Factors associated with the safety culture of patients under dialysis in the context of the COVID-19 pandemic

Rodrigues, Tatiana Aparecida; Amaral, Fabrícia Moreira Amorim; Hoffmann, M; Azevedo, Cissa; Ribeiro, Helen Cristiny Teodoro Couto; Mata, Luciana Regina Ferreira da

doi:10.1590/0034-7167-2022-0280

Cited by 1 publication

(1 citation statement)

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“…Some regional studies assessing PSC were reported during the pandemic (all from Brazil). However, they also presented similar limitations, as previously mentioned, mainly related to their application in a single unit, 98 99 comparing single units within the same institution. 100 101 …”

Section: Discussionmentioning

confidence: 56%

Patient safety culture in South America: a cross-sectional study

Pedroso,

Fernandes,

Tuma

et al. 2023

BMJ Open Qual

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BackgroundEvery year, millions of patients suffer injuries or die due to unsafe and poor-quality healthcare. A culture of safety care is crucial to prevent risks, errors and harm that may result from medical assistance. Measurement of patient safety culture (PSC) identifies strengths and weaknesses, serving as a guide to improvement interventions; nevertheless, there is a lack of studies related to PSC in Latin America.AimTo assess the PSC in South American hospitals.MethodsA multicentre international cross-sectional study was performed between July and September 2021 by the Latin American Alliance of Health Institutions, composed of four hospitals from Argentina, Brazil, Chile and Colombia. The Hospital Survey on Patient Safety Culture (HSOPSC V.1.0) was used. Participation was voluntary. Subgroup analyses were performed to assess the difference between leadership positions and professional categories.ResultsA total of 5695 records were analysed: a 30.1% response rate (range 25%–55%). The highest percentage of positive responses was observed in items related to patient safety as the top priority (89.2%). Contrarily, the lowest percentage was observed in items regarding their mistakes/failures being recorded (23.8%). The strongest dimensions (average score ≥75%) were organisational learning, teamwork within units and management support for patient safety (82%, 79% and 78%, respectively). The dimensions ‘requiring improvement’ (average score <50%) were staffing and non-punitive responses to error (41% and 37%, respectively). All mean scores were higher in health workers with a leadership position except for the hospital handoff/transitions item. Significant differences were found by professional categories, mainly between physicians, nurses, and other professionals.ConclusionOur findings lead to a better overview of PSC in Latin America, serving as a baseline and benchmarking to facilitate the recognition of weaknesses and to guide quality improvement strategies regionally and globally. Despite South American PSC not being well-exploited, local institutions revealed a strengthened culture of safety care.

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Section: Discussionmentioning

confidence: 56%