Department of Demography, Institute of Statistics and Demography, Collegium of Economic Analysis, SGH Warsaw School of Economics, Warsaw, Poland.
Department of Gerontology, Public Health and Education, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
Int J Qual Health Care. 2019 Oct 31;31(8):G60-G66. doi: 10.1093/intqhc/mzz004.
To examine patient safety culture in primary healthcare centers in Poland.
A cross-sectional survey conducted in 2017 using the questionnaire based on the 'Medical Office Survey on Patient Safety Culture' from Agency for Healthcare Research and Quality (AHRQ).
Three hundred thirty-seventy primary healthcare centers in Poland.
Family physician practices in Poland selected from the population of 5400 using systematic random sampling. The response rate was 62%.
INTERVENTION(S): None.
MAIN OUTCOME MEASURE(S): The survey includes 38 items that measured 10 dimensions of patient safety culture and questions referring to information exchange with other settings, quality issues and overall ratings on quality and safety. Mean percent positive scores on all items in each composite were calculated according to user's guide.
Individual domains of patient safety culture had better scores among younger respondents and respondents with job seniority at their clinic under 10 years. Patient safety culture scores correlated with size and location (urban or rural) of studied centers, as well as with respondents' gender. The most highly ranked domains were: organizational learning (87.05% of positive scores), teamwork (84.91%), overall perception of patient safety and quality (84.77%) and leadership support for patient safety (84.30%) while the lowest ranked ones were: patient care tracking and follow-up (65.11%), work pressure and pace (57.77%). Other domains such as communication openness (80.96%), staff training (78.90%), office processes and standardization (71.92%) and communication about error (69.80%) ranked between.
Patient safety culture in primary healthcare centers in Poland was evaluated positively.
调查波兰基层医疗中心的患者安全文化。
2017 年进行的横断面调查，使用基于医疗保健研究和质量局（AHRQ）的“医疗办公室患者安全文化调查”的问卷。
波兰 3370 个基层医疗中心。
从使用系统随机抽样从 5400 名人群中选择的波兰家庭医生实践。回复率为 62%。
无。
该调查包括 38 个项目，测量了患者安全文化的 10 个维度，以及与其他机构的信息交换、质量问题和整体质量和安全评分的问题。根据用户指南计算了每个综合指标中所有项目的平均阳性评分百分比。
在年龄较小的受访者和在诊所工作年限不到 10 年的受访者中，患者安全文化的各个领域得分更好。患者安全文化得分与研究中心的规模和位置（城市或农村）以及受访者的性别相关。排名最高的领域是：组织学习（87.05%的阳性评分）、团队合作（84.91%）、整体患者安全和质量感知（84.77%）和领导对患者安全的支持（84.30%），而排名最低的领域是：患者护理跟踪和随访（65.11%）、工作压力和节奏（57.77%）。其他领域，如沟通开放性（80.96%）、员工培训（78.90%）、办公流程和标准化（71.92%）和错误沟通（69.80%），排名在两者之间。
波兰基层医疗中心的患者安全文化得到了积极评价。
