Application of the Medical Office Survey on Patient Safety Culture: integrative review

Inácio, Ana Luiza Rodrigues; Rodrigues, Maria Cristina Soares

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Acta Paulista de Enfermagem

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Review Article • Acta Paul Enferm 35 • 2022 • https://doi.org/10.37689/acta-ape/2022AR01223 copy

Application of the Medical Office Survey on Patient Safety Culture: integrative review

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

To assess how the Patient Safety culture is expressed in the view of Primary Health Care professionals, based on the analysis of scientific productions in which the Medical Office Survey on Patient Culture instrument was applied.

Methods

Integrative review based on the scoping review methodology with search in online databases of the Virtual Health Library, Web of Science, PubMed^®, Cumulative Index to Nursing and Allied Health Literature and Scopus using the keyword “Medical Office Survey on Patient Safety Culture”.

Results

Thirteen articles were analyzed in relation to the application of the instrument. There was a positive overall assessment of Patient Safety (32%-83%). The “teamwork” and “work pressure and pace” dimensions were seen as the best and worst scores, respectively.

Conclusion

The integrative literature review allowed the critical analysis of studies that showed the view of health professionals from different countries when evaluating dimensions of the Patient Safety culture according to the instrument applied, indicating areas considered as positive, and those demanding greater attention and appreciation. Such evidence contributes to advance the understanding of the multifaceted phenomenon investigated in different Primary Care settings.

Patient safety; Organizational culture; Primary health care; Quality indicators, health care; Primary care nursing

Reference	Location	Sample
Flores-González et al.⁽¹⁰⁾	Villahermosa	164 professionals
Astier-Peña et al.⁽¹¹⁾	Spain	215 centers and 4,344 professionals
Webair et al.⁽¹³⁾	Yemen	16 centers and 78 professionals
El Zoghbi et al.⁽¹⁴⁾	Qatar	21 centers and 1,810 professionals in 2012 2,616 professionals in 2015
Raczkiewicz et al.⁽¹⁵⁾	Poland	All health centers in Poland, 337 professionals
Hagopian et al.⁽¹⁹⁾	Cleveland, United States	180 centers and 387 professionals
Mazurenko et al.⁽²⁰⁾	United States	846 centers e 19,848 professionals
Hickner et al.⁽²¹⁾	United States	-
Pohlman et al.⁽²²⁾	United States	236 professionals
Romero et al.⁽²³⁾	Galicia, Spain	182 professionals
Yansane et al.⁽²⁴⁾	United States	4 dental institutions and 1,615 professionals
Macedo et al.⁽²⁵⁾	Londrina, Brazil	513 professionals
Ramoni et al.⁽²⁶⁾	United States	328 professionals

Reference	%
Flores-González et al.⁽¹⁰⁾	19 and 45*
Astier-Peña et al.⁽¹¹⁾	34†
Webair et al.⁽¹³⁾	46
El Zoghbi et al.⁽¹⁴⁾	43 and 62‡
Raczkiewicz et al.⁽¹⁵⁾	61 and 39§
Hagopian et al.⁽¹⁹⁾	67
Pohlman et al.⁽²²⁾	83
Romero et al.⁽²³⁾	72
Yansane et al.⁽²⁴⁾	78
Macedo et al.⁽²⁵⁾	35
Ramoni et al.⁽²⁶⁾	65 e 48¶

Reference	Items
Reference	Positive score	%	Negative score	%
Flores-González et al.⁽¹⁰⁾	Teamwork	65	Work pressure and pace	29
	Patient care tracking/followup	63	Communication and responsiveness	30
	Patient care tracking/followup	63	Managing support for Patient Safety	30
Astier-Peña et al.⁽¹¹⁾	Patient safety and quality issues	-	Work pressure and pace	-
Webair et al.⁽¹³⁾	Teamwork	96	Work pressure and pace	57
El Zoghbi et al.⁽¹⁴⁾*	Teamwork	87	Work pressure	-
Hagopian et al.⁽¹⁹⁾	Patient care tracking/followup	80	Communication openness	-
Hickner et al.⁽²¹⁾	Teamwork	-	Work pressure	-
Pohlman et al.⁽²²⁾	Teamwork	90	-	-
Romero et al.⁽²³⁾	Organizational learning	79	Aspects related to patient safety and quality	46
	Teamwork	75	Exchange of information with other care services	45
	Teamwork	75	Work pressure and pace	31
Yansane et al.⁽²⁴⁾	Organizational learning	85	Work pressure and pace	-
Yansane et al.⁽²⁴⁾	Teamwork	79	Work pressure and pace
Macedo et al.⁽²⁵⁾	-	-	Leadership support	47
Ramoni et al.⁽²⁶⁾	Teamwork	72	-	-

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

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[1] Corresponding author: Ana Luiza Rodrigues Inácio E-mail: analuizari@ufu.br