Programme no. 363-P
Quality Improvement
Patient safety culture in European Out-of-hours services (SAFE-EUR-OOH)
Gunnar Tschudi Bondevik*1, Zalika Klemenc-Ketis2, Alberto Vaona3, Marleen Smits4, Dag Hofoss5, Ellen C. Tveter Deilkås6
1Department of Global Public Health and Primary Care,University of Bergen,Bergen,Norway;National Centre for Emergency Primary Health Care,Uni Research Health,Bergen,Norway, 2Department of Family Medicine,University of Ljubljana,Ljubljana,Slovenia, 3Primary Care Department,University of Modena and Reggio Emilia,Verona,Italy, 4IQ Scientific Institute for Quality of Healthcare,Radboud University Nijmegen Medical Centre,Nijmegen,Netherlands, 5Institute of Health and Society,University of Oslo,Oslo,Norway, 6The Norwegian Directorate of Health,Oslo,Norway;Health Services Research Unit,Akershus University Hospital,Lørenskog,Norway
* = Presenting author
Objectives: The aim of the SAFE-EUR-OOH study is to develop national tools for measuring patient safety culture in Out-of-hours (OOH) primary care clinics in the Netherlands, Slovenia, Italy and Norway - by validating translations of the SAQ. We will study patient safety attitudes amongst health care providers, and whether patterns are related to professional background, gender, age and clinic. Findings across the participating countries will be compared.
Background: Over the last years, there has been an increasing focus on medical errors and patient safety, also in primary care. Patient safety culture is how leader and staff interaction, attitudes, routines and practices protect patients from adverse events in healthcare. The Safety Attitudes Questionnaire (SAQ) is a common instrument to measure safety attitudes of health care providers, and includes six major patient safety factors: Teamwork climate, Safety climate, Job satisfaction, Perceptions of management, Working conditions and Stress recognition. SAQ scores have been shown to correlate with patient outcome in care giving units. The instrument may identify possible weaknesses in a clinical setting and motivate quality improvement interventions and reductions in medical errors.
Results: Data collection starts in January 2015, preliminary results will be presented at the conference.
Material/Methods: We will include at least 300 OOH health professionals from each participating country. The SAQ questionnaire has been translated and adapted to the national OOH primary care settings, and will be distributed electronically. Statistical analyses include confirmatory factor analysis and multiple linear regression.
Conclusion: In addition to developing national tools for measuring patient safety culture, the participating OOH clinics will receive summaries with their own results. Based on these results, the health care providers are encouraged to discuss strategies for quality improvement in their clinic.
Points for discussion: What characterizes patient safety culture in European out-of-hours primary care?