Table 1 Item-level result for Al-Mukala primary care centers (Yemen, N = 78) and U.S. medical offices (N = 27,103)
From: Assessment of patient safety culture in primary care setting, Al-Mukala, Yemen
Survey Items By Patient Safety Culture Dimensions | % positive response | |
|---|---|---|
PHCCsa | Benchmarkb | |
1. Teamwork (Cronbach’s alpha = 0.468) | ||
1. When someone in this office gets really busy, others help out. C1 | 97 | 87 |
2. In this office, there is a good working relationship between staff and providers. C2 | 97 | 89 |
3. In this office, we treat each other with respect. C5 | 96 | 84 |
4. This office emphasizes teamwork in taking care of patients C13 | 94 | 86 |
2. Patient Care Tracking/Follow-up (Cronbach’s alpha = 0.289) | ||
1. This office reminds patients when they need to schedule an appointment for preventive or routine care. D3 | 60 | 87 |
2. This office documents how well our chronic-care patients follow their treatment plans. D5 | 55 | 80 |
3. Our office follows up when we do not receive a report we are expecting from an outside provider. D6 | 26 | 88 |
4. This office follows up with patients who need monitoring. D9 | 68 | 91 |
3. Organizational Learning (Cronbach’s alpha = 0.402) | ||
1. When there is a problem m our office, we see if we need to change the way we do things. F1 | 86 | 85 |
2. This office is good at changing office processes to make sure the same problems don’t happen again. F5 | 64 | 80 |
3. After this office makes changes to improve the patient care process, we check to see if the changes worked. F7 | 100 | 76 |
4. Overall Perceptions of Patient Safety and Quality (Cronbach’s alpha = 0.259) | ||
1. Our office processes are good at preventing mistakes that could affect patients. F2 | 87 | 86 |
2. Mistakes happen more than they should in this office. F3c | 98 | 80 |
3. It is just by chance that we don’t make more mistakes that affect our patients. F4c | 85 | 81 |
4. In this office, getting more work done is more important than quality of care. F6c | 37 | 74 |
5. Staff Training (Cronbach’s alpha = 0.399) | ||
1. This office trains staff when new processes are put into place. C4 | 57 | 78 |
2. This office makes sure staff get the on-the-job training they need. C7 | 74 | 77 |
3. Staff in this office are asked to do tasks they haven’t been trained to do. C10c | 74 | 70 |
6. Owner/Managing Partner/Leadership Support for Patient Safety (Cronbach’s alpha = 0.697) | ||
1. They aren’t investing enough resources to improve the quality of care in this office. E1c | 50 | 52 |
2. They overlook patient care mistakes that happen over and over. E2c | 69 | S3 |
3. They place a high priority on improving patient care processes. E3 | 78 | 82 |
4. They make decisions too often based on what is best for the office rather than what is best for patients. E4c | 59 | 62 |
7. Communication About Error (Cronbach’s alpha = 0.197) | ||
1. Staff feel like their mistakes are held against them. D7c | 67 | 61 |
2. Providers and staff talk openly about office problems. D8 | 79 | 61 |
3. In this office, we discuss ways to prevent errors from happening again. D11 | 74 | 82 |
4. Staff are willing to report mistakes they observe in this office. D12 | 48 | 76 |
8. Communication Openness (Cronbach's alpha = 0.632) | ||
1. Providers in this office are open to staff ideas about how to improve office processes. D1 | 53 | 70 |
2. Staff are encouraged to express alternative viewpoints in this office. D2 | 48 | 71 |
3. Staff are afraid to ask questions when something does not seem right. D4c | 72 | 73 |
4. It is difficult to voice disagreement in this office. D10c | 61 | 57 |
9. Office Processes and Standardization (Cronbach’s alpha = 0.365) | ||
1. This office is more disorganized than it should be. C8c | 46 | 66 |
2. We have good procedures for checking that work m this office was done correctly. C9 | 73 | 73 |
3. We have problems with workflow in this office. C12c | 59 | 54 |
4. Staff in this office follow standardized processes to get tasks done. C15 | 81 | 82 |
10. Work Pressure and Pace (Cronbach’s alpha = 0.404) | ||
1. In this office, we often feel rushed when taking care of patients. C3c | 67 | 37 |
2. We have too many patients for the number of providers in this office. C6c | 58 | 49 |
3. We have enough staff to handle our patient load. C11 | 49 | 51 |
4. This office has too many patients to be able to handle everything effectively. C14c | 55 | 62 |