Health professionals’ perception of patient safety culture in a university hospital in São Paulo: A cross-sectional study applying the Hospital Survey on Patient Safety Culture

Okuyama, Julia Hiromi Hori; Galvão, Taís Freire; Crozatti, Márcia Terezinha Lonardoni; Silva, Marcus Tolentino

doi:10.1590/1516-3180.2018.0430140319

Cited by 20 publications

(19 citation statements)

References 29 publications

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“…European studies also coincide with our findings regarding weaknesses [ 30 , 31 , 36 , 37 , 38 ], although some of them did identify the dimensions of the expectations and actions of the unit/service management or supervision, teamwork, or openness in communication as strengths [ 36 , 37 ]. The study carried out in 2014 in Croatia by Brborovic [ 31 ] recorded low scores for staffing and identified non-punitive responses to errors as the lowest rated dimension, attributing this result to ‘cultural guilt’ and the perception that errors should be punished—a conclusion also shared in the Italian study by Bagnasco [ 39 ] in 2011. International studies [ 1 , 39 , 40 , 41 , 42 , 43 ] showed very similar results to our own, identifying the same weaknesses and no strengths except, as in our study, for the teamwork dimension which came closest to the strength criteria. Other studies identified the same areas for improvement, but also identified strengths such as organizational learning/continuous improvement, teamwork, and management support [ 44 , 45 ].…”

Section: Discussionsupporting

confidence: 89%

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Nurses’ Perception of Patient Safety Culture in a Referral Hospital: A Cross-Sectional Study

Sosa-Palanca

Saus-Ortega

Gea-Caballero

et al. 2022

IJERPH

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Healthcare systems are becoming increasingly complex which is helping to promote a ‘culture of safety’ within them based on the best scientific evidence available. Indeed, creating a positive institutional culture of patient safety is reflected in health outcomes. The aim of this present study was to describe the perception of culture of safety by nurses in adult inpatient units in a tertiary hospital and to analyze adverse events reporting. It was a cross-sectional study in which 202 nurses from adult hospitalization units of the Hospital Universitario y Politécnico La Fe in Valencia (Spain) participated. The perception of safety culture was measured using the Hospital Survey on Patient Safety questionnaire version 1.0, which consists of 42 items distributed in 12 dimensions that are considered strengths or weaknesses. In addition, adverse events related to nursing care during the study period and those reported in the official hospital registry were collected. Finally, the association between safety culture and sociodemographic and labor variables was explored. A total of 148 responses to the questionnaire were analyzed (Cronbach’s alpha = 0.94), where seven dimensions and 25 items were identified as weaknesses. Two hundred and fourteen events were identified and none were reported in the official registry. Years of experience were significantly (p < 0.05) associated with safety culture. It is necessary to establish strategies to improve the perception of the safety culture of nurses, as well as to make nurses aware of the importance of notifying adverse events derived from health care.

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Section: Discussionsupporting

confidence: 89%

“…The frequency of reported AEs was similar to other national and international work [ 1 , 22 , 28 , 36 , 40 , 41 ]. The perception of D1 was identified as an area for improvement in medical and mixed wards, while in surgical wards it was seen neither as a weakness or a strength.…”

Section: Discussionsupporting

confidence: 87%

Nurses’ Perception of Patient Safety Culture in a Referral Hospital: A Cross-Sectional Study

Sosa-Palanca

Saus-Ortega

Gea-Caballero

et al. 2022

IJERPH

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“…There was a difference in the mean time spent working in the hospital and working time in the unit with the highest number of positive responses; longer working time in the profession represented better grades and fewer reported events (19) . In another study, a better safety culture was observed among more experienced employees, nurses and employees with less education (33) . It was observed, in a study, that the type of management, service unit, position and the number of incident reports directly influence patient safety culture (28) .…”

Section: Discussionmentioning

confidence: 86%

Assessment of patient safety culture in Brazilian hospitals through HSOPSC: a scoping review

2021

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Objectives: to describe, from literature, the characteristics of patient safety culture in Brazilian hospitals that applied the Hospital Survey on Patient Safety Culture. Methods: this is a scoping review. A search was performed in the databases LILACS, PubMed, SciELO, CINAHL, Web of Science, Scopus and in the CAPES Dissertations and Theses Database in September and October 2020. Results: thirty-six studies were identified. Nine studies identified strengthened areas such as: “teamwork within the units”, “expectations of supervisor/boss and actions promoting safety”, “organizational learning”, “support of hospital management for patient safety” and “frequency of report of events”. As a critical area, the dimension “non-punitive response to error” was evidenced in 30 of 36 studies. Conclusions: the identification of areas of strength and critical areas of safety culture is relevant to encourage improvement of patient safety problems in an institution.

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“…Galvão et al . (2018) and Okuyama et al . (2019) both conducted studies at Brazilian public hospitals.…”

Section: Discussionmentioning

confidence: 97%

Evaluation of patient safety culture in a private general hospital: a case study in Brazil

Prates

Caregnato

Magalhães

et al. 2021

IJHCQA

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PurposeThe purpose is to assess the patient safety culture perceived by healthcare and administrative staff in a Brazilian hospital and examine whether education and experience are related to positive perceptions.Design/methodology/approachA descriptive–analytical case study was carried out at Ernesto Dornelles Hospital, a private Brazilian institution. The Brazilian version of the Hospital Survey on Patient Safety Culture was used to assess the perceptions of 618 participants, of whom 315 worked in healthcare assistance and 303 in administrative services. The main outcome was the percentage of positive responses, and the independent variables included the type of work, schooling and length of experience.FindingsNone of the twelve dimensions was strengthened. The percentage of positive responses was the highest for “Hospital management support for patient safety” (67.5%), and the lowest was for “Nonpunitive response to error” (29%). The healthcare staff had a slightly higher average than the administrative staff. The percentage of positive responses from professionals with undergraduate or graduate degrees was higher for the eight dimensions of safety culture. The length of hospital experience was not associated with any dimensions.Originality/valueThis study explored the influence of education and professional experience on the perception of patient safety in healthcare and administrative staff from a private institution. These approaches allow to know with greater depth and clarity factors that are related to the patient safety culture and, thus, have more consistent evidence to support interventions in specific needs.

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Health professionals’ perception of patient safety culture in a university hospital in São Paulo: A cross-sectional study applying the Hospital Survey on Patient Safety Culture

Cited by 20 publications

References 29 publications

Nurses’ Perception of Patient Safety Culture in a Referral Hospital: A Cross-Sectional Study

Nurses’ Perception of Patient Safety Culture in a Referral Hospital: A Cross-Sectional Study

Assessment of patient safety culture in Brazilian hospitals through HSOPSC: a scoping review

Evaluation of patient safety culture in a private general hospital: a case study in Brazil

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