Patient safety culture in primary health care: Medical office survey on patient safety culture in a Brazilian family health strategy setting

Study objectives A 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 consider...

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Bibliographic Details
Published in:	PloS one Vol. 17; no. 7; p. e0271158
Main Authors:	Araújo, Gleiton Lima, Amorim, Fábio Ferreira, de Miranda, Rafaela Cristina Pereira Santos, Amorim, Flávio Ferreira Pontes, Santana, Levy Aniceto, Göttems, Leila Bernarda Donato
Format:	Journal Article
Language:	English
Published:	San Francisco Public Library of Science 26-07-2022 Public Library of Science (PLoS)
Subjects:	Categories Chi-square test Communication Community health care Cooperation Corporate culture Culture Data collection Family physicians Health care Health care delivery Health care industry Health services Kruskal-Wallis test Likert scale Managers Medical personnel Medical practices Medicine and Health Sciences Metropolitan areas Organizational aspects Patient safety Patients People and Places Primary care Primary health care Professionals Public health Quality assessment Quality control Quality management Questionnaires Safety Safety and security measures Science Policy Social Sciences Surveys Teams Technicians Variance analysis Brazil
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Summary:	Study objectives A 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. The 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. The 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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 RCPSM and FFPA also contributed equally to this work. Competing Interests: The authors have declared that no competing interests exist.
ISSN:	1932-6203 1932-6203
DOI:	10.1371/journal.pone.0271158