Use of the PSCHO questionnaire in the patient safety climate assessment: an integrative review
Keywords:Patient Safety; Organizational Culture; Surveys and questionnaires.
Objective: To identify in the literature studies that used the Patient Safety Climate in Healthcare Organizations (PSCHO) questionnaire to assess the patient safety climate in hospital health services. Method: This is an integrative literature review, defined as a concise survey in a specific area. The search and selection of studies were carried out by two reviewers, independently in the databases LILACS, MEDLINE, CINAHL, and WoS. The results were presented using the PRISMA flowchart. Results: Six articles were retrieved in the search, of which four were included and analyzed. The studies were carried out in China and the United States and the dimensions "fear of blame and punishment" and "fear of shame" stood out negatively in Chinese studies. The PSCHO showed similarities when compared to other studies that evaluated the patient's safety climate using other climate questionnaires. Conclusion: The results demonstrated that the PSCHO is useful for assessing the patient's safety climate. The absence of Brazilian studies using the questionnaire indicates a potential for its application in new research, as a strategy for improving the quality and promoting patient safety in Health Organizations.
Abreu, I. M., Rocha, R. C., Avelino, F. V. S. D., Guimarães, D. B. O., Nogueira, L. T., & Madeira, M. Z. A. (2019). Cultura de segurança do paciente em centro cirúrgico: visão da enfermagem. Rev. Gaúcha Enferm. 40(spe): e20180198.
Arboit, E. L., Bellini, G., Schütz, C. R., Moraes, M. C. S., Kinalski, S. S., & Barcellos, R. A. (2020). Patient safety culture in the multiprofessional perspective. Research, Society and Development. 9(5).
Benzer, J. K., Meterko, M., & Singer, S. J. (2017). The patient safety climate in healthcare organizations (PSCHO) survey: Short‐form development. J Eval Clin Pract. 23:853–859.
Carvalho, R. E., Arruda, L P., Nascimento, N. K., Sampaio, R. L., Cavalcante, & M. L., Costa, A. C. (2017). Assessment of the culture of safety in public hospitals in Brazil. Rev Lat Am Enfermagem. 2;25:e2849.
Cauduro, F. L. F., Sarquis, L. M., Sarquis, L. M. M., & Cruz, E. D. A. (2015). Cultura de segurança entre profissionais de centro cirúrgico. Cogitare Enfermagem. 20(1).
Cunha, M. R. P. D., & Guirardello, E. B. (2018). Patient Safety Climate in Healthcare Organizations: tradução e adaptação para a cultura brasileira. Rev. Gaúcha Enferm. 39:e20180010.
Creswell, W. J., & Creswell, J. D. (2018). Research design: qualitative, quantitative, and mixed methods approaches (5 ed). Los Angeles: SAGE.
Gonzáles-Limas, W. R., Bastidas-Jurado, C. F., Figueiroa-Chaves, H. Á., Zambrano-Guerrero, C. A., & Matabanchoy-Tulcán, S. M. (2018). Revisión sistemática de las concepciones de cultura organizacional. Univ. Salud. 20(2).
Hartmann, C. W., Meterko, M., Rosen, A.K., Zhao, S., Singer, S., & Gaba, D.M. (2009). Relationship of Hospital Organizational Culture to Patient Safety Climate in the Veterans Health Administration. Medical Care Research and Review. 66(3).
Haytham, M. A., Kaafarani, M. D., Kamal, M. F., Itani, M. D., Rosen, A. K., Shibei, Z., Hartmann, C. W., Gaba, D. M. (2009). How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? The American Journal Surgery. 198(70-75).
Lemos, G. C., Azevedo, C., Bernardes, M. F. V. G., Ribeiro, H. C. T. C., Menezes, A. C., & Mata, L. R. F. (2018). A cultura de segurança do paciente no âmbito da enfermagem: reflexão teórica. Revista de Enfermagem do Centro-Oeste Mineiro. 8:e2600.
Marx, D. (2001). Patient safety and the ‘just culture:’ a primer for health care executives. New York: Columbia University.
Ministério da Saúde (BR). Portaria nº 529, de 1º de abril de 2013: institui o Programa Nacional de Segurança do Paciente (PNSP) [internet]. Brasília: Ministério da Saúde.
Mendes, K. S., Silveira, R. C. C. P., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & contexto enfermagem. 17(4).
Moher, D., Liberati, A., Tetzlaff, J. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of internal medicine. 151(4).
Pagani, S., Crozeta, K. F., & Crisigiovanni, A. B. R. (2019). Cultura de segurança do paciente: avaliação de enfermeiros. Rev Rene. 20:e39782.
Reason, J. (2000). Human error: models and management. BMJ; 320(7237):768–70.
Russo, G.M. (2017). Diagnóstico da cultura organizacional: o impacto dos valores organizacionais no desempenho das terceirizações. Rio de Janeiro: Alta Books.
Santiago, T. H., & Turrini, R. N. (2015). Cultura e clima organizacional para segurança do paciente em Unidades de Terapia Intensiva. Rev Esc Enferm USP. 49:123-130.
Schein, E. H. (2001). Guia de sobrevivência da Cultura corporativa. Rio de Janeiro: José Olympio.
Singer, S., Meterko, M., Baker, L., Gaba, D., Falwell, A., & Rosen, A. (2007). Workforce Perceptions of Hospital Safety Culture: Development and Validation of the Patient Safety Climate in Healthcare Organizations Survey. HSR: Health Services Research. 42(5).
Souza, L. S., Rocha, F. R., Mazzo, L. L. (2018). Clima organizacional e ocorrência de acidentes com materiais perfurocortantes em um hospital público do Estado de São Paulo. Cad. Bras. Ter. Ocup. 26(1).
Vasconcelos, P. F., Arruda, L. P., Freire, V. E. C. S., & Carvalho, R. E. F. L. (2018). Instruments for evaluation of safety culture in primary health care: integrative review of the literature. Public Health. 156.
Zhou, P., Bundorf, M. K., Gu, J., He, X., & Xue, D. (2015). Survey on patient safety climate in public hospitals in China. BMC Health Services Research. 15(53).
Zhou, P., Bai, F., Tang, H-Q., Bai, J., Li, M-Q., & Xue, D. (2018). Patient safety climate in general public hospitals in China: differences associated with department and job type based on a cross-sectional Survey. BMJ Open. 8(015604).
How to Cite
Copyright (c) 2021 Thaiane Almeida Silva; Patricia Cardoso Portella; Karla Crozeta Figueiredo; Lillian Daisy Gonçalves Wolff; Eliane de Fátima Almeida Lima
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.