Patient safety and safety culture in primary health care: a systematic review

Abstract Background Patient safety in primary care is an emerging field of research with a growing evidence base in western countries but little has been explored in the Gulf Cooperation Council Countries (GCC) including the Sultanate of Oman. This study aimed to review the literature on the safety...

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Main Authors: Muna Habib AL. Lawati, Sarah Dennis, Stephanie D. Short, Nadia Noor Abdulhadi
Format: Article
Language:English
Published: BMC 2018-06-01
Series:BMC Family Practice
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12875-018-0793-7
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author Muna Habib AL. Lawati
Sarah Dennis
Stephanie D. Short
Nadia Noor Abdulhadi
author_facet Muna Habib AL. Lawati
Sarah Dennis
Stephanie D. Short
Nadia Noor Abdulhadi
author_sort Muna Habib AL. Lawati
collection DOAJ
description Abstract Background Patient safety in primary care is an emerging field of research with a growing evidence base in western countries but little has been explored in the Gulf Cooperation Council Countries (GCC) including the Sultanate of Oman. This study aimed to review the literature on the safety culture and patient safety measures used globally to inform the development of safety culture among health care workers in primary care with a particular focus on the Middle East. Methods A systematic review of the literature. Searches were undertaken using Medline, EMBASE, CINAHL and Scopus from the year 2000 to 2014. Terms defining safety culture were combined with terms identifying patient safety and primary care. Results The database searches identified 3072 papers that were screened for inclusion in the review. After the screening and verification, data were extracted from 28 papers that described safety culture in primary care. The global distribution of the articles is as follows: the Netherlands (7), the United States (5), Germany (4), the United Kingdom (1), Australia, Canada and Brazil (two for each country), and with one each from Turkey, Iran, Saudi Arabia and Kuwait. The characteristics of the included studies were grouped under the following themes: safety culture in primary care, incident reporting, safety climate and adverse events. The most common theme from 2011 onwards was the assessment of safety culture in primary care (13 studies, 46%). The most commonly used safety culture assessment tool is the Hospital survey on patient safety culture (HSOPSC) which has been used in developing countries in the Middle East. Conclusions This systematic review reveals that the most important first step is the assessment of safety culture in primary care which will provide a basic understanding to safety-related perceptions of health care providers. The HSOPSC has been commonly used in Kuwait, Turkey, and Iran.
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spelling doaj.art-75540ea3694b42f9b11a7a8d9b5e4f1a2022-12-22T03:37:42ZengBMCBMC Family Practice1471-22962018-06-0119111210.1186/s12875-018-0793-7Patient safety and safety culture in primary health care: a systematic reviewMuna Habib AL. Lawati0Sarah Dennis1Stephanie D. Short2Nadia Noor Abdulhadi3Faculty of Health Sciences, Discipline of Behavioral and Social Sciences in Health, The University of SydneyIngham Institute for Applied Medical ResearchFaculty of Health Sciences, Discipline of Behavioral and Social Sciences in Health, The University of SydneyDirectorate General of Planning and Studies, Ministry of HealthAbstract Background Patient safety in primary care is an emerging field of research with a growing evidence base in western countries but little has been explored in the Gulf Cooperation Council Countries (GCC) including the Sultanate of Oman. This study aimed to review the literature on the safety culture and patient safety measures used globally to inform the development of safety culture among health care workers in primary care with a particular focus on the Middle East. Methods A systematic review of the literature. Searches were undertaken using Medline, EMBASE, CINAHL and Scopus from the year 2000 to 2014. Terms defining safety culture were combined with terms identifying patient safety and primary care. Results The database searches identified 3072 papers that were screened for inclusion in the review. After the screening and verification, data were extracted from 28 papers that described safety culture in primary care. The global distribution of the articles is as follows: the Netherlands (7), the United States (5), Germany (4), the United Kingdom (1), Australia, Canada and Brazil (two for each country), and with one each from Turkey, Iran, Saudi Arabia and Kuwait. The characteristics of the included studies were grouped under the following themes: safety culture in primary care, incident reporting, safety climate and adverse events. The most common theme from 2011 onwards was the assessment of safety culture in primary care (13 studies, 46%). The most commonly used safety culture assessment tool is the Hospital survey on patient safety culture (HSOPSC) which has been used in developing countries in the Middle East. Conclusions This systematic review reveals that the most important first step is the assessment of safety culture in primary care which will provide a basic understanding to safety-related perceptions of health care providers. The HSOPSC has been commonly used in Kuwait, Turkey, and Iran.http://link.springer.com/article/10.1186/s12875-018-0793-7Patent safetySafety culturePrimary careGulf countriesOman
spellingShingle Muna Habib AL. Lawati
Sarah Dennis
Stephanie D. Short
Nadia Noor Abdulhadi
Patient safety and safety culture in primary health care: a systematic review
BMC Family Practice
Patent safety
Safety culture
Primary care
Gulf countries
Oman
title Patient safety and safety culture in primary health care: a systematic review
title_full Patient safety and safety culture in primary health care: a systematic review
title_fullStr Patient safety and safety culture in primary health care: a systematic review
title_full_unstemmed Patient safety and safety culture in primary health care: a systematic review
title_short Patient safety and safety culture in primary health care: a systematic review
title_sort patient safety and safety culture in primary health care a systematic review
topic Patent safety
Safety culture
Primary care
Gulf countries
Oman
url http://link.springer.com/article/10.1186/s12875-018-0793-7
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AT nadianoorabdulhadi patientsafetyandsafetycultureinprimaryhealthcareasystematicreview