Evaluation of patient safety culture: comparative study in university hospitals

Abstract

Objective: To conduct a benchmarking comparison of the composites of patient safety culture based on the evaluation of Brazilian and Portuguese nurses working in university hospitals. Method: Quantitative, cross-sectional, comparative survey. Data collected between April and December 2014, in two teaching hospitals, applying the instrument Hospital Survey on Patient Safety Culture, in the versions translated and adapted to the countries. Results: 762 nurses distributed in four services participated in the study, 195 Brazilians and 567 Portuguese. Seven of the 12 composites of safety culture showed significant differences between hospitals. The highlights were those related to: “management support for patient safety” (±17); “handoffs and transitions” (±15); “teamwork across units” (±14); and “overall perceptions of patient safety” (±10). Conclusion: The dimension that had the highest significant difference between the studied institutions was “management support for patient safety”. These data may support the managers of the study hospitals, enabling continuous improvements and advancements.

Patient safety culture according to nursing professionals of an accredited hospital

“…Although the institution studied has its accreditation programs, defined as a systematic, periodic, voluntary strategy, based on determined quality standards, it, in itself, did not confer a greater positive percentage for the dimension "non-punitive response to errors", which allows affirm that there is still an accusatory culture, needing to develop a non-punitive environment to promote a safety culture (14) . A similar data was found in a study conducted in an accredited hospital in Turkey, which presented 33% of positive responses in this dimension (4) and in an accredited teaching hospital in Portugal, with 28% (19) , bringing the challenge for hospital leadership with quality programs to look closely at this dimension.…”

“…The dimension "staff adequacy" was also considered fragile, with significant differences between sectors, and this result corresponds to studies carried out in Brazil in state, federal and university hospitals (with positive responses in the proportion of 30, 43 and 33%, respectively) (13,17) or in accredited services (22% e 43%) (4,19) .…”

Cultura de segurança no contexto das organizações de saúde: revisão integrativa

“…Outra dimensão divergente entre as duas organizações refere-se à cooperação e ao trabalho em equipe, com 51% em relação aos 23% do escore do hospital brasileiro, dessa forma entende-se que os enfermeiros brasileiros percebem o trabalho conjunto de forma significativamente menos satisfatória. As percepções positivas atribuídas ao hospital português, são associadas ao fator tempo de trabalho diretamente relacionada ao desenvolvimento de competências no manejo das relações interpessoais (Fassarella et al, 2018).…”

“…Esta reflexão converge com os estudos já mencionados reafirmando a necessidade de estimular os seres humanos a formar pensamento crítico, reflexivo bem como a autonomia para expressar e discutir, nos espaços organizacionais, democraticamente os erros que porventura venham a acontecer (Fassarella et al, 2018;Hemphill, 2015).…”

Segurança Do Paciente: Representação Social Para Profissionais De Saúde Em Âmbito Hospitalar

“…A Portaria nº 529/13 (5) e a RDC nº 36/13 (6) preconizam, entre outros, uma cultura de segurança que, a partir da ocorrência de incidentes, promova o aprendizado organizacional; cultura que proporciona recursos, estrutura e responsabilização para a manutenção efetiva da segurança, além de inclusão do tema segurança do paciente em currí-culo de níveis técnico, graduação e pós-graduação. Entretanto, as fragilidades da cultura de segurança constatadas neste estudo ainda persistem, como as relacionadas a resposta não punitiva a erros, frequência de notificação de eventos adversos e adequação de pessoal (29)(30)(31)(32)(33).…”