Culture of patient safety in an accredited high complexity hospital

Authors

DOI:

https://doi.org/10.33448/rsd-v10i6.16113

Keywords:

Patient safety; Security management; Organizational culture.

Abstract

The purpose of the article is to present the results of the research on patient safety from the perceptions of the employees of high complex hospital, located in the southern region of Brazil. It is applied, transversal, exploratory and descriptive research, with survey design and quantitative approach. Data collection was performed using the Hospital Survey on Patient Safety Culture (HSOPSC), developed by the Agency for Healthcare Research And Quality and validated in Brazil by Reis (2013). 646 (67%) of the 960 hospital employees participated in the survey. The main results of the study were identified as strong dimensions for patient safety 'organizational learning', 'hospital management support for patient safety', 'frequency of reported events' and' expectations about your supervisor / boss' and 'actions promoting patient safety. Otherwise, the dimensions ‘shift change / shift’ and ‘non-punitive responses to errors’ were characterized as fragile for the safety culture in the hospital. Therefore, reinforcing the promoter aspects and intervening in the weakening aspects represent urgent and necessary actions to be taken in the hospital in question, as well as in the entire hospital system.

Author Biographies

Magda Macedo Madalozzo, University of Caxias do Sul

PhD in Organizational and Work Psychology from the Federal University of Santa Catarina, Master in Business Administration from the Federal University of Rio Grande do Sul, Lato Sensu Post-Graduation in Organizational Psychology from the Pontifical Catholic University of Rio Grande do Sul, Graduation in Psychology from the University of Caxias do Sul (CRP-07/02626) and Graduation in Business Administration from the University of Caxias do Sul. He is currently a professor at the University of Caxias do Sul (RS) in undergraduate and graduate courses Lato Sensu and Strictu Sensu. Professor of the Graduate Program in Psychology - Professional Master's Degree / UCS. Organizational consultant.

João Ignacio Pires Lucas, University of Caxias do Sul

João Ignacio Pires Lucas has a degree in Social Sciences (BA, UFRGS, 1993), Specialist in Management and University Leadership (UNIVAP, 2008), Master (1996) and Doctor in Political Science (2003) by UFRGS. He is currently a professor in the humanities area at the University of Caxias do Sul and in the Graduate Program in Psychology / Professional Master's at UCS. He was advisor to the Pro-Rectories of Institutional Planning and Development and Graduate Studies in Research (2002-2006 period), deputy head of the Sociology Department (mandate 2003-2005), head of the Sociology Department (mandate 2005-2006) and Dean of Planning and Institutional Development at UCS (2006-2009 period). As a researcher, he has had an interdisciplinary approach, investigating and publishing on the social and psychosocial risks of the world of work and institutions. He is a member of the Institute of Economic and Social Research of UCS-IPES-and of the Nuclei of Studies in Law and in Public and Social Policies.

Lilia Aparecida Kanan, University of Planalto Catarinense

Graduated in Psychology from Universidade Tuiuti do Paraná (1983), Master in Administration from Universidade Federal de Santa Catarina (2000), PhD in Psychology from Universidade Federal de SC (2008), under the supervision of Prof. Dr. José Carlos Zanelli and Post-Doctorate also under the supervision of Prof. Dr. José Carlos Zanelli. She is a psychologist, professor of Undergraduate, Lato Sensu Specialization, MBA and the Stricto Sensu Postgraduate Program Master in Environment and Health at UNIPLAC (SC). She has experience in Psychology, with an emphasis on Occupational Health and Organizational and Work Psychology. He works mainly on the following themes: well-being at work, psychosocial risks, healthy organizations, bonds in organizations, human behavior in organizations, work psychology, worker health, Quality of Life at Work (QWL), training in PO&T, among others . She was the coordinator of the Stricto Sensu Postgraduate Program in Environment and Health at UNIPLAC (SC) and the Dean of Research, Extension and Graduate Studies at UNIPLAC (SC). Teacher invoked in the mastery of Psychology of the Health of the Cooperative University of Colombia.

Silvana Regina Ampessan Marcon, Universidade de Caxias do Sul

He holds a Bachelor's degree in Psychology from the University of Caxias do Sul (1987), a Master's in Administration from the Federal University of Rio Grande do Sul (1998) and a doctorate in Psychology (Line Organizations, work and learning) from the Federal University of Santa Catarina (2008). She currently owns - Human Resources Decision and Full Professor at the University of Caxias do Sul. She has experience in the field of Administration, with an emphasis on Human Resources, working mainly on the following topics: strategic planning, psychology, organizational psychology, worker health, administration in human resources and management. She was Head of the UCS Department of Psychology from January 2003 to July 2007. She was Director of the UCS Humanities Center from August 2007 to July 2014. Professor in undergraduate and specialization courses. She performed activities in the Institutional Evaluation Sector linked to UCS Planning and Budget Advisory from 2014 to 2020. She performs activities at the UCS Center for Innovation and Educational Technologies, in the University Management nucleus. Coordinator of the Graduate Program in Psychology at UCS - Professional Master's Degree, starting in July 2019. Member of the National Association of Research and Graduate Studies in Psychology

Aline Santos de Souza, Universidade de Caxias do Sul

Graduated in Nursing from the University of Caxias do Sul (2010), Specialization in Health Services Management (2011), Specialization in People Management (2015) and Specialization in Quality in Health and Patient Safety (2020). He holds a Master's Degree in Public Health from the Lutheran University of Brazil-ULBRA (2015). She is currently Coordinator of Human Resources, SESMT and Clinical Psychology. Leading evaluator at the Brazilian Institute for Excellence in Health - IBES, ONA Methodology (National Accreditation Organization). Tutor of the course ImmunizaSUS - CONASEMS. She has experience in people management, health service management, occupational health, still in nursing with an emphasis on coordination of the operating room, quality in health and patient safety, distance tutoring, teaching and Hospital Accreditation.

Fernanda Tonietto Michelin, Universidade de Caxias do Sul

Acadêmica de Graduação em Psicologia da Universidade de Caxias do Sul. Bolsista de iniciação científica do Programa de Pós-Graduação Mestrado Profissional de Psicologia da UCS. 

Scheila Pacheco Hoffman, Universidade de Caxias do Sul

She currently works as Coordinator of the Quality Office at the General Hospital in Caxias do Sul, RS and an Evaluator for the Brazilian Institute for Excellence in Health (IBES). Specialist in Risk Management and Patient Safety by FIOCRUZ, Specialist in Spiritual Intelligence by the University of Caxias do Sul and Specialist in Hospital Pharmacy with emphasis on Oncology by Hospital Moinhos de Vento. She has a degree in Pharmacy with specialization in Clinical and Toxicological Analysis from the University of Caxias do Sul.

References

Abreu, I. M. et al. (2019). Patient safety culture at a surgical center: the nursing perception. Revista Gaúcha de Enfermagem, 40(spe), 1-8.

Agency for Healthcare Research And Quality (2004). Annual Report on Research and Management http://www.ahrq.gov/about/annrpt04/

Alenezi, A., Pandaan, R. P. M., Almazan, J. U., Pandaan, I. N., Casison, F. S., & Cruz, J. P. (2019). Clinical practitioners' perception of the dimensions of patient safety culture in a government hospital: A one‐sample correlational survey. Journal of clinical nursing, 28(23-24), 4496-4503.

Al Ma'mari, Q. Sharour, L. A., & Al Omari, O. (2020). Fatigue, burnout, work environment, workload and perceived patient safety culture among critical care nurses. British journal of nursing, 29(1), 28-34.

Andrade A. K.Y., Pereira S. V.E., & Nunes D. C. (2015). A análise do conceito segurança do paciente: a visão evolucionária de Rodgers. Aquichan, 15(4), 521-528.

Aranaz-Andrés, J. M. et al. (2011). Prevalência de eventos adversos em hospitais de cinco países latino-americanos: resultados do Estudo Iberoamericano de Eventos Adversos (IBEAS). BMJ Quality & Safety, 20 (12), 1043-1051.

Bethel, K. L. (2020). An Evaluation of Organizational Culture: Its Influence on Security Culture: A Case Study. Doctor Dissertation, School of Business, Northcentral University. La Jolla, California, EUA.

Buljac-Samardžić, M., & van Woerkom, M. (2018). Improving quality and safety of care in nursing homes by team support for strengths use: A survey study. Plos one, 13(7), 1-16.

Cheikh, A. B., Bouafia, N., Mahjoub, M., Ezzi, O., Nouira, A., & Njah, M. (2016). Patient's safety culture among Tunisian healthcare workers: results of a cross sectional study in university hospital. The Pan African medical journal, 24 (299), 1-8.

Costa, D.B., Ramos, D., Gabriel, C.S., & Bernardes, A. (2018). Cultura de segurança do paciente: avaliação pelos profissionais de enfermagem. Texto & Contexto - Enfermagem. 27(3), 1-9.

Doo, E. Y., & Kim, M. (2020). Effects of hospital nurses' internalized dominant values, organizational silence, horizontal violence, and organizational communication on patient safety. Research in Nursing & Health, 43(5), 499-510.

Ederer, C., König-Bachmann, M., Romano, I., Knobloch, R., & Zenzmaier, C. (2019). Midwives’ perception of patient safety culture: a qualitative study. Midwifery, 71, 33-4.

El Masri, N., & Suliman, A. (2019). Talent Management, Employee Recognition and Performance in the Research Institutions. Studies in Business and Economics, 14(1), 127-140.

Façanha, T. R. S. (2019). Percepções de profissionais de saúde em uma instituição hospitalar: um enfoque bioético sobre cultura de segurança do paciente. Dissertação de Mestrado, Programa de Pós-Graduação em Bioética, Universidade de Brasília. Brasília, Brasil.

Im, S. A., & Park, M. J.. (2018). The Effects of Patient Safety Culture Perception and Organizational Commitment on Patient Safety Management Activities in General Hospital Nurses. Journal of Digital Convergence 16(6), 259-270.

Joint Commission Resources (2013). Joint Commission International Accreditation Standards for Hospitals. 5th ed. Oak Brook, IL: Joint Commission Resources. Retrived from:

www.jointcommissioninternational.org

Kanan, L. A. & Marcon, S. R. A. (2017) Ambiente, Saúde e Gestão Humana de Recursos: Cartografia do Bem-Estar no Trabalho. In: Parreira, P.; Mónico, L.; Carvalho, C.. (Org.). Gestão de Pessoas nas Organizações (1ed; pp. 75-96). Coimbra: Escola Superior de Enfermagem de Coimbra.

Lindberg Wahlén, J., & Pellgaard, J. (2020). Factors in the nurse profession that have an impact on patient safety. Digital Scientific Archive.https://www.diva-portal.org/smash/record.jsf?pid=diva2%3A1440749&dswid=5100

Madalozzo, M. M. & Zanelli, J. C. (2016). Segurança no Trabalho: a construção cultural dos acidentes e catástrofes no cotidiano das organizações. Curitiba: Juruá.

Marques, J. L., Germana, P.; Kassandra, I. (2019) .Segurança do paciente: o envolvimento do paciente na segurança dentro da instituição. Revista Científica de Gestão Hospitalar, v. 1, n. 1, p. 129-134.

McCorry, L. K., & Mason, J. (2020). Communication skills for the healthcare professional (2ed.). Burlington: Jones & Bartlett Pub Incorporated.

Nogueira, J. W. S. & Rodrigues, M. C. S. (2015). Comunicação efetiva no trabalho em equipe em saúde: desafio para a segurança do paciente. Cogitare Enfermagem, 20(3), 636-640.

Oliveira, J. L. C, Cervilheri, A. H., Haddad, M. C. L, Magalhães, A. M. M., Ribeiro, M. R. R., & Matsuda L. M. (2020). Interface between accreditation and patient safety: nursing team perspectives. Revista Escola de Enfermagem USP, 54, 1-7.

Organização Nacional de Acreditação (2020). 6º Encontro Nacional de Avaliadores. https://www.ona.org.br/mapa-de-acreditacoes

Paes, G. O., Braz, A. O., Sauthier, M., Oliveira, A. B. de, & Stipp, M. A. C. (2020). Segurança do paciente e seu reconhecimento para a ética nos cuidados de Enfermagem. Research, Society and Development, 9(8), 1-14.

Pascuci, L. M., Meyer Júnior, V., & Crubellate, J. M. (2017). Strategic Management in Hospitals: Tensions between the Managerial and Institutional Lens. BAR - Brazilian Administration Review, 14(2), 1-21.

Ree, E., & Wiig, S. (2020). Linking transformational leadership, patient safety culture and work engagement in home care services. Nursing Open, 7(1), 256-264.

Reis, C. T. (2013). A cultura de segurança do paciente: validação de um instrumento de mensuração para o contexto hospitalar brasileiro. Tese de doutorado, Programa de Pós-Graduação em Saúde Pública, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. Rio de Janeiro, Brasil.

Reis C. T., Paiva S. G., Sousa P. (2018) The patient safety culture: a systematic review by characteristics of Hospital Survey on Patient Safety Culture dimensions. Int J Qual Health Care J Int Soc Qual Health Care, 30(9), 660–677.

Santiago, T. H. R. & Turrini, R. N. T.. (2015). Cultura e clima organizacional para segurança do paciente em Unidades de Terapia Intensiva. Revista da Escola de Enfermagem da USP, 49(spe), 123-130.

Singh, S., & Vanka, S. (2019). Voice matters: why HR should listen to employee voice?. Strategic HR Review. 18(6), 268-271.

Simsekler, M. C. E., Qazi, A., Alalamia, M. A., Ellahham, S., & Ozonoff, A. (2020). Evaluation of patient safety culture using a random forest algorithm. Reliability Engineering and System Safety, 204, 1-9.

Sturm, H., Rieger, M. A., Martus, P., Ueding, E., Wagner, A., Holderried, M., Maschmann, J. & WorkSafeMed Consortium. (2019). Do perceived working conditions and patient safety culture correlate with objective workload and patient outcomes: A cross-sectional explorative study from a German university hospital. PloS one, 14(1), 1-19.

Tomazoni, A., Rocha, P. K., Kusahara, D. M., Souza, A. I. J. & Macedo, T. R. (2015). Avaliação da cultura de segurança do paciente em terapia intensiva neonatal. Texto Contexto Enfermagem, 24(1), 161-169.

Ugwu, F. O., Idike, A. N., Ibiam, O. E., Akwara, F. A., & Okorie, C. O. (2020). Transformational leadership and management safety practices: Their role in the relationship between work pressure and compliance with safety work behaviour in a health-care sector industry. Journal of psychology in Africa, 30(1), 1-8.

World Health Organization (2006). Quality of Care: a process for making strategic choices in systems Geneva: WHO. https://www.who.int/management/quality/assurance/QualityCare_B.Def.pdf

Downloads

Published

11/06/2021

How to Cite

MADALOZZO, M. M.; LUCAS, J. I. P.; KANAN, L. A. .; MARCON, S. R. A.; SOUZA, A. S. de .; MICHELIN, F. T. .; HOFFMAN, S. P. Culture of patient safety in an accredited high complexity hospital. Research, Society and Development, [S. l.], v. 10, n. 6, p. e55510616113, 2021. DOI: 10.33448/rsd-v10i6.16113. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/16113. Acesso em: 21 nov. 2024.

Issue

Vol. 10 No. 6

Section

Health Sciences

License

Copyright (c) 2021 Magda Macedo Madalozzo; João Ignacio Pires Lucas; Lilia Aparecida Kanan; Silvana Regina Ampessan Marcon; Aline Santos de Souza; Fernanda Tonietto Michelin; Scheila Pacheco Hoffman

Creative Commons License

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.