Introduction: Adverse events in hospitals are prevented through risk reduction and reliable processes. Highly reliable hospitals are grounded by a robust patient safety culture with effective communication, leadership, teamwork, error reporting, continuous improvement, and organizational learning. Although hospitals regularly measure their patient safety culture for strengths and weaknesses, there have been no systematic reviews with meta-analyses reported from Latin America. Purpose: Our systematic review aims to produce evidence about the status of patient safety culture in Latin American hospitals from studies using the Hospital Survey on Patient Safety Culture (HSOPSC). Methods: This systematic review was guided by the JBI guidelines for evidence synthesis. Four databases were systematically searched for studies from 2011 to 2021 originating in Latin America. Studies identified for inclusion were assessed for methodological quality and risk of bias. Descriptive and inferential statistics, including meta-analysis for professional subgroups and meta-regression for subgroup effect, were calculated. Results: In total, 30 studies from five countries—Argentina (1), Brazil (22), Colombia (3), Mexico (3), and Peru (1)—were included in the review, with 10,915 participants, consisting primarily of nursing staff (93%). The HSOPSC dimensions most positive for patient safety culture were “organizational learning: continuous improvement” and “teamwork within units”, while the least positive were “nonpunitive response to error” and “staffing”. Overall, there was a low positive perception (48%) of patient safety culture as a global measure (95% CI, 44.53–51.60), and a significant difference was observed for physicians who had a higher positive perception than nurses (59.84; 95% CI, 56.02–63.66). Conclusions: Patient safety culture is a relatively unknown or unmeasured concept in most Latin American countries. Health professional programs need to build patient safety content into curriculums with an emphasis on developing skills in communication, leadership, and teamwork. Despite international accreditation penetration in the region, there were surprisingly few studies from countries with accredited hospitals. Patient safety culture needs to be a priority for hospitals in Latin America through health policies requiring annual assessments to identify weaknesses for quality improvement initiatives.
Objetivo: Evaluar el cumplimiento de los indicadores establecidos en el programa de atención de la hipertensión arterial de una institución prestadora de servicios de salud de la ciudad de Santa Marta, de acuerdo con el Anexo Técnico N° 1 de la resolución 1043/2006 y la Guía de Atención de la Hipertensión Arterial establecida por el Ministerio de la Protección Social. Materiales y métodos: Estudio evaluativo, transversal cuya unidad de análisis fue constituida por una institución prestadora de servicios de salud e historias clínicas pertenecientes a 204 pacientes con diagnóstico de hipertensión arterial con un año o más de evolución; información recolectada mediante la aplicación de una lista de verificación validada a través de expertos. Resultados: cumplimiento de los indicadores del programa, distribuido de la siguiente manera: recurso humano (100 %), infraestructura física (50 %), dotación (83 %), proceso de atención (50 %), referencia y contrarreferencia (100 %), historia clínica (89 %), diagnóstico (52.5 %), tratamiento (75 %), seguimiento al paciente (100 %), seguimiento a riesgo (0 %). Conclusiones: El programa, cumple con los Indicadores establecidos en un 69,95 %, que según la escala de cumplimiento estipulada, se encuentra en el nivel 2: Satisfactorio.
Este artículo muestra algunos hallazgos de la experiencia de investigación del autor, frente al tema de las prácticas de la música tradicional en el Caribe colombiano[i]. En este caso, a partir de un conjunto de afirmaciones que proponen elementos para la comprensión de la relación entre música e identidad en la región. Frente a esto, en primer lugar, se resaltan algunos aspectos de la relación música e identidad, luego, se describe la dinámica de la práctica musical en el marco de los procesos de rescate de tradiciones y al final, se analiza la manera en que la música tradicional se constituye en prácticas de representación, a partir de la cual, se crean estrategias de participación en la lucha por el significado.
Studies directed to investigate ecological parameters of mosquitoes populations allows to establish the risk of vector borne diseases transmission and to bring recommendations for health authorities about prevention, surveillance and control. We report some ecological aspects of mosquitoes populations in a region of Colombia. Quarterly sampling was done. For mosquito catching CDC and Shannon traps were used. Diversity and abundance indexes estimation was done. A total of 1071 mosquitoes belonging to four genera and 10 species were collected. The most abundant species were Cx quinquefasciatus (22.6%), Ae. aegypti (20.08%), Ae. scapularis (12.3%), Ae. angustivittatus (9%) and An. albimanus (8.0%). The finding of Cx pedroi, Ae. scapularis, , Cx. nigripalpus, Cx. quinquefasciatus, Cx. declarator, Ma. titillans, and Ps. ferox previously reported as arbovirus vectors warns about the possibility of transmission in the zone and the finding of An. albimanus, also warns about the risk for malaria transmission in the area.
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