Perspectives of the surgical team on patient safety culture in surgical centers
DOI:
https://doi.org/10.5327/Z1414-44251027Keywords:
Patient safety, Organizational culture, SurgicentersAbstract
Objective: To evaluate the safety culture in the surgical setting and to identify, together with the team, information that can support the development of strategies to promote and strengthen safe practices in the surgical environment. Methods: This is a quantitative, descriptive study conducted with operating room staff at a philanthropic hospital located in southern Brazil. Data were collected between May and September 2022 using the Hospital Survey on Patient Safety Culture questionnaire. Statistical tests were used for data analysis. Results: The study included 89 professionals, of whom 44.9% belonged to the nursing team and 46.1% to the medical team. The overall rating attributed to patient safety was considered “very good,” with a score of 60.6%. The dimensions “organizational learning” and “hospital management support for patient safety” achieved the highest mean scores (3.73). The dimensions “frequency of reported events,” “teamwork,” and “non-punitive response to errors” showed the lowest performance. Conclusion: The results highlighted the need to develop strategies to strengthen the multidisciplinary team, emphasizing the promotion of a safety culture to foster a safe surgical environment.
References
Kakemam E, Albelbeisi AH, Davoodabadi S, Ghafari M, Dehghandar Z, Raeissi P. Patient safety culture in Iranian teaching hospitals: baseline assessment, opportunities for improvement and benchmarking. BMC Health Serv Res. 2022;22(1):403. https://doi.org/10.1186/s12913-022-07774-0 DOI: https://doi.org/10.1186/s12913-022-07774-0
Aouicha W, Tlili MA, Sahli J, Mtiraoui A, Ajmi T, Latiri HS, et al. Patient safety culture as perceived by operating room professionals: a mixed-methods study. BMC Health Serv Res. 2022;22(1):799. https://doi.org/10.1186/s12913-022-08175-z DOI: https://doi.org/10.1186/s12913-022-08175-z
Batalha EMSS, Borges EMN, Melleiro MM. Association between patient safety culture and professional quality of life among nursing professionals. Rev Esc Enferm USP. 2024;58:e20230359. https://doi.org/10.1590/1980-220X-REEUSP-2023-0359en DOI: https://doi.org/10.1590/1980-220x-reeusp-2023-0359pt
Lemos GC, Mata LRF, Ribeiro HCTC, Menezes AC, Penha CS, Valadares RMC, et al. Patient safety culture in three hospital institutions: nursing team perspective. Rev Baiana Enferm. 2022;36:e43393. https://doi.org/10.18471/rbe.v36.43393 DOI: https://doi.org/10.18471/rbe.v36.43393
Rocha R, Pucci F, Walter J. Safety culture and power dynamics in organizations. Rev Bras Saude Ocup. 2023;48:edcinq12. https://doi.org/10.1590/2317-6369/37622pt2023v48edcinq12 DOI: https://doi.org/10.1590/2317-6369/37622pt2023v48edcinq12
Souza RM, O’ CB, Santos BS, Morais EBL, Medeiros MLB, Xavier SSM. Patient safety culture: perception of professionals working in the surgical center. Rev SOBECC. 2024;29:E2429896. https://doi.org/10.5327/Z1414-4425202328896 DOI: https://doi.org/10.5327/Z1414-4425202328896
World Health Organization. WHO Guidelines for safe surgery 2009: safe surgery saves lives: the second global patient safety challenge [Internet]. Genebra: WHO; 2009 [accessed on Oct. 1, 2024]. Available at: https://iris.who.int/bitstream/handle/10665/44185/9789241598552_eng.pdf
Reis CT, Laguardia J, Vasconcelos AGG, Martins M. Reliability and validity of the Brazilian version of the Hospital Survey on Patient Safety Culture (HSOPSC): a pilot study. Cad Saúde Pública. 2016;32(11):e00115614. https://doi.org/10.1590/0102-311X00115614 DOI: https://doi.org/10.1590/0102-311x00115614
Agency for Healthcares Research and Quality. AHRQ Hospital Survey on Patient Safety Culture: User’s Guide [Internet]. Rockville: AHRQ, 2016 [accessed on Oct. 1, out. 2024]. Available at: https://www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-user-guide.pdf
Alrasheadi BA, Alamri MS, Aljohani KA, Al-Dossary R, Albaqawi H, Alharbi J, et al. Nurses' perception of safety culture in medical-surgical units in hospitals in Saudi Arabia. Medicina. 2022;58(7):897. https://doi.org/10.3390/medicina58070897 DOI: https://doi.org/10.3390/medicina58070897
Hata T, Murao H, Nakagami-Yamaguchi E, Yamaguchi Y, Eguchi H, Nishihara M, et al. Factors affecting patient safety culture in a university hospital under the universal health insurance system: A cross-sectional study from Japan. Medicine. 2022;101(45):e31603. https://doi.org/10.1097/MD.0000000000031603 DOI: https://doi.org/10.1097/MD.0000000000031603
Fridrich A, Imhof A, Schwappach DLB. Compliance with the surgical safety checklist in Switzerland: an observational multicenter study based on self-reported data. Patient Saf Surg. 2022;16(1):17. https://doi.org/10.1186/s13037-022-00327-8 DOI: https://doi.org/10.1186/s13037-022-00327-8
Tan J, Ngwayi JRM, Ding Z, Zhou Y, Li M, Chen Y, et al. Attitudes and compliance with the WHO surgical safety checklist: a survey among surgeons and operating room staff in 138 hospitals in China. Patient Saf Surg. 2021;15(1):3. https://doi.org/10.1186/s13037-020-00276-0 DOI: https://doi.org/10.1186/s13037-020-00276-0
Barros ACS, Pereira LC, Cavalcante RM, Nascimento LMO, Lopes EM. Use of the Surgical Safety Checklist in a maternity teaching hospital in the state of Ceará, Brazil. Rev SOBECC. 2023;28:e2328902. https://doi.org/10.5327/Z1414-4425202328902 DOI: https://doi.org/10.5327/Z1414-4425202328902
Kaware MS, Ibrahim MI, Shafei MN, Hairon SM, Abdullahi AU. Patient safety culture and its associated factors: a situational analysis among nurses in Katsina Public Hospitals, Northwest Nigeria. Int J Environ Res Public Health. 2022;19(6):3305. https://doi.org/10.3390/ijerph19063305 DOI: https://doi.org/10.3390/ijerph19063305
Tlili MA, Aouicha W, Sahli J, Zedini C, Dhiab MB, Chelbi S, et al. A baseline assessment of patient safety culture and its associated factors from the perspective of critical care nurses: Results from 10 hospitals. Aust Crit Care. 2021;34(4):363-9. https://doi.org/10.1016/j.aucc.2020.09.004 DOI: https://doi.org/10.1016/j.aucc.2020.09.004
Lopez ECMS, Cruz EDA, Alpendre FT, Batista J. Culture of patient safety in surgical units of teaching hospitals. Rev Min Enferm. 2020;24:e1298. https://doi.org/10.5935/1415-2762.20200027 DOI: https://doi.org/10.5935/1415-2762.20200027
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Copyright (c) 2025 Letícia Marie Sakai, Neide da Silva Knihs, Patricia Treviso, Aline Lima Pestana Magalhães, Ariadne Matzembacher da Silva, Daniela Couto Carvalho Barra, Keyla Cristiane do Nascimento
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