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American Journal of Medical Sciences and Medicine. 2022, 10(2), 47-59
DOI: 10.12691/ajmsm-10-2-3
Open AccessArticle

Awareness, Attitude and Practice of Patient Safety Culture among Primary Care Physicians in Primary Health Care Centers in Makkah Al-Mukarrmah in 2021

Shroug Abdulmajeed AlGhamdi1,

1Family Medicine Resident, Ministry of Health, Makkah Al-Mukarrmah, Saudi Arabia

Pub. Date: June 19, 2022

Cite this paper:
Shroug Abdulmajeed AlGhamdi. Awareness, Attitude and Practice of Patient Safety Culture among Primary Care Physicians in Primary Health Care Centers in Makkah Al-Mukarrmah in 2021. American Journal of Medical Sciences and Medicine. 2022; 10(2):47-59. doi: 10.12691/ajmsm-10-2-3


Background: Patient safety and quality improvement of health care delivery to the patients are among the highest priorities of health care system. Building a safe health care system means designing processes of care to ensure that patients are safe from accidental injury. Patient safety education and its training for all health care providers including both doctors and nurses is an important required learning at all levels of training. Patient safety is the prevention of adverse events to patients with stress on the system of care delivery that prevents errors and learning from errors that occur within the building and of a safety culture involving patients, health care workers, and organizations. In patient care, it is crucial to assess patient safety guides to identify chances for improvement and to create a starting point for evaluating future improvement efforts. In order to achieve this, health care providers should integrate quality and safety into their organization to guarantee proper clinical and administrative practices, in Saudi Arabia limited amount of data exists about patient safety culture; however the healthcare organizations in Saudi Arabia are assessing patient safety guides to identify opportunities for improvement. Aim of the study: To evaluate the patient safety culture in primary health care centers among primary care physicians in Makkah, Saudi Arabia during 2021. Method: cross-section study, has been conducted on primary care physicians working in the primary health care centers under the Ministry of Health in Makkah, during data collection period 2021, The total number of physicians working in all PHCC’s in Makkah is (173), this design was chosen due to the nature of the required data collection and aim of the study. Results: distribution of the participants’ perception among work unit results show the majority of participant had average perception were (81.50%), regarding distribution of the participants’ perception towards Supervisor/Management results show the majority of participant had average perception were (60.69%). Considering perception of the participants towards the Communication reporting we found that results show the majority of participant had average perception were (75.14%). Conclusion: Response to errors is an important determinant of safety culture in healthcare organizations. In order for healthcare organizations to create a culture of safety and improvement, they must eliminate fear of blame and create a climate of open communication and continuous learning. The study calls for the need for increasing attention to patient safety and efforts to improve the performance and quality of service.

awareness attitude practice patient safety culture physicians primary health care

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[1]  Andel, C., Davidow, S. L., Hollander, M., & Moreno, D. A. (2012). The economics of health care quality and medical errors. Journal of health care finance, 39(1), 39.‏
[2]  Bari, A., Khan, R. A., & Rathore, A. W. (2016). Medical errors; causes, consequences, emotional response and resulting behavioral change. Pakistan journal of medical sciences, 32(3), 523.‏
[3]  Harolds, J. A. (2015). Quality and safety in health care, part III: to err is human. Clinical Nuclear Medicine, 40(10), 793-795.‏
[4]  Oates, K., Wilson, I., Hu, W., Walker, B., Nagle, A., & Wiley, J. (2018). Changing medical student attitudes to patient safety: a multicentre study. BMC Medical Education, 18(1), 1-7.‏
[5]  Shojania, K. G., & Dixon-Woods, M. (2017). Estimating deaths due to medical error: the ongoing controversy and why it matters. BMJ Quality & Safety, 26(5), 423-428.‏
[6]  Longtin, Y., Sax, H., Leape, L. L., Sheridan, S. E., Donaldson, L., & Pittet, D. (2010, January). Patient participation: current knowledge and applicability to patient safety. In Mayo Clinic Proceedings (Vol. 85, No. 1, pp. 53-62). Elsevier.‏
[7]  Al Doweri, H. F., Al Raoush, A. T., Alkhatib, A. J., & Batiha, M. A. (2015). PATIENT'S SAFETY CULTURE: PRINCIPLES AND APPLICATIONS. Eur Sci J, 11(15), 83-94.‏
[8]  Ree, E., & Wiig, S. (2020). Linking transformational leadership, patient safety culture and work engagement in home care services. Nursing Open, 7(1), 256-264.‏
[9]  Suliman, M. M. (2015). Nurses' Perceptions of Patient Safety Culture in Public Hospitals in Jordan. Case Western Reserve University.‏
[10]  Gaston, T., Short, N., Ralyea, C., & Casterline, G. (2016). Promoting patient safety. The Journal of Nursing Administration, 46(4), 201-207.‏
[11]  Harteloh, P. P. (2003). The meaning of quality in health care: a conceptual analysis. Health Care Analysis, 11(3), 259-267.‏
[12]  Hughes R. Patient safety and quality: An evidence-based handbook for nurses: Agency for Healthcare Research and Quality Rockville, MD; 2008.
[13]  Al‐Dossary, R. N. (2018). The Saudi Arabian 2030 vision and the nursing profession: The way forward. International nursing review, 65(4), 484-490.‏
[14]  Dekker, S. W., & Breakey, H. (2016). ‘Just culture:’Improving safety by achieving substantive, procedural and restorative justice. Safety science, 85, 187-193.‏
[15]  Kim, L., Lyder, C. H., McNeese‐Smith, D., Leach, L. S., & Needleman, J. (2015). Defining attributes of patient safety through a concept analysis. Journal of advanced nursing, 71(11), 2490-2503.‏
[16]  Shojania, K. G., Duncan, B. W., McDonald, K. M., Wachter, R. M., & Markowitz, A. J. (2001). Making health care safer: a critical analysis of patient safety practices. Evidence report/technology assessment (Summary), (43), i-x.‏
[17]  Shekelle, P. G., Sarkar, U., Shojania, K., Wachter, R. M., McDonald, K., Motala, A., ... & Shanman, R. (2016). Patient safety in ambulatory settings.‏
[18]  Kulwicki, A., & Ballout, S. (2015). POST TRAUMATIC STRESS DISORDER (PTSD) IN ARAB AMERICAN REFUGEE AND RECENT IMMIGRANT WOMEN. Journal of Cultural Diversity, 22(1).‏
[19]  Alzahrani, A. S. (2015). Clinicians’ attitudes toward patient safety: a sequential explanatory mixed methods study in Saudi armed forces hospitals (Eastern Region) (Doctoral dissertation, Curtin University).‏
[20]  LaDonna, K. A., Ginsburg, S., & Watling, C. (2018). “Rising to the level of your incompetence”: what physicians’ self-assessment of their performance reveals about the imposter syndrome in medicine. Academic Medicine, 93(5), 763-768.‏
[21]  Ghobashi, M. M., El-Ragehy, H. A. G., Ibrahim, H. M., & Al-Doseri, F. A. (2014). Assessment of patient safety culture in primary health care settings in Kuwait. Epidemiology, Biostatistics and Public Health, 11(3).‏
[22]  Bodur, S., & Filiz, E. (2009). A survey on patient safety culture in primary healthcare services in Turkey. International Journal for Quality in Health Care, 21(5), 348-355.‏
[23]  Ayisa, A., Getahun, Y., & Yesuf, N. (2021). Patient Safety Culture and Associated Factors Among Health-Care Providers in the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. Drug, Healthcare and Patient Safety, 13, 141.‏
[24]  Bulgarelli, A. F., Baumgarten, A., Bulgarelli, P. T., Hilgert, J. B., Souza, K. R., & Marques, F. P. (2017). Primary health care insfrastructure regarding Tuberculosis control: a countrywide cross-sectional study. Primary health care: open access. Los Angeles.‏
[25]  Sujan, M. (2015). An organisation without a memory: a qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety. Reliability engineering & system safety, 144, 45-52.‏
[26]  Graban, M., & Toussaint, J. (2018). Lean hospitals: improving quality, patient safety, and employee engagement. Productivity Press.‏
[27]  Chen, I. C., & Li, H. H. (2010). Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC health services research, 10(1), 1-10.‏
[28]  Akologo, A., Abuosi, A. A., & Anaba, E. A. (2019). A cross-sectional survey on patient safety culture among healthcare providers in the Upper East region of Ghana. PloS one, 14(8), e0221208.‏
[29]  Webair, H. H., Al-Assani, S. S., Al-Haddad, R. H., Al-Shaeeb, W. H., Bin Selm, M. A., & Alyamani, A. S. (2015). Assessment of patient safety culture in primary care setting, Al-Mukala, Yemen. BMC family practice, 16(1), 1-9.‏
[30]  Amarapathy, M., Sridharan, S., Perera, R., & Handa, Y. (2013). Factors affecting patient safety culture in a tertiary care hospital in Sri Lanka. Int J Sci Technol Res, 2(3), 173-180.‏
[31]  Al-Mandhari, A., Al-Zakwani, I., Al-Kindi, M., Tawilah, J., Dorvlo, A. S., & Al-Adawi, S. (2014). Patient safety culture assessment in Oman. Oman medical journal, 29(4), 264.‏
[32]  Rajalatchumi, A., Ravikumar, T. S., Muruganandham, K., Thulasingam, M., Selvaraj, K., Reddy, M. M., & Jayaraman, B. (2018). Perception of patient safety culture among health-care providers in a tertiary care hospital, South India. Journal of natural science, biology, and medicine, 9(1), 14.‏
[33]  Sorra JS, Nieva VF. Hospital survey on patient safety culture. (Prepared by Westat, under contract no. 290-96-0004). AHRQ publication no. 04-0041. Rockville (MD): Agency for Healthcare Research and Quality, 2004.
[34]  Alahmadi, H. A. (2010). Assessment of patient safety culture in Saudi Arabian hospitals. Quality and Safety in Health Care, 19(5), e17-e17.‏
[35]  Hamaideh, S. H. (2017). Mental health nurses’ perceptions of patient safety culture in psychiatric settings. International nursing review, 64(4), 476-485.‏
[36]  Oliveira, S. L., Francisco, T. J., Santos, H. M., Cesar, A. N., & Lima, P. R. (2019). Risk factors for falls in elderly homes: A look at prevention. Brazilian Journal of Health Review, 2(3), 1568-1595.‏
[37]  Aboul, F. A. M., Ismail, N. A., Ez, E. H. S., & Wassif, G. (2012). Assessment of patient safety culture among health-care providers at a teaching hospital in Cairo, Egypt. EMHJ East. Mediterr. Health J, 18, 372-377.‏
[38]  Vaismoradi, M., Tella, S., A Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 2028.‏
[39]  Alswat, K., Abdalla, R. A. M., Titi, M. A., Bakash, M., Mehmood, F., Zubairi, B., ... & El-Jardali, F. (2017). Improving patient safety culture in Saudi Arabia (2012–2015): trending, improvement and benchmarking. BMC Health Services Research, 17(1), 1-14.‏
[40]  Aboshaiqah, A. E., & Baker, O. G. (2013). Assessment of nurses' perceptions of patient safety culture in a Saudi Arabia hospital. Journal of nursing care quality, 28(3), 272-280.‏
[41]  Laal, F., Fazli, B., Balarak, D., Dalir, F., Mohammadi, M., & Mirzaei, R. (2016). Attitude toward the Patient Safety Culture in healthcare systems. Journal of Patient Safety & Quality Improvement, 4(2), 363-368.‏