Faculty of Medicine, Cairo University, Cairo, Egypt.
Int J Health Plann Manage. 2019 Apr;34(2):851-861. doi: 10.1002/hpm.2743. Epub 2019 Jan 23.
Although there is increasing interest in patient safety, yet there is a general lack of awareness of the problem. This study aims to investigate patient safety attitudes among health care providers in primary health care (PHC) facilities in Egypt through employing the Safety Attitudes Questionnaire in order to explore the areas of deficiency and opportunities for improvement concerning patients' safety.
A cross-sectional study was conducted in an urban PHC and one rural unit where 130 working team at the time of the study was interviewed with response rate of 63.7%, SPSS 18 was used for data analysis. Descriptive analyses, independent samples t tests, and/or analysis of variance (ANOVA) were performed to examine the relationship between patient's safety culture and independent variables, namely, profession, gender, or age groups.
Highest positivity percentage was found for job satisfaction dimension (23%), while it was the least for the ambulatory care (2.3%). Participants belonging to age group older than or equal to 50 scored statistically significant mean values in both job satisfaction and working conditions dimensions (P = 0.03 and 0.02, respectively). Health care managers scored statistically significant mean in the ambulatory care dimension 68.1 ± 15.3, (P = 0.03).
Managers had more positive attitudes regarding patient safety issues in the practices they are responsible for, compared with the employees. This could be an opportunity to enhance safety attitudes within PHC centers and gain their commitment to guarantee safer and higher quality patient care.
尽管人们对患者安全越来越感兴趣，但普遍缺乏对这一问题的认识。本研究旨在通过使用安全态度问卷调查埃及初级医疗保健（PHC）设施中医疗保健提供者对患者安全的态度，以探索患者安全方面的不足之处和改进机会。
在城市 PHC 和一个农村单位进行了一项横断面研究，当时共有 130 名工作团队接受了采访，应答率为 63.7%，采用 SPSS 18 进行数据分析。采用描述性分析、独立样本 t 检验和/或方差分析（ANOVA）来检查患者安全文化与独立变量（即职业、性别或年龄组）之间的关系。
职业满意度维度的阳性百分比最高（23%），而流动护理维度的阳性百分比最低（2.3%）。年龄在 50 岁及以上的参与者在工作满意度和工作条件两个维度上的平均得分均具有统计学意义（P 值分别为 0.03 和 0.02）。医疗保健经理在流动护理维度上的平均得分也具有统计学意义（68.1±15.3，P=0.03）。
与员工相比，管理者对他们负责的实践中的患者安全问题持有更积极的态度。这是在 PHC 中心增强安全态度并获得他们保证更安全和更高质量患者护理的承诺的机会。
