الفهرس 
Chapter I: Epidemiology of health care errorOnly 14 pages are availabe for public view
 |  | from | 143 |  |  |
| | | from | 143 | | |
Abstract
This study was cross-sectional survey conducted to assess the level of practice and attitude of safety measures standards Practiced by health care providers employed in family health settings in Elobour city. The study was conducted from 1st of August 2014 till the end of it. In three different family health settings of Elobour city. These settings are Alhaialawal, Alshabab and Almostakbal family health centers.
A pilot study was conducted in the first week of August2014 to test the Reliability and validity of the questionnaire .Data were collected via a self -administered, anonymous questionnaire that assessed knowledge, attitude and practice of health care providers toward safety measures related to the following items: Health care providers’ compliance towards patient safety (7 items), Safety climate (5items).
Also an observation checklist of standard practice was done one week for each center to the participants: concerned with Patient
identification (2items), Lab pharmacy measures (7items), Infection control measures (7items).
Another questionnaire was done for attendant to the clinics in these centers to assess their satisfaction related to the following: Curative and health care services (7 items), Patient safety &infection control measures (10items), Facility services (6items), Dealing with the patient & patient rights (5items).
The data and answers were collected and analyzed using the statistical package for the social science (SPSS software version
Summary
20).Qualitative data were expressed as number and percent. Quantitative data were expressed as mean, standard deviations.
Chi square test was used to compare between qualitative data and T-test was used to compare between normally distributed quantitative variables between two groups. Results of this study revealed that the total number of respondents were 172 which included( 51physicians ,42 pharmacists ,31dentists , 3chemists ,33nurses ,12social workers)distributed as 82 Medical personnel:( physicians ,dentists) and 90 Paramedical personnel: (nurses, pharmacists, chemists and social workers).
The studied health care providers were mostly females, with 3-7 years of Experience.
The study showed that 71% family health care workers have non acceptable degree of patient safety practices, while 29% of them have an acceptable degree of patient safety practices, This is could be due to lake of awareness about safety culture and lake of training on safety measures as most health care workers have less than 7years of experience , 43.9% of medical personnel have an acceptable degree of patient safety practices, while 15.6% of Para medical personnel have an acceptable degree of patient safety practices .This could be explained by the lack of communication and collaboration between nursing and medicine, which has a profound effect on workplace environment and patient care.
There were statistically significant differences between health care providers in terms of employment and years of experience years of experience and patient safety practice, we found that 74.1% of health care providers with years of experience less than 8 years had accepted safety practices towards infection control procedures, while
Summary
25.9 percent of those who experienced more than 8 years had acceptable level of infection control procedures and that 75% of health care providers had accepted level of compliance to safety measures.
As regard the difference between the two categories of medical service providers surveyed safety practices showed that 65.5 percent of Para medical group have a good knowledge of infection control procedures, while 34.5% of medical group have good knowledge of infection control procedures. The low acceptance among health care providers in patient safety practices among family health centers in patient identification (41.9%) lab and pharmacy safety measures (58.1%) Infection control practices (33.7%) health care provider compliance towards patient safety (41.9%) And a safety climate (12.8%). Achieving an acceptable standard of patient safety requires that all healthcare settings develop patient safety systems that include both a positive culture of safety and organizational support for safety processes. This will not be possible unless the perceptions of the front-line health care providers and management are positively managed and directed.
As regard response of randomized attendants were as follow :
The majority of patients were satisfied from all health services in three health centers. 76.4% of patient were satisfied towards curative services.90% were satisfied towards safety and infection control measures,78.2% were satisfied towards facility services ,66.5%were satisfied towards patient rights with significant difference p<0.05between the three centers the least satisfaction was in Alshabab family health center as only 32.1% were satisfied.
Summary
The negative perceptions about commitment to patient safety reflected in this study need further investigation to clarify the attitudes of front-line healthcare providers and leadership staff toward patient safety. To create a positive culture of safety, the current organizational environment must be assessed, including organizational structure and willingness to initiate, support, and maintain a positive work environment rather than a destructive, punitive system.