Programme no. 136-OP
Quality Improvement
Perceptions of patient safety culture among general practitioners in the Capital Region of Denmark
Pernille Binder*1, Ynse de Boer2, Torben Hellebek3, Solvejg Kristensen4
1Unit for Quality and Patient Safety ,The Capital Region of Denmark,Hillerød,Denmark, 2Kvalitet i Almen Praksis - Region Hovedstaden (KAP-H),Hillerød,Denmark, 3Kvalitet i Almen Praksis - Region Hovedstaden (KAP-H),Hillerød,Denmark, 4Danish National Registries,Aarhus,Denmark
* = Presenting author
Objectives: This study aimed to describe patient safety culture among doctors working in general practice in the Capital Region of Denmark, and identify early adaptors in quality improvement.
Background: Patient safety culture is a reflection of professional's shared assumptions, values, beliefs, and practices. Improving patient safety culture has been associated with reductions in specific patient safety problems within the hospital sector, and a culture of safety has been suggested to be a core mechanism of the organizational context underlying safe, effective, and timely patient care. Thus clinical governance activities more and more often include measuring and improving patient safety culture. No previous Danish studies of patient safety culture in general practice have been made.
Results:

In total 502 doctors (49%) responded and 439 surveys were completed. Female doctors amounted to 54%, and 57% were between 36 and 55 years. In total 101 doctors regarded themselves as early adaptors. Positive responses on the dimensions of patient safety culture varied between 47% - 95% with Staff involved in adverse events having the highest percentage (95 %) and Time and work pressure the lowest (47 %).

Material/Methods:

A cross sectional study design was applied using the Medical Office Survey on Patient Safety Culture (MOSOPS). The survey was distributed electronically via mail to 1025 doctors working in general practice.

The Danish version of MOSOPS includes 60 items that measure 14 dimensions of patient safety culture. Respondents also rate their medical office in five areas of health care quality, and provide an overall rating on patient safety. Most answers are given on 5-point Likert scales, and results are expressed as percent positive responses.

Conclusion:

The results provide a snapshot of how doctors working in general practices in the Capital Region of Denmark perceive the culture. The results are comparable with international findings. Follow up activities regarding strength and weaknesses are planned to include early adaptors as a starting point.

Points for discussion:

Points for discussion are; experiences and results obtained in comparison with other Nordic countries, and ways to motivate general practitioners to engage in quality improvement.