Evaluating patient safety culture in a philanthropic hospital

Authors

  • Alessandra Campos Fortes Fagundes Serrano Santa Casa de Caridade de Diamantina, Escritório da Qualidade, Diamantina MG , Brazil, Santa Casa de Caridade de Diamantina, Escritório da Qualidade. Diamantina, MG – Brasil http://orcid.org/0000-0001-7325-6566
  • Delba Fonseca Santos Universidade Federal dos Vales do Jequitinhonha e Mucuri, Departamento de Farmácia, Diamantina MG , Brazil, Universidade Federal dos Vales do Jequitinhonha e Mucuri – UFVJM, Departamento de Farmácia. Diamantina, MG – Brasil http://orcid.org/0000-0003-2404-5791
  • Selme Silqueira Matos Universidade Federal de Minas Gerais, Departamento de Enfermagem Básica, Belo Horizonte MG , Brazil, Universidade Federal de Minas Gerais – UFMG, Departamento de Enfermagem Básica. Belo Horizonte, MG – Brasil http://orcid.org/0000-0002-5102-5051
  • Vania Regina Goveia Universidade Federal de Minas Gerais, Departamento de Enfermagem Básica, Belo Horizonte MG , Brazil, Universidade Federal de Minas Gerais – UFMG, Departamento de Enfermagem Básica. Belo Horizonte, MG – Brasil http://orcid.org/0000-0003-2967-1783
  • Isabel Yovana Quispe Mendoza Universidade Federal de Minas Gerais, Departamento de Enfermagem Básica, Belo Horizonte MG , Brazil, Universidade Federal de Minas Gerais – UFMG, Departamento de Enfermagem Básica. Belo Horizonte, MG – Brasil http://orcid.org/0000-0002-7063-8611
  • Angelina Carmo Lessa Universidade Federal dos Vales do Jequitinhonha e Mucuri, Departamento de Nutrição, Diamantina MG , Brazil, UFVJM, Departamento de Nutrição. Diamantina, MG – Brasil http://orcid.org/0000-0003-0708-4799

DOI:

https://doi.org/10.5935/1415-2762.20190031

Keywords:

Patient Safety, Quality of Health Care, Organizational Culture, Patient Care Team

Abstract

Objective: to evaluate patient safety culture on the part of the multidisciplinary team
in a Brazilian philanthropic hospital. Method: this is a quantitative cross-sectional
study carried out with 209 professionals in 12 hospital sectors. For the data collection,
the Hospital Survey On Patient Safety Culture, developed by the Agency for Health
Research and Quality, was used, translated and validated for the Portuguese language.
The reliability of the instrument was verified by the Cronbach’s Alpha coefficient.
Data analysis was accomplished by descriptive statistics. Results: the dimensions
with the highest percentages of positive responses were: expectations and actions to
promote patient safety by the supervisor/chief; organizational learning and continuous
improvement; team work within the units. On the other hand, the dimensions with lower
percentages of positive responses were: non-punitive responses to errors; professional
and general perception on patient safety. Conclusion: these findings revealed that all
dimensions of the patient safety culture should be worked out with the healthcare
professionals, since that none of the dimensions exceeded 75% of positive responses.

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References

Donabedian A. The quality of care: How can it be assessed? JAMA. 1988[citado em 2018 mar. 12];260(12):1743-8. Disponivel em: https://pdfs.semanticscholar.org/27c2/0b4fc86a37ddd07a4e6dc49a3569ac0937d3.pdf

Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. Washington (USA): Institute of Medicine, National Academy Press; 1999[citado em 2015 mar. 10]. Disponivel em: http://www.nap.edu/catalog/9728.html

Dias MAE, Martins M, Navarro N. Adverse outcome screening in hospitalizations of the Brazilian Unified Health System. Rev Saude Publica. 2012[citado em 2015 mar. 20]; 46(4):719-29. Disponivel em: http://www.scielo.br/pdf/rsp/v46n4/en_3604.pdf

Dias R. Cultura organizacional: construcao, consolidacao e mudancas. São Paulo (BR): Atlas; 2013.

Sorra J, Nieva VF. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care. 2003[citado 2015 mar. 20];12(Suppl 2): 17-23. Disponivel em: http://qualitysafety.bmj.com/content/qhc/12/suppl_2/ii17.full.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 Saude Publica.2016[citado em 2017 jan. 28];32(11):e00115614. Disponivel em: http://www.scielo.br/pdf/csp/v32n11/1678-4464-csp-32-11-e00115614.pdf

Marinho MM, Radunz V, Barbosa SFF. Avaliacao da cultura de segurança pelas equipes de enfermagem de unidades cirurgicas. Texto Contexto Enferm. 2014[citado em 2018 mar. 10]; 23(3):581-90. Disponivel em: http://www.scielo.br/pdf/tce/v23n3/pt_0104-0707-tce-23-03-00581.pdf

Tomazoni A, Rocha PK, Kusahara DM, Souza AIJ, Macedo TR. Evaluation of the patient safety culture in neonatal intensive care. Texto Contexto Enferm. 2015[citado em 2017 mar. 1];24(1):161-9. Disponivel em: http://www.scielo.br/pdf/tce/v24n1/0104-0707-tce-24-01-00161.pdf

Silva Batalha SEM, Melleiro MM. Patient safety culture in a teaching hospital: differences in perception existing in the different scenarios of this institution. Texto Contexto Enferm. 2015[citado em 2017 out. 20];24(2):432-41. Disponivel em: http://www.scielo.br/pdf/,tce/v24n2/0104-0707-tce-24-02-00432.pdf

Kawamoto AM, Oliveira JLC, Tonini NS, Nicola AL. Leadership and patient safety culture: perceptions of professionals in a university hospital. Ver Pesqui Cuid Fundam. 2016[citado em 2017 out. 20];8(2):4387-98. Disponivel em: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/4530/pdf_1887

Toso GL, Golle L, Magnago TSBS, Herr GEG, Loro MM, Aozane F, et al. Cultura de seguranca do paciente em instituicoes hospitalares na perspectiva da enfermagem. Rev Gaucha Enferm. 2016[citado em 2018 mar. 10];37(4):e58662. Disponivel em: http://www.scielo.br/pdf/rgenf/v37n4/0102-6933-rgenf-1983-144720160458662.pdf

Mello JF, Barbosa SFF. Patient safety culture in intensive care: nursing Contributions. Texto Contexto Enferm. 2013[citado em 2017 feb. 20];22(4):1124-33. Disponivel em: http://www.scielo.br/pdf/tce/v22n4/en_31.pdf

Mello JF, Barbosa SFF. Patient safety culture in an intensive care unit: the perspective of the nursing team. Rev Eletronica Enferm. 2017[citado em 2017 out. 02];19:a07. Disponivel em: https://www.revistas.ufg.br/fen/article/view/38760/22927

Lemos GC, Azevedo C, Bernardes MFVG, Ribeiro HCTC, Menezes ACM, Mata LF. The patient safety culture in the scope of nursing: theorical reflection. Rev Enferm Cent-Oeste Min. 2018[citado em 2018 ago. 01]; 8:e2600. Disponivel em: http://seer.ufsj.edu.br/index.php/recom/article/view/2600/1881

Lin PY, MacLennan S, Hunt N, Cox T. The influences of nursing transformational leadership style on the quality of nurses' working lives in Taiwan: a cross-sectional quantitative study. BMC Nurs. 2015[citado em 2017 fev. 20];14:33. Disponivel em: https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-015-0082-x

Carrera SA. Cultura de Seguranca do Paciente: a percepcao do enfermeiro em um hospital oncologico [dissertacao]. Rio de Janeiro (RJ): Universidade Federal do Estado do Rio de Janeiro, Programa de Pos-Graduacao em Enfermagem; 2013[citado em 2017 mar. 10]. Disponivel em: http://www2.unirio.br/unirio/ccbs/ppgenf/arquivos/dissertacoes-arquivo/dissertacoes-2013/simone-de-amorim-carrera

Sorra J, Famolaro T, Yount ND, Smith SA, Wilson S, Liu H. Hospital survey on patient safety culture 2014 user comparative database report. Rockville, MD: Agency for Healthcare Research and Quality; 2014. AHRQ Publication No. 14-0019-EF. [citado em 2017 mar. 10]. Disponivel em: https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2014/hsops14pt1.pdf

Gama ZAS, Oliveira ACS, Hernandez PJS. Cultura de seguridad del paciente y factores asociados en una red de hospitales publicos espanoles. Cad Saude Publica. 2013[citado em 2017 mar. 10];29(2):283-93. Disponivel em: http://www.scielo.br/pdf/csp/v29n2/15.pdf

Versa GLGS, Inoue KC, Nicola AL, Matsuda LM. Influencia do dimensionamento da equipe de enfermagem na qualidade do cuidado ao paciente critico. Texto Contexto Enferm. 2011[citado em 2017 mar. 08];20(4):796-802. Disponivel em: http://www.scielo.br/pdf/tce/v20n4/20.pdf

Novaretti MCZ, Santos EV, Quiterio LM, Daud-Gallotti RM. Sobrecarga de trabalho da enfermagem e incidentes e eventos adversos em pacientes internados em UTI. Rev Bras Enferm. 2014[citado em 2017 out. 02];67(5):692-9. Disponivel em: http://www.scielo.br/pdf/reben/v67n5/0034-7167-reben-67-05-0692.pdf

Reason J. Human error: models and management. Br Med J. 2000[citado em 2017 fev. 20];(320):768-70. Disponivel em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1117770/pdf/768.pdf

Alenius LS, Tishelman C, Runesdotter S, Lindqvist R. Staffing and resource adequacy strongly related to RNs' assessment of patient safety: a national study of RNs' working in acute-care hospitals in Sweden. BMJ Qual Saf. 2014[citado em 2018 ago. 01];23:242-9. Disponivel em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3932760/pdf/bmjqs-2012-001734.pdf

Smits M, Wagner C, Spreeuwenberg P, Timmermans DRM, van der Wal G, Groenewegen PP. The role of patient safety culture in the causation of unintended events in hospitals. J Clin Nurs. 2012[citado em 2017 fev. 12];21:3392-401. Disponivel em: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2702.2012.04261.x/pdf

Richter JP, McAlearney AS, Pennell ML. Evaluating the Effect of Safety Culture on Error Reporting: A Comparison of Managerial and Staff Perspectives. Am J Med Qual 2015[citado em 2017 fev. 12]; 30(6): 550-8. Disponivel em: http://journals.sagepub.com/doi/pdf/10.1177/1062860614544469

Published

2019-10-07

Issue

Section

Research

How to Cite

1.
Evaluating patient safety culture in a philanthropic hospital. REME Rev Min Enferm. [Internet]. 2019 Oct. 7 [cited 2025 Jun. 7];23. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/49780

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