Comparison of Patient Safety Culture between traditional and COVID-19 care units
DOI:
https://doi.org/10.33448/rsd-v11i15.36737Keywords:
COVID-19; Patient safety; Security management.Abstract
This study aims to compare the safety culture between traditional care units and those aimed at COVID in a hospital in the South of Bahia. Cross-sectional study with 108 nursing professionals from traditional care units and those aimed at patients affected by COVID-19. For data collection, the Patient Safety Questionnaire in Hospitals (HSOPSC) was used. It was possible to show higher means in the COVID-19 units, for the dimensions “Teamwork within the units” (mean = 15.96 [± 1.15]); “Teamwork between hospital units” (mean = 14.80 [± 2.44]); “Internal transfers and shift change” (mean = 14.62 [±2.53]); and “Non-punitive error response” (mean = 8.89 [± 2.23]). In the dimension “General perception of patient safety” (mean = 14.14 [± 2.60]), in non-COVID-19 units the mean was higher. It can be seen then that the patient safety culture, despite still much to improve, proved to be better structured (strong) for different dimensions in the units that care for patients affected by COVID-19. Based on the positive results brought in these units, ways to implement such results in other sectors of the hospital unit should be sought.
References
Amon, J. J. (2020). Human rights protections are needed alongside PPE for health-care workers responding to COVID-19. Lancet Glob Heal. 8(7):e896.
Andrade L. E. L. de, Melo L. O. M. de, Silva I. G. da, Souza R. M. de, Lima A. L. B. de, Freitas M. R. de, et al (2020). Adaptação e validação do Hospital Survey on Patient Safety Culture em versão brasileira eletrônica. Epidemiol e Serviços Saúde .26(3):455–68. http://scielo.iec.gov.br/scielo.php?script=sci_arttext&pid.
Belarmino A. da C., Rodrigues M. E. N. G., Anjos S. de J. S. B. Dos, & Ferreira Júnior A. R. (2020). Collaborative practices from health care teams to face the covid-19 pandemic. Rev Bras Enferm. 73:e20200470.http://www.scielo.br/j/reben/a/rKzwK3MPsgVSD9X3Ttqm5tb/?lang=en.
Brasil. (2013). Portaria no 529, de 1o de abril de 2013. Institui o Programa Nacional de Segurança do Paciente (PNSP). Brasília: Ministério da Saúde.
Denning, M., Goh E. T., Scott A., Martin G., Markar S., Flott K., et al (2020). What has been the impact of Covid-19 on Safety Culture? A case study from a large metropolitan teaching hospital. MedRxiv .20129080.
Fan C. J., Pawlik T. M., Daniels T., Vernon N., Banks K., Westby P., et al (2016). Association of Safety Culture with Surgical Site Infection Outcomes. J Am Coll Surg.222(2):1228.https://pubmed.ncbi.nlm.nih.gov/26712245/.
Fernandes S. F., Trigueiro J. G., Barreto M. A. F., Carvalho R. E. F. L. de, Silva M. R. F. da, Moreira T. M. M., et al (2021). Interprofessional work in health in the context of the COVID-19 pandemic: a scoping review. Rev da Esc Enferm da USP. 55. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100822&tlng=en.
Halligan, M., & Zecevic, A. (2011). Safety culture in healthcare: a review of concepts, dimensions, measures and progress. BMJ Qual Saf .20(4):338–43. https://pubmed.ncbi.nlm.nih.gov/21303770/.
IOM I of M. (2000). To Err Is Human [Internet]. Kohn L, Corrigan J, Donaldson M, editors. Washington, D.C.: National Academies Press. https://pubmed.ncbi.nlm.nih.gov/25077248/.
Jost, M. T., Branco, A., Araujo, B. R., Viegas, K., & Caregnato, R. C. A. (2021). Ferramentas para a organização do processo de trabalho na segurança do paciente. Esc Anna Nery. 25(3):2021. http://www.scielo.br/j/ean/a/HjB4HknRW8WYshrqb54Y5pj/?format=html&lang=pt.
Lemos, G. de C., da Mata, L. R. F., Ribeiro, H. C. T. C., Menezes, A. C., Penha, C. de S., Valadares, R. M. C., et al (2022). Cultura de segurança do paciente em três instituições hospitalares: perspectiva da equipe de enfermagem. Rev Baiana Enferm .36. https://periodicos.ufba.br/index.php/enfermagem/article/view/43393.
Mendes Marinho, M. M., Radünz, V., Da Rosa, L. M., Tourinho, F. S. V., Ilha, P., & Misiak, M. (2018). Resultados de intervenções educativas sobre segurança do paciente na notificação de erros e eventos adversos. Rev Baiana Enfermagem. 32.
https://portalseer.ufba.br/index.php/enfermagem/article/view/25510.
Nieva, V. F. & Sorra, J. (2003). Safety culture assessment: a tool for improving patient safety in healthcare organizations. BMJ Qual Saf. 12(suppl 2): ii17–23. https://qualitysafety.bmj.com/content/12/suppl_2/ii17.
O’Donovan, R., Ward, M., De Brún, A. & McAuliffe, E. (2019). Safety culture in health care teams: A narrative review of the literature. J Nurs Manag. 27(5): 871–83. https://onlinelibrary.wiley.com/doi/10.1111/jonm.12740.
Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Santa Maria/RS. Ed. UAB/NTE/UFSM.
Prieto, M. M. N. (2021). Cultura de segurança do paciente em hospital universitário durante a pandemia da COVID-19. Universidade Federal de São Carlos.https://repositorio.ufscar.br/handle/ufscar/13907.
Rocha R. C., Abreu I. M. de, Carvalho R. E. F. L. de, Rocha S. S. da, Madeira M. Z. de A., & Avelino F. V. S. D. (2021). Cultura de segurança do paciente em centros cirúrgicos: perspectivas da enfermagem. Rev da Esc Enferm da USP.55. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S008062342021000100452&tlng=pt.
Sarver W. L., Seabold K., & Kline M. (2020). Shadowing to Improve Teamwork and Communication: A Potential Strategy for Surge Staffing. Nurse Lead. 18(6):597–603.
Staines A., Amalberti R., Berwick D. M., Braithwaite J., Lachman P., & Vincent, C. A. (2021). COVID-19: patient safety and quality improvement skills to deploy during the surge. Int J Qual Heal Care Oxford Academic.33(1). https://academic.oup.com/intqhc/article/33/1/mzaa050/5836316.
Stifter, J., Terry, A., Phillips, J., & Heitschmidt, M. (2020). A short report on an interprofessional mobilizer team: innovation and impact during the COVID-19 pandemic. J Interprof Care. 34(5):716–8. https://pubmed.ncbi.nlm.nih.gov/32935613/.
Sorra, J., Gray, L., Streagle, S., Famolaro, T., Yount, N., & Behm, J. (2016). AHRQ Hospital Survey on Patient Safety Culture: User’s Guide. Rockville: AHRQ Publication. 2016.
Viana, K. E., Matsuda, L. M., Ferreira, A. M. D., Dos Reis, G. A. X., de Souza V. S, & Marcon S. S (2021). Patient safety culture from the perspective of nursing professionals. Texto e Context Enferm. 30.
WHO. (2018). Patient safety: Global action on patient safety. Geneva. Reis CT, Laguardia J, Martins M (2012). Adaptação transcultural da versão brasileira do Hospital Survey on Patient Safety Culture: etapa inicial. Cad Saúde Pública. 28(11):2199–210.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Gabriella Lins Guimarães Guirra de Carvalho; Alba Lúcia Santos Pinheiro
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.
