Assessment of patient safety culture in primary care
DOI:
https://doi.org/10.33448/rsd-v11i15.36876Keywords:
Primary Health Care; Patient safety; Multidisciplinary Assistance Team; Quality Indicators in Health Care; Outcome assessment in health care.Abstract
Objective: To evaluate the patient safety culture among Primary Health Care professionals in a municipality in Triângulo Mineiro region. Methodology: Observational, exploratory study with a quantitative approach. A total of 407 professionals who are part of the teams of the Family Health Strategy of the municipality participated, through the application of the instrument “Medical Office Survey on Patient Safety Culture”, a translated version, adapted and validated for Brazil. Results: The three best-evaluated constructs considered “strengths” of the patient safety culture were “Follow-up of patient care” (90.1%), “Teamwork” (82.6%) and “Exchange of information with other sectors” (82.5). As weaknesses, the constructs “Support from managers in patient safety” (58.2%) and “Open communication” (54.4%) were identified, expressing themselves as areas that need improvement. Only “Work pressure and rhythm” (27.0%) had a negative patient safety culture. Conclusion: Overall, the assessment was positive regarding the patient safety culture on the part of Primary Health Care professionals in the Brazilian municipality. And, with regard to areas that need improvement, it brings to light gaps in health care or management that can weaken the quality of care. Such results favor critical-reflective thinking about the importance of strengthening the theme.
References
Antonakos, I. et al. (2021). Psychometric Properties of the Greek Version of the Medical Office on Patient Safety Culture in Primary Care Settings. Medicines, 8(8).
Bezerril, M. S. et al. (022). Assessment of patient safety culture in Primary Health Care. Enfermería Globa,.67, 398-408.
Bohrer, J. K. L. et al. (2021). Patient safety culture in Primary Health Care. Rev Rene, 22(e70874).
Brasil (2013). Resolução - RDC Nº 36, DE 25 de julho de 2013. Institui ações para a segurança do paciente em serviços de saúde e dá outras providências. Brasília: Ministério da Saúde.
Brasil (2017). Portaria nº 2.436, de 21 de setembro de 2017. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes para a organização da Atenção Básica, no âmbito do Sistema Único de Saúde (SUS). Brasília: Ministério da Saúde.
Dal Pai, S. et al. (2020). Fatores Intervenientes da Cultura de Segurança do Paciente na Atenção Primária à Saúde. Contexto e Saúde, 20(41:Edição Extra).
Dalla Nora, C. R. & Beghetto, M. G. Patient safety challenges in primary health care: a scoping review. Rev Bras Enferm., 73(5:e20190209).
Eiras, M.; Escoval, A. & Silva, C. Patient safety culture in Portuguese Primary Care: validation of the Portuguese Version of the Medical Office Survey. London: IntechOpen. https:// www.intechopen.com/books/vignettes-in-patient-safety-volume-4/ patient-safety-culture-in-portuguese-primary-care-validation-of-theportuguese-version-of-the-medica.
El Zoghbi, M. et al. (2018). Improvement of the Patient Safety Culture in the Primary Health Care Corporation - Qatar. J Patient Saf., 17(8):e1376-e1382.
Famolaro, T. et al. (2020). Surveys on Patient Safety Culture (SOPSTM) Medical Office Survey: 2020 User Database Report. (Prepared by Westat, Rockville, MD, under Contract No. HHSP233201500026I). Rockville, MD: Agency for Healthcare Research and Quality.
Fernandes, A. L. M. (2019). Avaliação da cultura de segurança do paciente na Atenção Primária à Saúde: identificando oportunidades de melhorias. Caicó (Dissertação de Mestrado). Programa De Pós-Graduação Em Educação, Trabalho e Inovação em Medicina, Universidade Federal do Rio Grande do Norte, Rio Grande do Norte, Brasil.
Flores-González, M. T.; Cruz-León, A. & Morales-Ramón, F. (2019). Cultura de seguridad del paciente: percepción del personal de una unidad de medicina familiar en Tabasco, México. Rev Enferm Inst Mex Seguro Soc., 27(1), 14-22.
Fontelles, M.J. et al. (2009). Metodologia da Pesquisa Científica: diretrizes para a elaboração de um protocolo de pesquisa. Rev. Para. Med., 23(3).
Galhardi, N. M. et al. (2018). Assessment of the patient safety culture in primary health care. Acta Paul Enferm., 31(4), 409-16.
Macedo, S. M. et al. (2019). Cultura de segurança do paciente: avaliação dos enfermeiros na atenção primária à saúde. Enferm Global., 56, 376-86.
Marcelino, L. M. M. M. S. (2016). Cultura de Segurança do Doente nos Cuidados de Saúde Primários (Dissertação de Mestrado). Instituto Politécnico de Viseu, Escola Superior de Saúde de Viseu, Portugal.
Mazurenko, O. et al. (2018). Examining medical office owners and clinicians perceptions on patient safety climate. J Patient Saf., 17(8):e1514-e1521.
Moisés, M. S. (2018). Cultura de segurança do paciente em um distrito de saúde na estratégia saúde da família no município de Manaus (Dissertação de Mestrado). Universidade Federal do Amazonas, Amazonas, Brasil.
Raczkiewicz, D. et al. (2019). Patient safety culture in Polish Primary Healthcare Centers. Int J Qual Health Care., 31(8), 60-6.
Raimondi, D. C. et al. (2019). Cultura de segurança do paciente na atenção primária à saúde: análise por categorias profissionais. Rev Gaúcha Enferm. 40(Esp):e20180133.
Reis, C. T.; Paiva C. G. & Sousa, P. (2018). The patient safety culture: a systematic review by characteristics of Hospital Survey on Patient Safety Culture dimensions. Int J QualHealth Care,.30(9), 660-77.
Romero, M. P.; González, R. B. & Calvo, M.S. La cultura de seguridad del paciente en los médicos internos residentes de Medicina Familiar y Comunitaria de Galicia. Aten Primaria, 49(6), 343-50.
Seshia, S. S. et al. (2018). Gating the holes in the Swiss cheese (part I): Expanding professor Reason’s model for patient safety. J Eval Clin Pract, 24(1), 187–97.
Silva, C. R.O. (2004). Metodologia e organização do projeto de pesquisa: guia prático. Fortaleza, CE: Editora da UFC.
Silva, E. A. et al. (2022). Enfermagem na segurança do paciente na Atenção Primária. Glob Acad Nurs., 3(1:e223).
Silva, L. L. T. et al. (2022). Patient safety in Primary Health Care: Perception of the nursing team. Esc Anna Nery. 26(e20210130).
Sorra, J. et al. (2018). AHRQ medical office survey on patient safety culture: user’s guide. Rockville (MD): AHRQ. https://www.ahrq.gov/sites/ default/files/wysiwyg/sops/surveys/medical-office/medical-officesurvey-userguide.pdf
Timm M. & Rodrigues, M. C. (2016). Cross-cultural adaptation of safety culture tool for Primary Health Care. Acta Paul Enferm., 29(1), 6-37.
Torijano-Casalengua, M. L. et al. (2013). Validación de un cuestionario para evaluar la cultura de seguridad del paciente de los profesionales de atención primaria en España. Aten Primaria., 45(1), 21-37.
Webair, H. H. et al. (2015). Assessment of patient safety culture in primary care setting, Al-Mukala, Yemen. BMC Fam Pract,.16, 136.
World Health Organization (2021). Global patient safety action plan 2021–2030: towards eliminating avoidable harm in health care. Geneva: World Health Organization.
Yansane, A. et al. (2020). Assessing the patient safety culture in dentistry. JDR Clin Trans Res, 5(4), 399-408.
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