	84 (21.8)
Registered nurse	102 (26.5)
Management	12 (3.1)
Administrative or clerical staff	12 (3.1)
Healthcare assistants	97 (25.2)
Other clinical staff	47 (12.2)
Other position	31 (8.1)
Health centre unit, n (%)
Center	79 (21.0)
Moste-Polje	85 (22.5)
Management	5 (1.3)
Šentvid	12 (3.2)
Vič-Rudnik	82 (21.8)
Bežigrad	56 (14.9)
Emergency Care Unit	6 (1.6)
Šiška	52 (13.8)
Work experience
(years), n (%)
<4	13 (3.4)
4-7	25 (6.6)
8-15	43 (11.4)
>16	296 (78.5)

Structure of the MOSPSC tool (16).

DOMAIN	DIMENSION
A	List of patient safety and quality issues
B	Information exchange with other settings
C	Teamwork
	Work pressure and pace
	Staff training
	Office processes and standardisation
D	Communication openness
	Patient care tracking/follow-up
	Communication about error
E	Leadership support for patient safety
F	Organisational learning
F	Overall perceptions of patient safety and quality
G	Overall ratings on quality
G	Overall rating on patient safety

Composite percent positive scores of the Medical Office Survey on Patient Safety Control (MOSPSC) and its dimensions.

MOSPSC DIMENSIONS	Mean (SD)	Median (IQ 25-75)
List of patient safety and quality issues, %	88.1 (18.9)	100.0 (77.8-100.0)
Information exchange with other settings, %	93.5 (18.8)	100.0 (100.0-100.0)
Teamwork, %	75.0 (29.7)	75.0 (50.0-100.0)
Work pressure and pace, %	10.7 (20.3)	0.0 (0.0-25.0)
Staff training, %	51.6 (36.7)	66.7 (33.3-66.7)
Office processes and standardisation, %	48.2 (28.2)	50.0 (25.0-72.0)
Communication openness, %	40.9 (33.7)	25.0 (0.0-75.0)
Patient care tracking/follow-up, %	76.2 (28.6)	75.0 (50.0-100.0)
Communication about error, %	58.3 (31.6)	75.0 (25.0-75.0)
Leadership support for patient safety, %	27.1 (31.2)	25.0 (0.0-50.0)
Organisational learning, %	90.2 (22.9)	100.0 (100.0-100.0)
Overall perceptions of patient safety and quality, %	70.1 (24.2)	75.0 (50.0-100.)
Overall ratings on quality and patient safety, %	49.4 (38.3)	50.0 (16.7-83.3)
Overall MOSPSC composite percent positive score, %	59.6 (15.7)	75.0 (50.0-100.0)

Analysis of composite percent positive score of the MOSPSC dimensions based on different professional profiles.

MOSPSC dimensions	Physician, dentist (n=84)	Registered nurse (n=102)	Management (n=12)	Administrative or clerical staff (n=12)	Healthcare assistants (n=97)	Other clinical staff (n=47)
List of patient safety and quality issues, %
Mean (SD)	85.6 (24.7)	88.9 (17.0)	96.3 (6.4)	/	90.8 (13.8)	100 (0.0)
Median (IQ 25-75)	80.0 (70.0-100.0)	85.0 (80.0.-100.0)	100.0 (90.0-100.0)	/	90.0 (90.0-100.0)	100.0 (100.0-100.0)
Information exchange with other settings, %
Mean (SD)	94.2 (17.4)	95.0 (16.8)	100 (0.0)	100 (0.0)	92.6 (20.4)	91.1 (20.3)
Median (IQ 25-75)	95.0 (90.0-100.0)	95.0 (90.0-100.0)	100.0 (100.0-100.0)	100.0 (100.0-100.0)	100. (80.0-100.0)	100.0 (75.0-100.0)
Teamwork, %
Mean (SD)	76.8 (29.3)	75.8 (29.2)	85 (24.1)	87.5 (25.0)	70.7 (32.7)	68.6 (31.2)
Median (IQ 25-75)	70.0 (60.0-87.5)	70.0 (60.082.5)	100.0 (75.0-100.0	100.0 (75.0-100.0	70.0 (50.0-87.5)	75.0 (50.0-100.0
Work pressure and pace, %
Mean (SD)	8.1 (18.8)	11.2 (19.0)	12.5 (13.4)	37.5 (53.0)	8.3 (16.8)	18.1 (29.0)
Median (IQ 25-75)	0.0 (0.0-33.3)	15.0 (0.0-25.0)	0.0 (0.0- 33.3)	30.0 (25.0-47.5)	0.0 (0.0-33.3)	25.0 (25.0-25.0)
Staff training, %
Mean (SD)	43.8 (40.0)	50.5 (36.7)	77.8 (29.6)	38.1 (35.6)	50.2 (36.0)	48.8 (30.0)
Median (IQ 25-75), U value if p-value <0.05	50.0 (0.0-75.0), (U=9362.0; p=0.019)	50.0 (25.0-75.0)	75.0 (60-100.0), (U=2870.5; p=0.014)	25.0 (25.0-75.0)	50.0 (25.0-87.5)	50.0 (25.0-80.0)
Office processes and standardisation, %
Mean (SD)	43.4 (26.1)	49.7 (28.9)	72.9 (24.9)	55.0 (41.1)	47.8 (25.9)	50.0 (27.1)
Median (IQ 25-75), U value if p-value <0.05	37.5 (20.0-80.0), (U=8942.0; p=0.037)	50.0 (33.3-80.0)	75.0 (80.0-100.0), (U=2963.0; p=0.003)	75.0 (50.0-75.0)	50.0 (25.0-75.0)	50.0 (33.3-66.7)
Communication openness, %
Mean (SD)	52.9 (31.0)	34.1 (33.3)	63.9 (35.6)	33.3 (28.9)	37.3 (31.6)	25.0 (32.3)
Median (IQ 25-75), U value if p-value <0.05	62.5 (25.0-75.0), (U=9542.5; p<0.01)	25.0 (0.0-50.0)	75.0 (50.0-100.0), (U=1715.5; p=0.043)	25.0 (0.0-50.0)	25.0 (0.0-50.0)	25.0(10.0-50.0), (U=2269.5; p=0.011)
Patient care tracking/ follow-up, %
Mean (SD)	70.8 (31.1)	77.7 (27.7)	68.8 (23.9)	/	80.3 (26.9)	70.5 (36.8)
Median (IQ 25-75), U value if p-value <0.05	75.0 (75.0-100.0), (U=3937.5; p=0.049)	75.0 (75.0-100.0)	75.0 (50.0-100.0)	/	75.0 (75.0-100.0)	70.0 (60.0-82.5)
Communication about error, %
Mean (SD)	56.2 (32.2)	56.9 (32.0)	87.5 (18.9)	75.0 (0.0)	58.6 (28.0)	58.8 (30.6)
Median (IQ 25-75), U value if p-value <0.05	50.0 (50.0-75.0)	50.0 (50.0-75.0)	100.0 (75.0-100.0), (U=1592.0; p=0.043)	80.0 (75.0-100.0)	50.0 (25.0-75.0)	50.0 (25.0-75.0)
Leadership support for patient safety, %
Mean (SD)	31.5 (32.6)	28.7 (28.9)	50.0 (25.0)	58.3 (52.0)	27.9 (32.8)	12.5 (24.7)
Median (IQ 25-75), U value if p-value <0.05	25.0 (0.0-50.0)	33.3 (0.0-33.3)	50.0 (25.0-75.0)	50.0 (50.0-100.0)	25.0 (0.0-50.0)	0.0 (0.0-33.3), (U=2074.5; p=0.002)
Organisational learning, %
Mean (SD)	66.7 (38.4)	/	100 (0.0)	/	87.2 (25.6)	/
Median (IQ 25-75), U value if p-value <0.05	75.0 (50.0-100.0)	/	100.0 (100.0-100.0)	/	100.0 (75.0-100.0	/
/Overall perceptions of patient safety and quality, %
Mean (SD)	62.5 (32.2)	/	75.0 (25.0)	/	58.3 (14.4)	/
Median (IQ 25-75), U value if p-value <0.05	66.7 (33.3-100.0)	/	66.7 (33.3-100.0)	/	50.0 (50.0-75.0)	/
/Overall ratings on quality and patient safety, %
Mean (SD)	53.4 (36.3)	46.4 (39.8)	52.8 (33.2)	20.8 (34.9)	47.6 (40.4)	56.0 (34.3)
Median (IQ 25-75), U value if p-value <0.05	66.7 (33.3-100.0)	50.0 (33.3-66.7)	50.0 (33.3- 100.0)	20.0 (0.0-50.0), (U=1260.5; p=0.009)	50.0 (33.3- 66.7)	66.7 (33.3-66.7)

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Perception of Patient Safety Culture at the Primary Care Level: The Case of the Community Health Centre Ljubljana

Article Category: Original scientific article

Pubblicato online: 03 gen 2024

Pagine: 21 - 29

Ricevuto: 16 ott 2023

Accettato: 27 nov 2023

DOI: https://doi.org/10.2478/sjph-2024-0004

Parole chiaveSafety culture, Patient safety, Quality healthcare, Primary healthcare, Health promotion

© 2024 Tina VIRTIČ POTOČNIK et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Percentage of positive responses on Overall ratings on quality and patient safety.

Sociodemographic characteristics of the participants.

Structure of the MOSPSC tool (16).

Composite percent positive scores of the Medical Office Survey on Patient Safety Control (MOSPSC) and its dimensions.

Analysis of composite percent positive score of the MOSPSC dimensions based on different professional profiles.

Parole chiave
Safety culture, Patient safety, Quality healthcare, Primary healthcare, Health promotion