Patient safety culture: perception of professionals working in the surgical center
DOI:
https://doi.org/10.5327/Z1414-4425202328896Keywords:
Health services research, Surgicenters, Organizational culture, Patient safetyAbstract
Objective: To evaluate the patient safety culture in a surgical center of a federal public hospital. Method: This is an exploratory descriptive study, with a cross-section and a quantitative approach. Data collection took place between December 2019 and February 2020, using the Hospital Survey on Patient Safety Culture questionnaire, which gathers the largest number of specific psychometric criteria on patient safety culture. Results: A total of 55 professionals participated in the research, most of them nursing technicians in direct contact with the patient. The dimensions “organizational learning/continuous improvement” and “hospital management support for patient safety” obtained higher rates of positive responses, considered dimensions of strength for the safety culture. However, ten dimensions did not reach the strength level of patient safety culture. Conclusions: Through the analysis of the dimensions, we evidenced a still fragile patient safety culture in the institution, with particular emphasis on hospital management support and organizational learning, which directly impact the professionals’ perception of this topic.
References
Flórez F, López L, Bernal C. Prevalencia de eventos adversos y sus manifestaciones en profesionales de la salud como segundas víctimas. Biomédica. 2022;42(1):184-95. https://doi.org/10.7705/biomedica.6169 DOI: https://doi.org/10.7705/biomedica.6169
Capucho HC. Near miss: almost error or potential adverse event? Revista Latino-Ame Enfermagem. 2011;19(5):1272-3. DOI: https://doi.org/10.1590/S0104-11692011000500027
Brasil. Ministério da Saúde. Agência Nacional de Vigilância Sanitária. Boletim Segurança do Paciente e Qualidade em Serviços de Saúde no 20: Incidentes relacionados à assistência à saúde – 2018 [Internet]. 2019 [acessado em 14 ago. 2023]. Disponível em: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/boletim-seguranca-do-paciente/boletim-seguranca-do-paciente-e-qualidade-em-servicos-de-saude-n-20-incidentes-relacionados-a-assistencia-a-saude-2018.pdf
World Health Organization. Global patient safety action plan 2021-2030 [Internet]. 2021 [acessado em 15 jan. 2023]. Disponível em: https://www.who.int/teams/integrated-health-services/patient-safety/policy/global-patient-safety-action-plan
Brasil. Ministério da Saúde. Agência Nacional de Vigilância Sanitária. Cultura de segurança do paciente. Avaliação nacional da cultura de segurança do paciente em hospitais [Internet]. Anvisa. 2020 [acessado em 14 ago. 2023]. Disponível em: https://www.gov.br/anvisa/pt-br/assuntos/servicosdesaude/seguranca-do-paciente/cultura-de-seguranca-do-paciente#:~:text=A%20Cultura%20de%20Seguran%C3%A7a%20do
Brasil. Ministério da Saúde. Agência Nacional de Vigilância Sanitária. Relatório da avaliação nacional das práticas de segurança do paciente em serviços de saúde – 2021. Brasília: Ministério da Saúde; 2022 [acessado em 14 jan. 2023]. Disponível em: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/publicacoes/relatorio-da-avaliacao-nacional-das-praticas-de-seguranca-do-paciente-2021
Brasil. Ministério da Saúde. Agência Nacional de Vigilância Sanitária. Resolução RDC no 36, de 25 de julho de 2013. Institui ações para a segurança do paciente em serviços de saúde e dá outras providências. Diário Oficial da União [Internet]. 2013 [acessado em jul. 2020]. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2013/rdc0036_25_07_2013.html
Fujita S, Wu Y, Iida S, Nagai Y, Shimamori Y, Hasegawa T. Patient safety management systems, activities and work environments related to hospital-level patient safety culture: a cross-sectional study. Medicine (Baltimore). 2019;98(50):e18352. https://doi.org/10.1097/MD.0000000000018352 DOI: https://doi.org/10.1097/MD.0000000000018352
Organização Mundial da Saúde. Segundo desafio para a segurança do paciente: cirurgias seguras salvam vidas (orientações para cirurgia segura da OMS). Rio de Janeiro: Organização Pan-Americana da Saúde; 2009 [citado 18 jul. 2020]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/seguranca_paciente_cirurgias_seguras_salvam_vidas.pdf
Batista J, Cruz EDA, Alpendre FT, Rocha DJM, Brandão MB, Maziero ECS. Prevalência e evitabilidade de eventos adversos cirúrgicos em hospital de ensino do Brasil. Revista Lat Am Enfermagem. 2019;27:e2939. https//doi.org/10.1590/1518-8345.2939.3171 DOI: https://doi.org/10.1590/1518-8345.2939.3171
Galvão TF, Lopes MCC, Oliva CCC, Araújo MEA, Silva MT. Patient safety culture in a university hospital. Rev Lat Am Enfermagem. 2018:26:e3014. https://doi.org/10.1590/1518-8345.2257.3014 DOI: https://doi.org/10.1590/1518-8345.2257.3014
Gama ZAS, Batista AM, Silva IG, Souza RM, Freitas MR. Cross-cultural adaptation of the Brazilian version of the Hospital Survey on Patient Safety Culture: opportunities for improvement. Cad Saude Publica. 2013;29(7):1473-5. https://doi.org/10.1590/S0102-311X2013000700021 DOI: https://doi.org/10.1590/S0102-311X2013001100021
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 Saude Publica. 2016;32(11):e00115614. https://doi.org/10.1590/0102-311X00115614 DOI: https://doi.org/10.1590/0102-311x00115614
Mota GCHF. A percepção de profissionais de saúde sobre cultura de segurança do paciente em hospital universitário [dissertação]. São Paulo: Faculdade de Ciências Farmacêuticas da Universidade de São Paulo; 2018 [acessado em 16 ago. 2020]. Disponível em: https://www.teses.usp.br/teses/disponiveis/9/9139/tde-12112018-151750/publico/Gessica_Caroline_Henrique_Fontes_Mota_ME_Original.pdf
Notaro KAM, Corrêa AR, Tomazoni A, Rocha PK, Manzo BF. Safety culture of multidisciplinary teams from neonatal intensive care units of public hospitals. Rev. Lat Am Enfermagem. 2019;27:e3167. https://doi.org/10.1590/1518-8345.2849-3167 DOI: https://doi.org/10.1590/1518-8345.2849.3167
Rodrigues, WVD. Avaliação da cultura de segurança do paciente entre profissionais de saúde em um hospital público [dissertação]. São Paulo: Instituto Sírio Libanês de Ensino e Pesquisa; 2018.
Oliveira Júnior NJ, Lourenção DCA, Poveda VB, Riboldi CO, Martins FZ, Magalhães AMM. Safety culture in surgical centers from the perspective of the multiprofessional team. Rev Rene. 2022;23:e78412. https://doi.org/10.15253/2175-6783.20222378412 DOI: https://doi.org/10.15253/2175-6783.20222378412
Gama ZAS, Hernández PJS. Inspeção de boas práticas de gestão de riscos em serviços de saúde [Internet]. Natal: SEDIS-UFRN; 2018 [acessado em 10 jan. 2020]. Disponível em: https://repositorio.ufrn.br/jspui/bitstream/123456789/25138/3/EBOOK_AGRASS.pdf
Teodoro RFB, Silva AS, Carreiro MA, Bilio RL, Paula DG. Adverse event notification analysis through patient safety culture research. R Pesq Cuid Fundam Online. 2020;12:463-70. https://doi.org/10.9789/2175-5361.rpcfo.v12.8521 DOI: https://doi.org/10.9789/2175-5361.rpcfo.v12.8521
Maya AMS, Marín DMR. Cultura de la seguridad del paciente en seis centros quirúrgicos de Antioquia. Rev Cuid. 2020;11(2):e1040. http://dx.doi.org/10.15649/cuidarte.1040 DOI: https://doi.org/10.15649/cuidarte.1040
Batista J, Cruz EDA, Alpendre FT, Paixão DPSS, Gaspari AP, Maurício AB. Cultura de segurança e comunicação sobre erros cirúrgicos na perspectiva da equipe de saúde. Rev Gaúcha Enferm. 2019;40(esp):e20180192. https://doi.org/10.1590/1983-1447.2019.20180192 DOI: https://doi.org/10.1590/1983-1447.2019.20180192
National Quality Forum. Leadership consortium 2022 priorities for action [Internet]. 2021 [acessado em 18 ago. 2020]. Disponível em: https://www.qualityforum.org/Publications/2021/12/2022_NQF_Priorities_for_Action.aspx
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Roselma Marinho de Souza, Camila Brito do O', Breno da Silva Santos, Estefane Beatriz Leite de Morais, Maria de Lourdes Bezerra de Medeiros , Suênia Silva de Mesquita Xavier
This work is licensed under a Creative Commons Attribution 4.0 International License.
By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).
The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.
With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.
In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.