title: Are health professionals' perceptions of patient safety related to figures on safety incidents?
abstract: OBJECTIVE
  The study aims to explore whether health care professionals' perceptions of patient safety in their practice were associated with the number of patient safety incidents identified in patient records.
  
  
  METHODS
  Seventy primary care practices of general practice, general dental practice, midwifery practices and allied health care practices were used in the study.
  
  
  METHODS
  A retrospective audit of 50 patient records was performed to identify patient safety incidents in each of the practices and a survey among health professionals to identify their perceptions of patient safety.
  
  
  RESULTS
  All health professions felt that 'communication breakdowns inside the practice' as well as 'communication breakdowns outside the practice' and 'reporting of patient safety concerns' were a threat to patient safety in their work setting. We found little association between the perceptions of health professionals and the number of safety incidents. The only item with a significant relation to a higher number of safety incidents referred to the perception of 'communication problems outside the practice' as a threat to patient safety.
  
  
  CONCLUSIONS
  This study indicates that the assessment of professionals' perceptions may be complementary to observed safety incidents, but not linked to an objective measure of patient safety.
authors: IQ Healthcare, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
authors: Lucie
authors: L
authors: Martijn
authors: Mirjam
authors: M
authors: Harmsen
authors: Sander
authors: S
authors: Gaal
authors: Dirk
authors: D
authors: Mettes
authors: Simone
authors: S
authors: van Dulmen
authors: Michel
authors: M
authors: Wensing
mesh_terms: D001291:Attitude of Health Personnel; D006282:Health Personnel / Q000145:classification / Q000523:psychology; D006302:Health Services Research; D006801:Humans; D007400:Interprofessional Relations; D008330:Management Audit; D019300:Medical Errors / Q000517:prevention & control / Q000706:statistics & numerical data; D008501:Medical Records, Problem-Oriented / Q000706:statistics & numerical data; D009426:Netherlands; D061214:Patient Safety / Q000706:statistics & numerical data*; D011787:Quality of Health Care; D017751:Safety Management / Q000458:organization & administration*; D012938:Social Perception