Potentialities and weaknesses of the patient safety climate: Scoping review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i4.14167

Keywords:

Patient Safety; Organizational Culture; Attitude of Health Personnel; Intensive Care Units; Surgicenters.

Abstract

Objectives: to map the studies that used the Safety Attitudes Questionnaire in critical hospital units; identify the strengths and weaknesses of the patient safety climate through the domains of the instrument and relate strengthening strategies for patient safety. Method: Scoping Review carried out in the databases of Latin American and Caribbean Literature in Health Sciences, Public / Publisher Medical Literature Analysis and Retrievel System Online, Cumulative Index to Nursing and Allied Health Literature, Scopus; Web of Science, Joanna Briggs Institute Library of Systematic Reviews and other sources with studies published between 2006 - 2020 that used the Safety Attitudes Questionnaire instrument. Results: Included 25 studies that evaluated the safety climate in the Surgical Center and Intensive Care Unit. A weak security climate was evidenced with scores below the recommended. In the assessment of the scores of the six domains of the instrument, the data from the included studies pointed out “Perception of management” as the weakest point and “Job Satisfaction” was the only item that had a strong score. Strategies for improving the quality of care and strengthening patient safety have been suggested in the studies, such as in-service education and the implementation of adverse event reporting systems. Conclusion: This study made it possible to recognize the strengths and weaknesses mapped in the literature, which favors planning for the construction of new health care practices, in the quality of care and in organizational development.

References

Abdi, Z., Delgoshaei, B., Ravaghi, H., Abbasi, M., Heyrani, A. (2015). The culture of patient safety in an Iranian intensive care unit. J Nurs Manag. 23(3),333–345. doi.org/10.1111/jonm.12135.

Abu-El-Noor, N. I., Hamdan, M. A., Abu-El-Noor, M. K., Radwan, A-KS., Alshaer, A. A. (2017). Safety culture in neonatal intensive care units in the gaza strip, palestine: a need for policy change. J Pediat Nurs. 33, 76–82. doi.org/10.1016/j.pedn.2016.12.016.

Al Malki, A., Endacott, R., Innes, K (2018). Health professional perspectives of patient safety issues in intensive care units in Saudi Arabia. J Nurs Manag. 26(2), 209–218. doi.org/10.1111/jonm.12536.

Barbosa, M., Floriano, D., Oliveira, K., Nascimento, K., Ferreira, L. (2016). Patient safety climate at a private hospital. Texto Contexto Enferm. 25(3), e1460015. doi.org/10.1590/0104-07072016001460015.

Carney, B. T., Mills, P. D., Bagian, J. P., Weeks, W. B. (2010). Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. Qual Saf Health Care. 9(2), 128–131. dx.doi.org/10.1136/qshc.2008.028233.

Carvalho, P. A., Göttems, L. B. D., Pires, M. R. G. M., Oliveira, M. L. C. (2015). Safety culture in the operating room of a public hospital in the perception of healthcare professionals. Rev Latino-Am Enfermagem. 23(6), 1041–1048. doi.org/10.1590/0104-1169.0669.2647.

Carvalho, R. E. F. L., Arruda, L. P., Nascimento, N. K. P., Sampaio, R. L., Cavalcante, M. L. S. N., Costa, A. C. P. (2017). Assessment of the culture of safety in public hospitals in Brazil. Rev Latino-Am Enferm. 25:e2849. doi.org/10.1590/1518-8345.1600.2849.

Cauduro, F. L., Sarquis, L. M., Sarquis, L. M. M., Cruz, E. D. A. (2015). Safety culture among surgical center professionals. Cogitare Enferm; 20(1). doi.org/10.5380/ce.v20i1.36645.

Chaboyer, W., Chamberlain, D., Hewson-Conroy, K., Grealy, B., Elderkin, T., Brittin, M., McCutcheon, C, Longbottom, P., Thalib, L. (2013) Cne article: safety culture in Australian intensive care units: establishing a baseline for quality improvement. Am J Crit Care. 22(2), 93–102. doi.org/10.4037/ajcc2013722.

Correggio, T. C. D., Amante, L. N., Barbosa, S. F. F. (2014). Avaliação da cultura de segurança do paciente em Centro Cirúrgico. Rev SOBECC. 19(2), 67–73. doi.org/10.4322/sobecc.2014.012.

Dezordi, C. C. M., Benett, S. A. W., Tanaka, A. K da R., Benetti, E. R. R., Treviso, P., Carenato, R. C. A., Stumm, E. M. F. (2020). Safety climate in the operation room: attitudes of health professionals. Cogitare enferm., 25:e65577. doi.org/10.5380/ce.v25i0.65577.32

Fan, C. J., Pawlik, T. M., Daniels, T., Vernon, N., Banks, K., Westby, P., Wick, E. C., Sexton, J. B., Makary, M. A. (2016) Association of Safety Culture with Surgical Site Infection Outcomes. J Am Coll Surg. 222(2),1228. doi.org/10.1016/j.jamcollsurg.2015.11.008.

France, D. J., Greevy, R.A., Liu, X., Burgess, H., Dittus, R.S., Weinger, M.B., Speroff, T. (2010) Measuring and comparing safety climate in intensive care units. Med Care. 48(3), 279–284. doi.org/10.1097/mlr.0b013e3181c162d6.

Girão A. L. A., Lacerda, A. J. A., Carvalho, L. S., Lousada, L. M., Nascimento, K. M. B., Cruz, K. T., Carvalho, R. E. F. L (2019). Patient safety culture in intensive care units: the perceptions of health professionals. Rev. Eletr. Enferm. 21:50649. doi.org/10.5216/ree.v21.50649

Gomides, M. D. A (2016). Análise da cultura da segurança entre os profissionais da unidade de terapia intensiva adulto de uma instituição de ensino. Catalão. Universidade Federal de Goiás.

Göras, C., Unbeck, M., Nilsson, U., Ehrenberg, A. (2017). Interprofessional team assessments of the patient safety climate in Swedish operating rooms: a cross-sectional survey. BMJ Open. 7(9), e015607. dx.doi.org/10.1136/bmjopen-2016-015607.

Hamdan, M. (2013). Measuring safety culture in Palestinian neonatal intensive care units using the Safety Attitudes Questionnaire. J Crit Care; 28(5), 886.e7-886.e14. doi.org/10.1016/j.jcrc.2013.06.002

Henry, L., Hunt, S. L., Kroetch, M., Yang, Y. T. (2012). Evaluation of patient safety culture: a survey of clinicians in a cardiovascular operating room. Innovations.7(5), 328–337. doi.org/10.1097%2Fimi.0b013e31827e3625.

Hill, M. R., Roberts, M. J., Alderson, M. L., Gale, T. C. E. (2015). Safety culture and the 5 steps to safer surgery: an intervention study. Br J Anaesth. 114(6), 958–962. doi.org/10.1093/bja/aev063.

Huang, D. T., Clermont, G., Sexton, B. J., Karlo, C. A., Miller, R. G., Weissfeld, L. A, Rowan, K. M., Angus, D. C (2007). Perceptions of safety culture vary across the intensive care units of a single institution*: Crit Care Med. 35(1), 165–976. doi:10.1097/01.CCM.0000251505.76026.CF.

Huang, D. T., Clermont, G., Kong, L., Weissfeld, L. A., Sexton, J. B., Rowan, K. M, Angus, D. C. (2010). Intensive care unit safety culture and outcomes: a US multicenter study. Int J Qual Health Care. 22(3), 151–161. doi.org/10.1093/intqhc/mzq017.

Kolankiewicz, A. C. B., Loro, M. M., Schmidt, C. R., Santos, F. P., Bandeira, V. A. C., Magnago, T. S. B. S (2017). Patient safety climate among nursing staff: contributing factors. Acta Paul Enferm. 30(5), 531–537. doi.org/10.1590/1982-0194201700076.

Macedo, S. M. K., Barboza, A. R. C. A., Borges, F., Figueiredo, K. C., Peres, A. M., Assis, F. (2019). Patient safety culture: evaluation of nurses in primary health care. Enferm Glob. 18(4), 365–397. doi.org/10.6018/eglobal.18.4.352261.

Magalhães, F. H de L., Pereira, I. C de A., Luiz, R. B., Barbosa, M. H., Ferreira, M. B. G. (2019). Patient safety atmosphere in a teaching hospital. Rev Gaúcha Enferm. 40(spe):e20180272. doi.org/10.1590/1983-1447.2019.20180272.

Minuzzi, A. P., Salum, N. C., Locks, M. O. H., Amante, L. N., Matos, E. (2016). Contributions of healthcare staff to promote patient safety in intensive care. Esc Anna Nery. 20(1). doi.org/10.5935/1414-8145.20160017.

Ongun, P & Seren SI (2017). Operating room professionals’ attitudes towards patient safety and the influencing factors. Pak J Med Sci. [Internet]. 33(5). doi.org/10.12669/pjms.335.13615.

Pagani, S., Crozeta, K. F., Crisigiovani, A. B. R. (2019). Culture of patient safety: evalutation of nurses. Rev Rene. 20:e39782. doi.org/10.15253/2175-6783.20192039782.

Peters, M. D. J., Godfrey, C., McInerney, P., Munn, Z., Tricco, A. C., Khalil, H. (2020) Chapter 11: Scoping Reviews. Adelaide. Joanna Briggs Institute Reviewer's Manual. https://reviewersmanual.joannabriggs.org/.

Poley, M. J., van der Starre, C., van den Bos, A., van Dijk, M., Tibboel, D. (2011). Patient safety culture in a Dutch pediatric surgical intensive care unit: An evaluation using the Safety Attitudes Questionnaire: Pediatr Crit Care Med. 12(6), e310–6. doi.org/10.1097/pcc.0b013e318220afca.

Profit, J., Etchegaray, J., Petersen, L. A., Sexton, J. B., Hysong, S. J., Mei, M, Thomas, E. J. (2012). Neonatal intensive care unit safety culture varies widely. Arch Dis Child Fetal Neonatal Ed. 97(2), 120–126. doi.org/10.1136/archdischild-2011-300635.

Profit, J., Etchegaray, J., Petersen, L. A., Sexton, J. B., Hysong, S. J., Mei, M., Thomas, E. J. (2012). The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU. Arch Dis Child Fetal Neonatal. 97(2), 127–132. doi.org/10.1136%2Farchdischild-2011-300612.

Reis, F. F. P., Oliveira, K. F., Luiz, R. B., Barichello, E., Cruz, L. F., Barbosa, M. H. (2017). Cultura de segurança em unidades de terapia intensiva. Rev Enferm Atenção Saúde. 6(2). doi.org/10.18554/reas.v6i2.1842.

Rigobello, M. C. G., Carvalho, R. E. F. L., Cassiani, S. H. D. B., Galon, T., Capucho, H. C., Deus, N. N. (2012). The climate patient safety: perception of nursin professionals*. Acta Paul Enferm. 25(5), 728–735. doi.org/10.1590/S0103-21002012000500013.

Santiago, T. H. R & Turrini, R. N. T. Organizational culture and climate for patient safety in Intensive Care Units (2015). Rev esc enferm USP. 49, 123–130. doi.org/10.1590/S0080-623420150000700018.

Silva, V. F. (2018). Atitudes de segurança do paciente: Percepções da equipe de saúde de unidade de terapia intensiva de um hospital de ensino do Distrito Federal. Brasília. Universidade de Brasília.

Silva Júnior, J. F., Jesus Júnior, P. J., Carvalho, T. A., Aguiar, M. P. C., Mendonça, S. M. D., Lordelo, D. S. (2020). Patient safety culture: perceptions and attitudes of surgical centers workers. Rev. SOBECC. 25(3), 136-142. doi.org/10.5327/Z1414-4425202000030003.

Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., Lewin, S., Godfrey, C. M., Macdonald, M. T., Langlois, E. V., Weiser, K. S., Moriarty, J., Clifford, T., Tunçalp, O., Straus, S. (2018). Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine.169(7). doi.org/10.7326/M18-0850.

Toso, G. L., Golle, L., Magnago, T. S. B de S., Herr, G. E. G., Loro, M. M., Aozane, F., Kolankiewicz, A. C. B. (2016). Patient safety culture in hospitals within the nursing perspective. Rev Gaúcha Enferm. 37(4). doi.org/10.1590/1983-1447.2016.04.58662.

Wegner, W., Silva, S. C., Kantorski, K. J. C., Predebon, C. M., Sanches, M. O., Pedro, E. N. R. (2016). Education for culture of patient safety: Implications to professional training. Escola Anna Nery. 20(3). doi.org/10.5935/1414-8145.20160068.

Published

16/04/2021

How to Cite

BARBOZA, A. R. C. de A.; FIGUEIREDO , K. C.; MIRANDA , F. M. D.; REIS , C. T.; SILVA , T. A.; SIQUEIRA , C. P. de .; FIGUEREDO , A. S. Potentialities and weaknesses of the patient safety climate: Scoping review. Research, Society and Development, [S. l.], v. 10, n. 4, p. e41110414167, 2021. DOI: 10.33448/rsd-v10i4.14167. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/14167. Acesso em: 6 may. 2021.

Issue

Section

Review Article