Patient safety culture and adverse event notification of a multidisciplinary health team
DOI:
https://doi.org/10.33448/rsd-v10i8.17291Keywords:
Patient Safety; Organizational culture; Hospitals, public; Risk manegement; Patient care team.Abstract
This study aimed to understand the patient safety culture and adverse event notification of a multiprofessional health team at a public teaching hospital. Cross-sectional study with data collection between December 2015 and March 2016, using the Hospital Survey on Patient Safety Culture questionnaire (HSOPSC). The sample was intentional, made up of all health professionals involved in health care. Of the participants (331), 44.0% were nursing technicians / auxiliaries, 28.4% were nurses, 17.1% were physicians and 10.5% were others. Considering the 42 questions of the instrument, a total of 5385 (39.7%) were positive, 3122 (23.0%) were neutral and 5066 (37.3%) were negative. It was observed that 78.3% of professionals reported no adverse events (AD) in the last 12 months and 52.8% considered the patient's safety score to be "regular". The most positive score was statistically related to professionals who had less than one year of work in the hospital (p=0.021), worked less than 80 hours a week (p=0.048), held a technical-level (p=0.010), full-time position (p=0.006), and those who had reported AE in the past 12 months (p=0.016). The safety culture of the patient in the study hospital is not yet structured, however highlighted positive aspects can be used as a starting point for implementing changes.
References
Andrade, L. E. L, Lopes, J. M., Souza Filho, M. C. M., Vieira Júnior, R. F., Farias, L. P. C., Santos, C. C. M. & Gama, Z. A. S. (2018). Cultura de segurança do paciente em três hospitais brasileiros com diferentes tipos de gestão. Ciência & Saúde Coletiva, 23(1), 161-172.
Arboit, E. L., Bellini, G., Schütz, C. R., Moraes, M. C. S., Kinalski, S. da S. & Barcellos, R. de A. (2020). Patient safety culture in the multiprofessional perspective. Research, Society and Development, 9(5), e125953088. 10.33448/rsd-v9i5.3088.
Ministério da Saúde (BR). (2014). Documento de referência para o Programa Nacional de Segurança do Paciente. Brasília.
Carneiro, A. S., Andolhe, R., Lanes, T. C. & Magnago, T. S. B. de S. Patient safety culture in hospital environment: trends in brazilian production. Research, Society and Development, 9(7), e963975132, 2020. 10.33448/rsd-v9i7.5132.
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. Pan African Medical Journal, 24, 299.
Couto, R. C., Pedrosa, T. M. G., Rosa, M. B. (2016). Erros acontecem. A força da transparência para o enfrentamento dos eventos adversos assistenciais em pacientes hospitalizados. Belo Horizonte. Instituto de Estudos de Saúde Suplementar. Universidade Federal de Minas Gerais.
Cruz, E. D. A., Rocha, D. J. M., Mauricio, A. B., Ulbrich, F. S., Batista, J. & Maziero, E. C. S (2018). Cultura de segurança entre profissionais de saúde em hospital de ensino. Cogitare Enfermagem, 23(1), e50717. http://dx.doi.org/10.5380/ce.v23i1.50717
de Jesus Oliveira, F. M., Lima, D. M. & Provin, M. P. (2020). The culture of patient safety in an emergency and emergency public hospital. Research, Society and Development, 9(4), 6. 10.33448/rsd-v9i4.2650.
El-Jardali, F., Sheikh, F., Garcia, N. A., Jamal, D. & Abdo, A. (2014). Patient safety culture in a large teaching hospital in Riyadh: baseline assessment, comparative analysis and opportunities for improvement. BMC Health Services Research, 14,122.
Gama, Z. A. S., Oliveira, A. C. S. & Hernandez, P. J. S. (2013). Cultura de seguridad del paciente y factores asociados en una red de hospitales públicos Españoles. Cad. Saúde Pública. 29(2), 283-293.
Golle, L., Ciotti, D., Herr, G. E. G., Aozane, F., Schmidt, C.R. & Kolankiewicz, A. C. B. (2018). Cultura de segurança do paciente em hospital privado. Rev. Fund Care Online, 10(1), 85-89. 10.9789/2175-5361.2018.v10i1.85-89
Macedo, T. R., Rocha, P. K., Tomazoni, A., Souza, S., Anders, J. C. & Davis, K. (2016). The culture of patient safety from the perspective of the pediatric emergency nursing team. Rev Esc Enferm USP, 50(5), 757-763.
Makary, M. A. & Daniel, M. (2016). Medical error - the third leading cause of death in the US. BMJ, 353(2139), 1-5.
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), 121-129.
Nie, Y., Mao, X., Cui, H., He, S., Li, J. & Zhang, M. (2013). Hospital survey on patient safety culture in China. BMC Health Services Research, 13, 228.
Oliveira, R. M., Leitão, I. M. T. A., Silva, L. M. S., Figueiredo, S. V., Sampaio, R. L. & Gondim, M. M. (2014). Strategies for promoting patient safety: from the identification of the risks to the evidence-based practices. Esc Anna Nery, 18(1),122-129.
Reis, C. T., Laguardia, J. & Martins, M. (2012). Adaptação transcultural da versão brasileira do Hospital Survey on Patient Safety Culture: etapa inicial. Cad. Saúde Pública, 28(11), 2199-2210.
Reis, C. T., Laguardia, J., Barros, C. G. B., Andreoli, P. B. A & Martins, M. (2019). Reliability and validity of the Brazilian version of the HSOPSC: a reassessment study. Cad. Saúde Pública, 35(8), e00246018
Reis, C. T., Laguardia, J., Vasconcelos, A. G. G. & Martins, M. (2016). Reliability and validity of the Brazilian version of the Hospital Survey on Patient Safety Culture (HSOPSC): a pilot study. Cad. Saúde Pública, 32(11), e00115614.
Silva, A. E. B. C., Cavalcante, R. G. F., Lima, J. C., Sousa, M. R. G., Sousa, T. P. & Nunes, R. L. S. (2019). Evaluation of the patient safety climate in hospitalization units: a cross-sectional study. Rev Esc Enferm USP, 53, e03500. http://dx.doi.org/10.1590/S1980-220X2018027203500
Silva-Batalha. E. M. S. & Melleiro, M. M. (2015). Patient safety culture in a teaching hospital: differences in perception existing in the different scenarios of this institution. Texto Contexto Enferm., 24(2), 432-41.
Sorra, J. S., Famolaro, T., Dyer, N., Nelson, D. & Smith, S. A. (2012). Hospital survey on patient safety culture 2012 user comparative database report. (Prepared by Westat, Rockville, MD, under Contract No. HHSA 290200710024C). Rockville, MD: Agency for Healthcare Research and Quality.
Sorra, J., Gray, L., Streagle, S., Famolaro, T., Yount, N. & Behm, J. (2016). AHRQ Hospital Survey on Patient Safety Culture: User’s Guide. (Prepared by Westat, under Contract No. HHSA290201300003C). AHRQ Publication No. 15-0049-EF (Replaces 04-0041). Rockville, MD: Agency for Healthcare Research and Quality. January 2016. https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguid e/hospcult.pdf
Tomazoni, A., Rocha, P. K., Kusahara, D. M., Souza, A. I. J. & Macedo, T. R. (2015). Evaluation of the patient safety culture in neonatal intensive care. Texto Contexto Enferm., 24(1), 161-9.
Tomazoni, A., Rocha, P. K., Souza, S., Anders, J. C. & Malfussi, H. F. C. (2018). Patient safety culture at neonatal intensive care units: perspectives of the nursing and medical team. Rev. Latino-Am. Enfermagem, 22(5),755-63.
Tostes, M. F. P., Haracemiw, A. & Ma, L. D. (2016). Surgical Safety Checklist: considerations on institutional policies. Esc Anna Nery. 20(1), 203-209.
Wang, M. & Tao, H. (2017). How does patient safety culture in the surgical departments compare to the rest of the county hospitals in xiaogan city of China? Int J Environ Res Public Health, 14(10), 1123. 10.3390/ijerph14101123
Xie, J. F, Ding, S. Q., Zhong, Z. Q., Zeng, S. N., Qin, C. X., Yi, Q. F., Li-Na. G & Jian, Z. (2017). A safety culture training program enhanced the perceptions of patient safety culture of nurse managers. Nurse Educ Pract., 27, 128-133.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Gisele da Silveira Lemos; Ionara Vieira Rocha da Mota; Adriano Max Moreira Reis; Edson Perini; Mário Borges Rosa; Cristiane Aparecida Menezes de Pádua
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.
