From the Quality Management Department, Primary Health Care Corporation, Doha, Qatar.
J Patient Saf. 2021 Dec 1;17(8):e1376-e1382. doi: 10.1097/PTS.0000000000000489.
Primary Health Care Corporation (PHCC) is the public primary health care provider in Qatar. Having a patient safety culture (PSC) is the keystone to enabling a continuous process to improve the quality of services and to reduce errors. The objective of this study was to assess the impact of accreditation, quality improvement trainings, and patient safety (PS) trainings on the improvement of the PSC at the PHCC in Qatar.
The Medical Office Survey on Patient Safety Culture from the Agency for Healthcare Research and Quality was used in 2012 and 2015 to assess the culture of PS and health care quality in the 21 health centers. The results of the two surveys were compared using the χ2 test. A P value of less than 0.05 was considered significant.
Out of 2689 staff working in the 21 health centers, 1810 (67.3%) completed the survey in 2012, and 2616 (70.0%) of 3735 completed the survey in 2015. The comparison between 2012 and 2015 survey's results showed a statistically significant improvement for all the 10 dimensions (P < 0.05). Although a statistically significant difference was observed between 2012 and 2015 results for work pressure and pace, three of the four questions of the work pressure and pace dimension presented nonsignificant differences.
The survey was a good tool to raise awareness on PS and quality issues at PHCC. There is evidence that the implementation of accreditation program, the quality improvement trainings, and PS trainings helped the organization improve its PS culture.
初级保健公司（PHCC）是卡塔尔的公共初级保健服务提供商。拥有患者安全文化（PSC）是实现持续改进服务质量和减少错误的关键。本研究的目的是评估认证、质量改进培训和患者安全（PS）培训对提高卡塔尔 PHCC 患者安全文化的影响。
使用医疗办公室患者安全文化调查（来自医疗保健研究和质量局）于 2012 年和 2015 年评估 21 个医疗中心的 PS 和医疗质量文化。使用卡方检验比较两次调查的结果。P 值小于 0.05 被认为具有统计学意义。
在 21 个医疗中心工作的 2689 名员工中，1810 名（67.3%）在 2012 年完成了调查，2616 名（70.0%）在 2015 年完成了调查。2012 年和 2015 年调查结果的比较显示，所有 10 个维度的结果均有统计学显著改善（P < 0.05）。尽管工作压力和节奏维度的 2012 年和 2015 年结果之间存在统计学显著差异，但工作压力和节奏维度的四个问题中有三个没有显著差异。
该调查是提高 PHCC 对 PS 和质量问题认识的有效工具。有证据表明，实施认证计划、质量改进培训和 PS 培训有助于组织改善其 PS 文化。
