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Patient Safety Assessment at Primary Health Care Centers in Cairo, Egypt

Received: 5 October 2016     Accepted: 8 December 2016     Published: 12 January 2017
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Abstract

Background: Patient safety at primary health care centers (PHCC) is rarely assessed, particularly in developing countries. Objectives: This study aimed to assess some items of patient safety program at primary health care centers, Cairo, Egypt. Methods: A cross sectional study was carried out on primary health care centers (PHCC) in Cairo, from January through March 2016 to assess the quality of some patient safety items. Two PHCC were selected randomly from the health affairs directorate of Nasr city, Eastern Cairo (El-Hagana family medicine center and 6th district family medicine center). The data were collected through interviewing and observing technique using structured questionnaire containing the quality items. The used questionnaire and interview checklist were developed and formulated according to the WHO patient safety and OSHA self inspection checklist. Scoring of the studied items are done and compared between the two studied centers using statistical test with p value of significance was set at ≤ 0.05. Results: There were statistically significant differences between the studied family medicine centers with regard to some studied patient safety goals where the higher compliance was achieved in the 6th district center. For the studied quality improvement requirements, however, there was no statistically significant difference between the studied centers for almost all studied items. Comparison of compliance of the studied centers with the criteria of access, there was statistically significant difference regarding most of the studied items of this topic with the highest compliance was observed in6th district center, although no one of the studied centers has met all the studied characteristics of that topic. Assessing the availability and uses of personal protective equipment (PPE), the study findings showed a variation among the studied centers. Only one third of the clinics of El-Hagana center showed a compliance with PPE. Conclusion: Patient safety at primary health care centers has to be reviewed and assessed periodically. There are need to carry national large study to assess quality of patient safety program in PHCC all over the country.

Published in Journal of Family Medicine and Health Care (Volume 2, Issue 4)
DOI 10.11648/j.jfmhc.20160204.26
Page(s) 132-137
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Patient Safety, Personal Protective Equipment Primary Health Care, Egypt

References
[1] Institute of Medicine (IOM). Patient Safety: Achieving a New Standard for Care. Washington, DC: National Academy Press; 2004.
[2] Blendon RJ, DesRoches CM, Brodie M. Views of practicing physicians and the public on medical errors. N Engl J Med2002;347:1933-1940.
[3] Kohn L, Corrigan J, Donaldson M. To Err Is Human: Building a Safer Health System. In: Committee on Quality of Health Care in America and Institute of Medicine. USA; National Academy Press; 2000.
[4] Byers JF, White SV. Patient safety: Principles and practice. Springer Publishing Company 2004-Medical-563 pages.
[5] Institute for Healthcare Improvement (IHI). Idealized design [Internet], 2003. [Cited 2016]. Available from: www.ihi.org/idealized.
[6] World Health Organization (WHO) a. Global patient safety research priorities [Internet]. 2009. Available from: http://www.who.int/patientsafety/research/en.
[7] Kuzel AJ, Woolf SH, Gilchrist VJ. Patient reports of preventable problems and harms in primary health care. Ann Fam Med2004;2:333-340.
[8] Castle NG. Nurse Aides' ratings of the resident safety culture in nursing homes. Int J Qual Health Care2006;18:370-376.
[9] World health organization (WHO). Post Exposure Prophylaxis (2011). Available from http://www.who.int/hiv/topics/prophylaxis/en/.
[10] Occupational Safety and Health Administration (OSHA). Standards Cited for SIC 8000; All sizes; Federal. OSHA, Department of Labor. 1-6-0006.(2010). (Cited in 2016).
[11] Joint Commission on Accreditation of Healthcare Organizations (JCAHO) b 2010. National Patient Safety Goals. [Internet]. [cited 2016]. Available from:http://www.jcaho.org/accredited+organizations/patient+safety/npsg.htm.
[12] Brennan T. A. et al, 1991. The role of physician specialty board certification status in the quality movement. Journal of the American Medical Association 1991; 292:1038–1043.
[13] Jarman B, Gault S, Alves B, 2005. Explaining differences in English hospital death rates using routinely collected data. British Medical Journal; 365:1515-1520.
[14] Quantum, 1994. The National guidelines for all departments and the International Patient Safety Goals Available from: www.jcaho.org/standard/fr_safety.html.
[15] Colla JB, Bracken AC, Kinney LM. Measuring patient safety climate: a review of surveys. Qual Saf Health Care 2005;14:364-366.
[16] Thomas & Buckley, 2011. Efficacy of good communication among health facilities. BMJ; 335:370-380.
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[18] Adams RE, Boscarino JA. A community survey of medical errors in New York. Int J Qual Health Care 2004;16:353-362.
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  • APA Style

    Alaa Abdelwahed Shams-Eldin. (2017). Patient Safety Assessment at Primary Health Care Centers in Cairo, Egypt. Journal of Family Medicine and Health Care, 2(4), 132-137. https://doi.org/10.11648/j.jfmhc.20160204.26

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    ACS Style

    Alaa Abdelwahed Shams-Eldin. Patient Safety Assessment at Primary Health Care Centers in Cairo, Egypt. J. Fam. Med. Health Care 2017, 2(4), 132-137. doi: 10.11648/j.jfmhc.20160204.26

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    AMA Style

    Alaa Abdelwahed Shams-Eldin. Patient Safety Assessment at Primary Health Care Centers in Cairo, Egypt. J Fam Med Health Care. 2017;2(4):132-137. doi: 10.11648/j.jfmhc.20160204.26

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  • @article{10.11648/j.jfmhc.20160204.26,
      author = {Alaa Abdelwahed Shams-Eldin},
      title = {Patient Safety Assessment at Primary Health Care Centers in Cairo, Egypt},
      journal = {Journal of Family Medicine and Health Care},
      volume = {2},
      number = {4},
      pages = {132-137},
      doi = {10.11648/j.jfmhc.20160204.26},
      url = {https://doi.org/10.11648/j.jfmhc.20160204.26},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20160204.26},
      abstract = {Background: Patient safety at primary health care centers (PHCC) is rarely assessed, particularly in developing countries. Objectives: This study aimed to assess some items of patient safety program at primary health care centers, Cairo, Egypt. Methods: A cross sectional study was carried out on primary health care centers (PHCC) in Cairo, from January through March 2016 to assess the quality of some patient safety items. Two PHCC were selected randomly from the health affairs directorate of Nasr city, Eastern Cairo (El-Hagana family medicine center and 6th district family medicine center). The data were collected through interviewing and observing technique using structured questionnaire containing the quality items. The used questionnaire and interview checklist were developed and formulated according to the WHO patient safety and OSHA self inspection checklist. Scoring of the studied items are done and compared between the two studied centers using statistical test with p value of significance was set at ≤ 0.05. Results: There were statistically significant differences between the studied family medicine centers with regard to some studied patient safety goals where the higher compliance was achieved in the 6th district center. For the studied quality improvement requirements, however, there was no statistically significant difference between the studied centers for almost all studied items. Comparison of compliance of the studied centers with the criteria of access, there was statistically significant difference regarding most of the studied items of this topic with the highest compliance was observed in6th district center, although no one of the studied centers has met all the studied characteristics of that topic. Assessing the availability and uses of personal protective equipment (PPE), the study findings showed a variation among the studied centers. Only one third of the clinics of El-Hagana center showed a compliance with PPE. Conclusion: Patient safety at primary health care centers has to be reviewed and assessed periodically. There are need to carry national large study to assess quality of patient safety program in PHCC all over the country.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Patient Safety Assessment at Primary Health Care Centers in Cairo, Egypt
    AU  - Alaa Abdelwahed Shams-Eldin
    Y1  - 2017/01/12
    PY  - 2017
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    DO  - 10.11648/j.jfmhc.20160204.26
    T2  - Journal of Family Medicine and Health Care
    JF  - Journal of Family Medicine and Health Care
    JO  - Journal of Family Medicine and Health Care
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    AB  - Background: Patient safety at primary health care centers (PHCC) is rarely assessed, particularly in developing countries. Objectives: This study aimed to assess some items of patient safety program at primary health care centers, Cairo, Egypt. Methods: A cross sectional study was carried out on primary health care centers (PHCC) in Cairo, from January through March 2016 to assess the quality of some patient safety items. Two PHCC were selected randomly from the health affairs directorate of Nasr city, Eastern Cairo (El-Hagana family medicine center and 6th district family medicine center). The data were collected through interviewing and observing technique using structured questionnaire containing the quality items. The used questionnaire and interview checklist were developed and formulated according to the WHO patient safety and OSHA self inspection checklist. Scoring of the studied items are done and compared between the two studied centers using statistical test with p value of significance was set at ≤ 0.05. Results: There were statistically significant differences between the studied family medicine centers with regard to some studied patient safety goals where the higher compliance was achieved in the 6th district center. For the studied quality improvement requirements, however, there was no statistically significant difference between the studied centers for almost all studied items. Comparison of compliance of the studied centers with the criteria of access, there was statistically significant difference regarding most of the studied items of this topic with the highest compliance was observed in6th district center, although no one of the studied centers has met all the studied characteristics of that topic. Assessing the availability and uses of personal protective equipment (PPE), the study findings showed a variation among the studied centers. Only one third of the clinics of El-Hagana center showed a compliance with PPE. Conclusion: Patient safety at primary health care centers has to be reviewed and assessed periodically. There are need to carry national large study to assess quality of patient safety program in PHCC all over the country.
    VL  - 2
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Author Information
  • Department of Community Medicine and Industrial Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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