1. Repositório Aberto da Universidade do Porto
2. FMUP - Faculdade de Medicina
3. FMUP - Dissertação

Author(s):	Marlene Manuela Moreira Ferreira
Title:	Safety Climate Evaluation in Primary Health Care: a Cross-sectional Study.
Issue Date:	2022-10-31
Description:	Background The perception of the existence of deficits in patient safety, the associated costs and the limitation of resources have made it essential to define improvement strategies. Important concepts emerged, such as safety climate, that evaluates the perceptions of safety status held by professionals, in relation to their organization. Incident research in Primary Health Care (PHC) is performed to a lesser extent than in hospital settings but, in many parts of the world, the overall volume of people using PHC is substantially higher. Objective This study aims to characterize the safety climate in public PHC, in the northern region of Portugal, using the Saffety Attitudes Questionnaire (SAQ) - Short Form 2006 PT and to assess associations between SAQ-Short Form 2006 PT and demographic and professional characteristics. Methods A cross-sectional study was conducted in all public PHC units in the northern region of Portugal including all the physicians, doctors in pre-career training, nurses and technical assistants. Data were collected through an online Google Forms® questionnaire, shared between june 7th and august 5th 2022, via institutional emails and by means of a snowball approach. Descriptive and inferential statistical analysis were performed. Statistical significance was considered to exist for p≤0.05. Results A total of 649/7427 (8.7%) responses were included in the analyses. The participants mean age was 42.6 years (SD=9.9) and 77% (500/649) were females. The mean and median total SAQ-Short Form 2006 PT scores were 69.23 (SD=15.73, range 22.22-100.00) and 71.53 [59.03; 79.86], respectively. Stress recognition obtained the highest median score of 93.75 [75.00; 100.00] and management perception and working conditions the lowest median scores, of 54.55 [38.64; 70.45] and 66.67 [50.00; 83.33], respectively. The Total SAQ-Short Form 2006 PT median score was associated with the characteristics gender (p=0.019), workplace (p=0.040) and type of primary care unit (p<0.001). The highest median values were found in women, in workplace "13. ACeS Grande Porto I - Santo Tirso/Trofa" and in types of primary care units USF-A and USF-B. On the opposite the lowest median values were found in men, in "4. ACeS Alto Trás-os-Montes - Nordeste" and in UCSP. Conclusions This was the first study to assess the safety climate in PHC in Portugal. The median total SAQ-Short Form 2006 PT score obtained was 71.53 [59.03; 79.86], below the threshold of ≥75, pointing safety deficits. The lower median scores were found in the domains management perception and working conditions. Further studies are needed to determine which factors might influence safety climate in a positive or in a negative way, its association with performance and with the occurrence of incidents.
Subject:	Ciências médicas e da saúde Medical and Health sciences
Scientific areas:	Ciências médicas e da saúde Medical and Health sciences
DOI:	10.34626/t2ww-0686
URI:	https://hdl.handle.net/10216/163192
Document Type:	Dissertação
Rights:	openAccess
Appears in Collections:	FMUP - Dissertação

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