Questionnaire for assessing patient safety culture in emergency services: an integrative review

Abstract

Objective: to identify the instruments used to assess patient safety culture in emergency settings. Method: an integrative literature review conducted from 2000 to 2018. Results: 13 instruments were identified to assess patient safety culture in hospital and pre-hospital emergencies, comprising 12 to 50 questions, grouped from three to 12 dimensions, with dimensions related to teamwork, support, and management actions for patient safety and for continuous process improvement and continuing education. The Emergency Medical Service Safety Attitude Questionnaire, which is exclusive for pre-hospital care, stands out. Conclusions: the choice and the best decision regarding the instrument are linked to the objectives, the environment and the population to be investigated, as well as the instrument’s reliability.

The Perception of the Patient Safety Climate by Health Professionals during the COVID-19 Pandemic—International Research

“…To improve safety climate in healthcare, the WHO established, in 2004, the World Alliance for Patient Safety, aiming at mobilizing global efforts to improve the safety of healthcare for patients in all WHO member countries, setting Patient Safety (PS) in the agenda [ 5 ]. The main goal is the development of patient safety culture in health organizations, which can be stimulated in such a way that their workforce and processes can focus on improving the reliability and safety of patient care.…”

“…The main goal is the development of patient safety culture in health organizations, which can be stimulated in such a way that their workforce and processes can focus on improving the reliability and safety of patient care. The attitudes of health professionals toward patient safety, including the awareness of the risk of adverse events, are important elements of the organization’s safety culture [ 5 ]. Therefore, using tools such as the Safety Attitudes Questionnaire (SAQ) for assessing healthcare staff attitudes about patient safety at the organizational level is an important part of fostering organizational change to improve patient safety [ 1 , 5 ].…”

“…The attitudes of health professionals toward patient safety, including the awareness of the risk of adverse events, are important elements of the organization’s safety culture [ 5 ]. Therefore, using tools such as the Safety Attitudes Questionnaire (SAQ) for assessing healthcare staff attitudes about patient safety at the organizational level is an important part of fostering organizational change to improve patient safety [ 1 , 5 ]. High awareness of occupational safety, teamwork, assessment of the culture of occupational safety, as well as analysis and drawing conclusions, can improve the quality and safety of services and make the patient feel safer [ 6 , 7 , 8 ].…”