Patient safety is a leading item on the policy agenda of both major international health organizations and advanced countries generally. The quantitative description of the phenomena has given rise to intense concern with the issue in institutions and organizations, leading to a number of initiatives and research projects and the promotion of patient safety culture, with training becoming a priority both in Spain and internationally. To date, most studies have been conducted in a hospital setting, even though primary care is the type most commonly used by the public, in our experience.

Fostering a culture of safety is an essential step in ensuring patient safety and quality in primary care. We aimed to evaluate the effectiveness of an educational intervention to improve the safety culture in the family and community medicine teaching units in an Atlantic European Region. Randomized study conducted in family and community medicine teaching units in Galicia (Spain). Participants were all fourth-year residents and their tutors (N = 138). Those who agreed to participate were randomized into one of two groups (27 tutors/26 residents in the intervention group, 23 tutors/ 23 residents in the control one).All were sent the Survey on Patient Safety Culture. After that, the intervention group received specific training in safety; they also recorded incidents over 15 days, documented them following a structured approach, and had feedback on their performance. The control group did not receive any action. All participants completed the same survey four months later. Outcome measures were the changes in safety culture as quantified by the results variables of the Survey: Patient Safety Grade and Number of events reported. We conducted bivariate and adjusted analyses for the outcome measures. To explore the influence of participants’ demographic characteristics and their evaluation of the 12 dimensions of the safety culture, we fitted a multivariate model for each outcome. Trial followed published protocol. There were 19 drop outs. The groups were comparable in outcome and independent variables at start. The experiment did not have any effect on Patient safety grade (− 0.040) in bivariate analysis. The odds of reporting one to two events increased by 1.14 (0.39–3.35), and by 13.75 (2.41–354.37) the odds of reporting 3 or more events. Different dimensions had significant independent effects on each outcome variable. A educational intervention in family and community medicine teaching units may improve the incidents reported. The associations observed among organizational dimensions and outcomes evidence the complexity of patient safety culture measurement and, also, show the paths for improvement. In the future, it would be worthwhile to replicate this study in teaching units from different settings and with different health professionals engaged. It was retrospectively registered with ( ISRCTN41911128 , 31/12/2010).

The Manageable Geriatric Assessment (MAGIC) questionnaire, recently developed by a group of European family doctors for multidimensional geriatric assessment in primary care, has not yet been evaluated in clinical practice. The objectives of this study were to translate and adapt it to Spanish and to check the association between the limitations of older adults identified by this questionnaire and their perceived health status assessed by the five-level version of the EuroQol-5D (EQ-5D-5L). First, questionnaire translation, back translation and cognitive test were applied. Then, a cross-sectional observational study was performed in two Spanish health centers Galicia, Spain. Participants were 170 people aged over 75, recruited opportunistically by consecutive case sampling. Anonymous surveys were used to collect data. The MAGIC questionnaire, the EQ-5D-5L scale, age and sex were employed. The visual analog scale of EQ-5D-5L (EQ VAS) was used as the outcome variable. Descriptive and bivariate analyses by sex and outcome variable are presented. The linear regression analysis showed an association with quality of life for daily activities, recognizing people and stress incontinence. As this is associated with quality of life, the MAGIC questionnaire may be useful in primary care and a study to investigate the impact on health with a clinical trial would be worth considering.

Healthcare workers, especially medical and nursing residents, are exposed to situations that can lead to burnout. The main factors are organizational. However, it is more feasible for professionals to act on personal factors. There is a growing interest in interventions to prevent and reduce burnout. To examine the association between organizational and personal characteristics and burnout in Family and Community Medicine and Nursing residents, using baseline data from a non-randomised comparative study. This study is a secondary cross-sectional analysis of baseline data from a pragmatic non-randomised trial. We analysed sociodemographic, occupational, and psychological variables in relation to burnout. Medical and nursing residents enrolled in 2018–2021 at the teaching units of Vigo, Zaragoza, and Mallorca.” Variables: Sociodemographic, professional, burnout, empathy, resilience, social support, sense of coherence, anxiety and depression, personality, locus of control. Descriptive statistics and bivariate analyses (chi-square and Mann–Whitney U) were performed, and Pearson correlations with 95% confidence intervals were estimated to assess associations between burnout and organizational/personal variables (R 4.1.3). Registered in Clinical Trials with ID: NCT04625582 (November 10, 2020) A total of 147 residents were included at baseline (71% medicine, 29% nursing; 80% women; mean age 27.6 years). Mean burnout scores were 44.1 (SD 18.1) for personal burnout, 47.8 (SD 16.8) for work-related burnout, and 38.2 (SD 16.3) for patient-related burnout. Burnout correlated positively with weekly hours worked (r = 0.32, 95% CI 0.17–0.46), number of patients/day (r = 0.41, 95% CI 0.27–0.54) and monthly on-call shifts (r = 0.29, 95% CI 0.14–0.43), and with anxiety (r = 0.47, 95% CI 0.33–0.60) and depression (r = 0.36, 95% CI 0.21–0.50). Negative correlations were found with resilience (r = –0.38, 95% CI –0.52 to –0.23), social support (r = –0.24, 95% CI –0.39 to –0.08), and sense of coherence (r = –0.52, 95% CI –0.62 to –0.40) (all p < 0.05). Burnout in Family and Community Medicine and Nursing residents is associated with both organizational factors (workload, on-call duties, patient volume) and personal resources (resilience, empathy, sense of coherence). These findings underscore the importance of addressing structural workload while simultaneously enhancing coping resources to prevent burnout during residency training.