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Revista Española de Salud Pública

On-line version ISSN 2173-9110Print version ISSN 1135-5727


ARANAZ ANDRES, Jesús María et al. Patient Safety Culture and teaching: an instrument to evaluate knowledge and perceptions among different health professionals of the Madrid Region health system. Rev. Esp. Salud Publica [online]. 2018, vol.92, e204808044.  Epub Aug 08, 2018. ISSN 2173-9110.


The patient safety culture (PSC) in health institutions depends on various organizational and human factors. Our aim was to evaluate, as a teaching strategy, the knowledge in patient safety and perceptions about the PSC.


A convenience sample, with 122 health professionals from Regional Minister of Health’s patient safety courses attendees in 2015. Before each course, were delivered a knowledge questionnaire about patient safety (own elaboration) and a validated PSC questionnaire (estimating 3 dimensions: managerial support, perception of safety and expectations / actions). Valuations on CSP were recategorized in positive, negative and neutral, identifying strengths (≥75% of positive evaluations) and opportunities for improvement (≥50% of negative evaluations). At the end of each course an anonymous satisfaction questionnaire was delivered.


60% responded correctly to questions about knowledge in patient safety, identifying areas for improvement in safe practices (hand hygiene and microorganisms resistant to antibiotics, with 66% and 61% of incorrect answers, respectively), and in management of health risks (investigation and identification of adverse events, with 62% and 56% of incorrect answers, respectively). 80% considered the institutional PSC positive, and the perception of safety as an opportunity for improvement (63.9% of negative evaluations). Thus, 88% admitted worrying about patient safety only after adverse incidents, and 65% felt afraid to talk about them. The satisfaction with the teaching methodology was 9.3 points out of 10.


The overall assessment of PSC was mostly positive, identifying specific areas for improvement that allowed orienting the training in patient safety, motivating the participants and suggesting intervention strategies to improve patient safety in our organizations.

Keywords : Patient safety; Organizational Culture; Health Facilities; Questionnaires; Teaching; Staff Development.

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