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.

Highlights

  • Patient safety is defined as the prevention of harm caused by errors of commission and omission [1]

  • Regarding goals 3, 4, and 5; there have been statistically significant differences among the studied centers with the higher compliance was achieved in 6th district family medicine center

  • Assessing the availability and uses of personal protective equipment (PPE), the study findings showed a variation among the studied centers

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Summary

Introduction

Patient safety is defined as the prevention of harm caused by errors of commission and omission [1]. Patient safety at primary health care centers (PHCC) is rarely assessed, 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. 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. 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

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