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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Format: | Article |
Language: | English |
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BMC
2018-06-01
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Series: | BMC Family Practice |
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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. |
first_indexed | 2024-04-12T09:55:34Z |
format | Article |
id | doaj.art-75540ea3694b42f9b11a7a8d9b5e4f1a |
institution | Directory Open Access Journal |
issn | 1471-2296 |
language | English |
last_indexed | 2024-04-12T09:55:34Z |
publishDate | 2018-06-01 |
publisher | BMC |
record_format | Article |
series | BMC Family Practice |
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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