Mallouli Manel, Aouicha Wiem, Tlili Mohamed Ayoub, Limam Manel, Ajmi Thouraya, Mtiraoui Ali, Zedini Chekib
Sante Publique. 2017 Dec 5;29(5):685-691. doi: 10.3917/spub.175.0685.
To assess safety culture in primary healthcare centres and to explore its associated factors.
This multicentre cross-sectional descriptive study was conducted in the 30 primary healthcare centres in central Tunisia and used the validated French version of the Hospital Survey on Patient Safety Culture questionnaire' (HSOPSC).
A total of 214 professionals participated, corresponding to a response rate of 85%. The ?Teamwork within centres? dimension had the highest score (71.5%). However, two safety dimensions had very low scores: ?Frequency of event reporting?, ?Non-punitive response to errors? with percentages of 31.4% and 35.4%, respectively. Among the associated factors, the ?Frequency of reported events? dimension was significantly higher among professionals involved in risk management committees (p = 0.01).
This study demonstrates that the level of safety culture needs to be improved in primary healthcare centres in Tunisia and also highlights the need to implement a quality management system in primary healthcare centres.
评估初级医疗保健中心的安全文化，并探究其相关因素。
这项多中心横断面描述性研究在突尼斯中部的30个初级医疗保健中心开展，使用了经过验证的法语版《医院患者安全文化调查问卷》（HSOPSC）。
共有214名专业人员参与，回复率为85%。“中心内团队合作”维度得分最高（71.5%）。然而，有两个安全维度得分极低：“事件报告频率”“对错误的无惩罚性回应”，百分比分别为31.4%和35.4%。在相关因素中，参与风险管理委员会的专业人员的“报告事件频率”维度得分显著更高（p = 0.01）。
本研究表明，突尼斯初级医疗保健中心的安全文化水平有待提高，同时也凸显了在初级医疗保健中心实施质量管理体系的必要性。
