Percentage of positive responses on Overall ratings on quality and patient safety_
| DOMAIN G | ITEMS | Mean (SD) | Median (IQ 25-75) |
|---|---|---|---|
| G1A: Patient-centred, % | 48.4 (50.0) | 0.0 (0.0-100.) | |
| G1B: Effective, % | 51.7 (50.0) | 100.0 (0.0-100.0) | |
| G1: Overall ratings on quality | G1C: Timely, % | 47.1 (50.0) | 0.0 (0.0-100.0) |
| G1D: Efficient, % | 47.1 (50.0) | 0.0 (0.0-100.0) | |
| G1E: Equitable, % | 69.8 (46.0) | 100.0 (0.0-100.0) | |
| G1: Average overall rating on quality, % | 52.8 (40.3) | 60.0 (0.0-100.0) | |
| G2: Overall rating on patient safety | G2, % | 32.6 (46.9) | 0.0 (0.0-100.0) |
| Overall ratings on quality and patient safety, % | 49.4 (38.3) | 50.0 (16.7-83.3) |
Sociodemographic characteristics of the participants_
| CHARACTERISTIC | DESCRIPTIVES |
|---|---|
| Age (years), mean (SD) | 44.5 (11.1) |
| Age group (years), n (%) | |
| <25 | 14 (1.8) |
| 26-40 | 135 (17.8) |
| 41-55 | 142 (18.7) |
| >56 | 86 (11.3) |
| Male | 32 (8.5) |
| Female | 345 (91.5) |
| Profile, n (%) | |
| Physician, dentist | 84 (21.8) |
| Registered nurse | 102 (26.5) |
| Management | 12 (3.1) |
| Administrative or clerical staff | 12 (3.1) |
| Healthcare assistants | 97 (25.2) |
| Other clinical staff | 47 (12.2) |
| Other position | 31 (8.1) |
| Health centre unit, n (%) | |
| Center | 79 (21.0) |
| Moste-Polje | 85 (22.5) |
| Management | 5 (1.3) |
| Šentvid | 12 (3.2) |
| Vič-Rudnik | 82 (21.8) |
| Bežigrad | 56 (14.9) |
| Emergency Care Unit | 6 (1.6) |
| Šiška | 52 (13.8) |
| Work experience | |
| (years), n (%) | |
| <4 | 13 (3.4) |
| 4-7 | 25 (6.6) |
| 8-15 | 43 (11.4) |
| >16 | 296 (78.5) |
Structure of the MOSPSC tool (16)_
| DOMAIN | DIMENSION |
|---|---|
| A | List of patient safety and quality issues |
| B | Information exchange with other settings |
| C | Teamwork |
| Work pressure and pace | |
| Staff training | |
| Office processes and standardisation | |
| D | Communication openness |
| Patient care tracking/follow-up | |
| Communication about error | |
| E | Leadership support for patient safety |
| F | Organisational learning |
| Overall perceptions of patient safety and quality | |
| G | Overall ratings on quality |
| Overall rating on patient safety |
Composite percent positive scores of the Medical Office Survey on Patient Safety Control (MOSPSC) and its dimensions_
| MOSPSC DIMENSIONS | Mean (SD) | Median (IQ 25-75) |
|---|---|---|
| List of patient safety and quality issues, % | 88.1 (18.9) | 100.0 (77.8-100.0) |
| Information exchange with other settings, % | 93.5 (18.8) | 100.0 (100.0-100.0) |
| Teamwork, % | 75.0 (29.7) | 75.0 (50.0-100.0) |
| Work pressure and pace, % | 10.7 (20.3) | 0.0 (0.0-25.0) |
| Staff training, % | 51.6 (36.7) | 66.7 (33.3-66.7) |
| Office processes and standardisation, % | 48.2 (28.2) | 50.0 (25.0-72.0) |
| Communication openness, % | 40.9 (33.7) | 25.0 (0.0-75.0) |
| Patient care tracking/follow-up, % | 76.2 (28.6) | 75.0 (50.0-100.0) |
| Communication about error, % | 58.3 (31.6) | 75.0 (25.0-75.0) |
| Leadership support for patient safety, % | 27.1 (31.2) | 25.0 (0.0-50.0) |
| Organisational learning, % | 90.2 (22.9) | 100.0 (100.0-100.0) |
| Overall perceptions of patient safety and quality, % | 70.1 (24.2) | 75.0 (50.0-100.) |
| Overall ratings on quality and patient safety, % | 49.4 (38.3) | 50.0 (16.7-83.3) |
| Overall MOSPSC composite percent positive score, % | 59.6 (15.7) | 75.0 (50.0-100.0) |
Analysis of composite percent positive score of the MOSPSC dimensions based on different professional profiles_
| MOSPSC dimensions | Physician, dentist (n=84) | Registered nurse (n=102) | Management (n=12) | Administrative or clerical staff (n=12) | Healthcare assistants (n=97) | Other clinical staff (n=47) | |
|---|---|---|---|---|---|---|---|
| List of patient safety and quality issues, % | |||||||
| Mean (SD) | 85.6 (24.7) | 88.9 (17.0) | 96.3 (6.4) | / | 90.8 (13.8) | 100 (0.0) | |
| Median (IQ 25-75) | 80.0 (70.0-100.0) | 85.0 (80.0.-100.0) | 100.0 (90.0-100.0) | / | 90.0 (90.0-100.0) | 100.0 (100.0-100.0) | |
| Information exchange with other settings, % | |||||||
| Mean (SD) | 94.2 (17.4) | 95.0 (16.8) | 100 (0.0) | 100 (0.0) | 92.6 (20.4) | 91.1 (20.3) | |
| Median (IQ 25-75) | 95.0 (90.0-100.0) | 95.0 (90.0-100.0) | 100.0 (100.0-100.0) | 100.0 (100.0-100.0) | 100. (80.0-100.0) | 100.0 (75.0-100.0) | |
| Teamwork, % | |||||||
| Mean (SD) | 76.8 (29.3) | 75.8 (29.2) | 85 (24.1) | 87.5 (25.0) | 70.7 (32.7) | 68.6 (31.2) | |
| Median (IQ 25-75) | 70.0 (60.0-87.5) | 70.0 (60.082.5) | 100.0 (75.0-100.0 | 100.0 (75.0-100.0 | 70.0 (50.0-87.5) | 75.0 (50.0-100.0 | |
| Work pressure and pace, % | |||||||
| Mean (SD) | 8.1 (18.8) | 11.2 (19.0) | 12.5 (13.4) | 37.5 (53.0) | 8.3 (16.8) | 18.1 (29.0) | |
| Median (IQ 25-75) | 0.0 (0.0-33.3) | 15.0 (0.0-25.0) | 0.0 (0.0- 33.3) | 30.0 (25.0-47.5) | 0.0 (0.0-33.3) | 25.0 (25.0-25.0) | |
| Staff training, % | |||||||
| Mean (SD) | 43.8 (40.0) | 50.5 (36.7) | 77.8 (29.6) | 38.1 (35.6) | 50.2 (36.0) | 48.8 (30.0) | |
| Median (IQ 25-75), U value if p-value <0.05 | 50.0 (0.0-75.0), (U=9362.0; p=0.019) | 50.0 (25.0-75.0) | 75.0 (60-100.0), (U=2870.5; p=0.014) | 25.0 (25.0-75.0) | 50.0 (25.0-87.5) | 50.0 (25.0-80.0) | |
| Office processes and standardisation, % | |||||||
| Mean (SD) | 43.4 (26.1) | 49.7 (28.9) | 72.9 (24.9) | 55.0 (41.1) | 47.8 (25.9) | 50.0 (27.1) | |
| Median (IQ 25-75), U value if p-value <0.05 | 37.5 (20.0-80.0), (U=8942.0; p=0.037) | 50.0 (33.3-80.0) | 75.0 (80.0-100.0), (U=2963.0; p=0.003) | 75.0 (50.0-75.0) | 50.0 (25.0-75.0) | 50.0 (33.3-66.7) | |
| Communication openness, % | |||||||
| Mean (SD) | 52.9 (31.0) | 34.1 (33.3) | 63.9 (35.6) | 33.3 (28.9) | 37.3 (31.6) | 25.0 (32.3) | |
| Median (IQ 25-75), U value if p-value <0.05 | 62.5 (25.0-75.0), (U=9542.5; p<0.01) | 25.0 (0.0-50.0) | 75.0 (50.0-100.0), (U=1715.5; p=0.043) | 25.0 (0.0-50.0) | 25.0 (0.0-50.0) | 25.0(10.0-50.0), (U=2269.5; p=0.011) | |
| Patient care tracking/ follow-up, % | |||||||
| Mean (SD) | 70.8 (31.1) | 77.7 (27.7) | 68.8 (23.9) | / | 80.3 (26.9) | 70.5 (36.8) | |
| Median (IQ 25-75), U value if p-value <0.05 | 75.0 (75.0-100.0), (U=3937.5; p=0.049) | 75.0 (75.0-100.0) | 75.0 (50.0-100.0) | / | 75.0 (75.0-100.0) | 70.0 (60.0-82.5) | |
| Communication about error, % | |||||||
| Mean (SD) | 56.2 (32.2) | 56.9 (32.0) | 87.5 (18.9) | 75.0 (0.0) | 58.6 (28.0) | 58.8 (30.6) | |
| Median (IQ 25-75), U value if p-value <0.05 | 50.0 (50.0-75.0) | 50.0 (50.0-75.0) | 100.0 (75.0-100.0), (U=1592.0; p=0.043) | 80.0 (75.0-100.0) | 50.0 (25.0-75.0) | 50.0 (25.0-75.0) | |
| Leadership support for patient safety, % | |||||||
| Mean (SD) | 31.5 (32.6) | 28.7 (28.9) | 50.0 (25.0) | 58.3 (52.0) | 27.9 (32.8) | 12.5 (24.7) | |
| Median (IQ 25-75), U value if p-value <0.05 | 25.0 (0.0-50.0) | 33.3 (0.0-33.3) | 50.0 (25.0-75.0) | 50.0 (50.0-100.0) | 25.0 (0.0-50.0) | 0.0 (0.0-33.3), (U=2074.5; p=0.002) | |
| Organisational learning, % | |||||||
| Mean (SD) | 66.7 (38.4) | / | 100 (0.0) | / | 87.2 (25.6) | / | |
| Median (IQ 25-75), U value if p-value <0.05 | 75.0 (50.0-100.0) | / | 100.0 (100.0-100.0) | / | 100.0 (75.0-100.0 | / | |
| /Overall perceptions of patient safety and quality, % | |||||||
| Mean (SD) | 62.5 (32.2) | / | 75.0 (25.0) | / | 58.3 (14.4) | / | |
| Median (IQ 25-75), U value if p-value <0.05 | 66.7 (33.3-100.0) | / | 66.7 (33.3-100.0) | / | 50.0 (50.0-75.0) | / | |
| /Overall ratings on quality and patient safety, % | |||||||
| Mean (SD) | 53.4 (36.3) | 46.4 (39.8) | 52.8 (33.2) | 20.8 (34.9) | 47.6 (40.4) | 56.0 (34.3) | |
| Median (IQ 25-75), U value if p-value <0.05 | 66.7 (33.3-100.0) | 50.0 (33.3-66.7) | 50.0 (33.3- 100.0) | 20.0 (0.0-50.0), (U=1260.5; p=0.009) | 50.0 (33.3- 66.7) | 66.7 (33.3-66.7) |