Safety attributes in primary care: understanding the needs of patients, health professionals, and managers.

Autor: de Vasconcelos PF; Health Sciences Institute, University for International Integration of the Afro-Brazilian Lusophony, Acarape, CE, Brazil. Electronic address: patriciafreire@unilab.edu.br., de Freitas CHA; Nursing Department, Ceara State University, Fortaleza, CE, Brazil., Jorge MSB; Nursing Department, Ceara State University, Fortaleza, CE, Brazil., de Carvalho REF; Nursing Department, Ceara State University, Fortaleza, CE, Brazil., de Sousa Freire VEC; Health Sciences Institute, University for International Integration of the Afro-Brazilian Lusophony, Acarape, CE, Brazil., de Araújo MFM; Health Sciences Institute, University for International Integration of the Afro-Brazilian Lusophony, Acarape, CE, Brazil., de Aguiar MIF; Nursing Department, Federal University of Ceara, Fortaleza, CE, Brazil., de Oliveira GYM; Nursing Department, Ceara State University, Fortaleza, CE, Brazil., Bezerra Dos Anjos SJS; Nursing Department, Ceara State University, Fortaleza, CE, Brazil., Oliveira ACS; Nursing Department, Universidad Católica San Antonio de Murcia, Murcia, Spain.
Jazyk: angličtina
Zdroj: Public health [Public Health] 2019 Jun; Vol. 171, pp. 31-40. Date of Electronic Publication: 2019 May 10.
DOI: 10.1016/j.puhe.2019.03.021
Abstrakt: Objectives: The aims of this study were (1) to identify attributes for patient safety at a primary healthcare level and (2) to analyze conceptions of patients, professionals, and managers about how these attributes are being addressed.
Study Design: This was a qualitative study.
Methods: Participants were recruited from three primary care settings in Brazil. A total of 37 subjects (four physicians, three nurses, three dentists, three managers, five community assistants, and 19 patients) participated on interviews about their perceptions of safety attributes at the primary care settings involved in the study. Some of these participants attended a focus group meeting. A thematic categorical analysis was carried out to interpret the interviews.
Results: The main attributes for patient safety were valued by the participants. However, barriers such as discontinuity of care, interruptions during consultations, breakdowns in the communication, and ineffective teamwork were reported as frequent sources of patient safety issues. Reports of patients left unattended for excessive time because of the lack of accurate information and disruptions that took up to 35 min show that there is still a long way to go for primary care to be safe and effective in the study settings.
Conclusions: It is necessary that the strategies meet the patient safety needs more effectively and efficiently. Further research is needed to understand the complex nature of the problems that affect patient safety in these settings so that appropriate decisions can be made.
(Copyright © 2019 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: