English

Autores/as

  • Glauco M. da Silva English
  • Marcos V. M. de Lima English
  • Marcos C. Araripe English
  • Suleima Pedroza Vasconcelos English
  • Simone Perufo Opitz English
  • Gabriel Z. Laporta English

DOI:

https://doi.org/10.7322/jhgd.152192

Palabras clave:

organizational culture, patient safety, Safety management, quality of health care

Resumen

Introduction: The safety culture of the patient is a contributing factor for the maintenance of the user’s well-being in the health system because, through it, an organized systematization and quality of patient care are obtained, preventing possible intercurrences that can cause damages.

Objective: To analyze the Patient Safety Culture (PSC) from the perspective of health professionals at the Reference Hospital of the Upper Juruá River, in the Brazilian Western Amazon.

Methods: This is a cross-sectional study developed in a medium-sized public hospital in a municipality in Western Amazonia. The Survey for Patient Safety Culture survey of the Agency for Healthcare Research and Quality was applied to 280 professionals from December 2016 to February 2017. Descriptive analysis of the data and the internal consistency of the instrument were performed.

Results: The results indicate the best evaluations in the dimensions of Teamwork in the scopes of the units (60%) and Organizational learning (60%). The aspects with the worst results were the dimensions of non-punitive responses to errors (18%) and frequency of events reported (32%). The internal reliability (Cronbach’s Alpha) analysis of the dimensions ranged from 0.35 to 0.90.

Conclusion: The "culture of fear" seems to predominate in this hospital, however, the study showed that there is scope for improvement in all dimensions of CSP. The values of Cronbach’s Alpha presented similarity to the results obtained by the validation process.

Biografía del autor/a

  • Glauco M. da Silva, English

     Setor de Pós-graduação, Pesquisa e Inovação

  • Marcos V. M. de Lima, English

     Setor de Pós-graduação, Pesquisa e Inovação

  • Marcos C. Araripe, English

     Setor de Pós-graduação, Pesquisa e Inovação

  • Suleima Pedroza Vasconcelos, English

     Centro de Ciências da Saúde e do Desporto

  • Simone Perufo Opitz, English

     Centro de Ciências da Saúde e do Desporto

  • Gabriel Z. Laporta, English

     Setor de Pós-graduação, Pesquisa e Inovação

Referencias

1. Reis AT, Silva CRA. Segurança do Paciente. Cad Saúde Pública. 2016;32(3):1-2. DOI: http://dx.doi.org/10.1590/0102-311XRE020316

2. World Health Organization (WHO). Conceptual Framework for the International Classification for Patient Safety. WHO, 2009.

3. Groves PS. The Relationship between patient safety culture and patient outcomes: Results From Pilot Meta-Analyses. West J Nunsing Res. 2013;36(1):66-83. DOI: https://doi.org/10.1177/0193945913490080

4. Fujita S, Seto K, Ito S, Wu Y, Huang CC, Hasegawa T. The characteristics of patient safety culture in Japan, Taiwan and the United States. BMC Health Serv Res. 2013;13:20. DOI: http://dx.doi.org/10.1186/1472-6963-13-20

5. Wagner C, Smits M, Sorra J, Huang CC. Assessing patient safety culture in hospitals across countries. Int J Qual Health Care. 2013;25(3):213-21. DOI: http://dx.doi.org/10.1093/intqhc/mzt024

6. Institute of Medicine (US) Committee on Quality of Health Care in America; Kohn LT, Corrigan JM, Donaldson MS. To Err is human: building a safer health system. Washington: National Academies Press, 2000.

7. Patterson MD, Geis GL, LeMaster T, Wears RL. Impact of multidisciplinary simulation-based training on patient safety in a paediatric emergency department. BMJ Qual Saf. 2013;22(5):383-93. DOI: http://dx.doi.org/10.1136/bmjqs-2012-000951

8. Carvalho PA, Göttems LBD, Pires MRGM, Oliveira MLC. Cultura de segurança no centro cirúrgico de um hospital público na percepção dos profissionais de saúde. Rev Latino-Am Enfermagem. 2015;23(6):1041-8. DOI: http://dx.doi.org/10.1590/0104-1169.0669.2647

9. Rigobello MCG, Carvalho REFL, Cassiani SHB, Galon T, Capucho HC, Deus NN. Clima de segurança do paciente: percepção dos profissionais de enfermagem. Acta Paul Enferm. 2012;25(5):728-35. DOI: http://dx.doi.org/10.1590/S0103-21002012000500013

10. Mello JF, Barbosa SFF. Cultura de segurança do paciente em terapia intensiva: Recomendações da enfermagem. Texto Contexto Enferm. 2013;22(4):1124-33. DOI: http://dx.doi.org/10.1590/S0104-07072013000400031

11. Silva-Batalha EMS, Melleiro MM. Cultura de segurança do paciente em um hospital de ensino: diferenças de percepção existentes nos diferentes cenários dessa instituição. Texto Contexto Enferm. 2015;24(2):432-41. DOI: http://dx.doi.org/10.1590/0104-07072015000192014

12. Macedo TR, Rocha PK, Tomazoni A, Souza S, Anders JC, Davis K. Cultura de segurança do paciente na perspectiva da equipe de enfermagem de emergência pediátricas. Rev Esc Enferm USP. 2016;50(5):756-62. DOI: http://dx.doi.org/10.1590/S0080-623420160000600007

13. Minuzz AP, Salum NC, Locks MOH. Avaliação da cultura de segurança do paciente em terapia intensiva na perspectiva da equipe de saúde. Texto Contexto Enferm. 2016;25(2):e1610015. DOI: http://dx.doi.org/10.1590/0104-07072016001610015

14. Blegen MA, Gearhart S, O’Brien R, Sehgal NL, Alldredge BK. AHRQ’s Hospital survey on patient safety culture. J Patient Saf. 2009;5(3):139-44. DOI: http://dx.doi.org/10.1097/PTS.0b013e3181b53f6e

15. 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. DOI: http://dx.doi.org/10.1590/0102-311x00115614

16. Reis CT, Laguardia J, Martins M. Adaptação transcultural da versão brasileira do Hospital Survey on Patient Safety Culture: etapa inicial. Cad Saude Publica. 2012;28(11):2199-2210. DOI: http://dx.doi.org/10.1590/S0102-311X2012001100019

17. Halligan M, Zecevic A. Safety culture in healthcare: a review of concepts, dimensions, measures and progress. BMJ Qual Saf. 2011;20(4):338-43. DOI: http://dx.doi.org/10.1136/bmjqs.2010.040964

18. Nunnally JC, Bernstein IH. Psychometertric Theory. 3rd ed. New York: McGraw-Hill; 1994.

19. Nieva VF, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Heal Care. 2003;12(Suppl.2):17-23. DOI: http://dx.doi.org/10.1136/qhc.12.suppl_2.ii17

20. Sorra J, Dyer N. Multilevel psychometric properties of the AHRQ hospital survey on patient safety culture. BMC Health Serv Res. 2010;10:199. DOI: http://dx.doi.org/10.1186/1472-6963-10-199

21. Tomazoni A, Rocha PK, Souza S, Anders JC, Malfussi HFC. Patient safety culture at neonatal intensive care units: perspectives of the nursing and medical team. Rev Latino-Am Enfermagem. 2014;22(5):755-63. DOI: http://dx.doi.org/10.1590/0104-1169.3624.2477

22. Chen IC, Li HH. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC Health Serv Res. 2010;10:152. DOI: http://dx.doi.org/10.1186/1472-6963-10-152

23. Güneş ÜY, Gürlek Ö, Sönmez M. A survey of the patient safety culture of hospital nurses in Turkey. Aust Coll Nurs. 2016;23(2):225-32. DOI: https://doi.org/10.1016/j.colegn.2015.02.005

24. Fujita S, Seto K, Kitazawa T, Matsumoto K, Hasegawa T. Characteristics of unit-level patient safety culture in hospitals in Japan: a cross-sectional study. BMC Health Serv Res. 2014;14:508. DOI: https://doi.org/10.1186/s12913-014-0508-2

25. Santiago THR, Turrini RNT. Cultura e clima organizacional para segurança do pacente em unidades de terapia intensiva. Rev Esc Enferm USP. 2015;49(spe):121-7. DOI: http://dx.doi.org/10.1590/S0080-623420150000700018

26. El-Jardali F, Jaafar M, Dimassi H, Jamal D, Hamdan R. The current state of patient safety culture in lebanese hospitals: A study at baseline. Int J Qual Heal Care. 2010;22(5):386-395. DOI: http://dx.doi.org/10.1093/intqhc/mzq047

27. Tomazoni A, Rocha PK, Kusahara DM, Souza AIJ, Macedo TR. Avaliação da cultura de segurança do paciente em terapia intensiva neonatal. Texto Contexto Enferm. 2015;24(1):161-9. DOI: http://dx.doi.org/10.1590/0104-07072015000490014

28. Gama ZAS, Oliveira ACS, Hernández PJS. Cultura de seguridad del paciente y factores asociados en una red de hospitales públicos españoles. Cad Saude Publica. 2013;29(2):283-93. DOI: http://dx.doi.org/10.1590/S0102-311X2013000200015

29. Robida A. Hospital Survey on Patient Safety Culture in Slovenia: a psychometric evaluation. Int J Qual Heal Care. 2013;25(4):469-75. DOI: http://dx.doi.org/10.1093/intqhc/mzt040

30. Tereanu C, Smith SA, Sampietro G, Sarnataro F, Mazzoleni G, Pesenti B, et al. Experimenting the hospital survey on patient safety culture in prevention facilities in Italy: psychometric properties. Int J Qual Heal Care. 2017;29(2):269-75. DOI: http://dx.doi.org/10.1093/intqhc/mzx014

31. El-Jardali F, Sheikh F, Garcia NA, Jamal D, Abdo A. Patient safety culture in a large teaching hospital in Riyadh: baseline assessment, comparative analysis and opportunities for improvement. BMC Health Serv Res. 2014;14:122. DOI: https://doi.org/10.1186/1472-6963-14-122

32. Eiras M, Escoval A, Grillo IM, Silva-Fortes C. The hospital survey on patient safety culture in Portuguese hospitals: instrument validity and reliability. Int J Health Care Qual Assur. 2014;27(2):111-22. DOI: https://doi.org/10.1108/IJHCQA-07-2012-0072

33. Maroco J, Garcia-Marques T. Qual a fiabilidade do alfa de Cronbach? Questões antigas e soluções modernas? Laboratório Psicol. 2006;4(1):65-90.

34. Sabouri M, Najafipour F, Jariani M, Hamedanchi A, Karimi P. Patient Safety Culture as Viewed by Medical and Diagnostic Staff of Selected Tehran Hospitals, Iran. Hosp Pract Res. 2017;2(1):15-20. DOI: https://doi.org/10.15171/hpr.2017.04

35. Claro CM, Krocockz DVC, Toffolleto MC, Padilha KG. Eventos adversos em Unidade de Terapia Intensiva: percepção dos enfermeiros sobre a cultura não punitiva. Rev Esc Enferm USP. 2011;45(1):167-72. DOI: http://dx.doi.org/10.1590/S0080-62342011000100023

Descargas

Publicado

2018-11-28

Número

Vol. 28 Núm. 3 (2018)

Sección

Artigos Originais

Licencia

CODE OF CONDUCT FOR JOURNAL  PUBLISHERS

 

Publishers who are Committee on Publication Ethics members and who support COPE membership for journal editors should:

 

Publishers should:

 

  • Define the relationship between publisher, editor and other parties in a contract
  • Respect privacy (for example, for research participants, for authors, for peer reviewers)
  • Protect intellectual property and copyright
  • Foster editorial independence

 

Publishers should work with journal editors to:

 

  • Set journal policies appropriately and aim to meet those policies, particularly with respect to:

–         Editorial  independence

–         Research ethics, including confidentiality, consent, and the special requirements for human and animal research

–         Authorship

–         Transparency and integrity (for example, conflicts of interest, research funding, reporting standards

–         Peer review and the role of the editorial team beyond that of the journal editor

–         Appeals and complaints

  • Communicate journal policies (for example, to authors, readers, peer reviewers)
  • Review journal policies periodically, particularly with respect to new recommendations from the COPE
  • Code of Conduct for Editors and the COPE Best Practice Guidelines
  • Maintain the integrity of the academic record
  • Assist the parties (for example, institutions, grant funders, governing bodies) responsible for the investigation of suspected research and publication misconduct and, where possible, facilitate in the resolution of these cases
  • Publish corrections, clarifications, and retractions
  • Publish content on a timely basis