Correlación del grado de percepción y cultura de seguridad del paciente en una Institución de tercer nivel 2015-2019

Valencia, Mary Luz Jaimes; Alvarado-Alvarado, Andres Leonardo; Arciniegas, Claudia Nathaly Mejia; Galán, Angie Valentina López; Jiménez, Vivian Angélica Mancilla; García, Clara Inés Padilla

doi:10.15649/cuidarte.1092

Cited by 5 publications

(6 citation statements)

References 35 publications

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“…The review included 30 studies from five Latin American countries: 22 studies in Brazil [ 88 , 91 , 92 , 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 ], 3 studies in Mexico [ 112 , 113 , 114 ], 3 studies in Colombia [ 115 , 116 , 117 ], 1 study in Peru [ 67 ], and 1 study in Argentina [ 118 ]. All studies reported data from the HSOPSC 1.0; none reported data from the HSOPSC 2.0.…”

Section: Resultsmentioning

confidence: 99%

“…For example, most studies (n = 28) were conducted by researchers at hospitals, but one was conducted by a professional association [ 114 ] and another during an academic event [ 67 ]. In 25 studies, the surveys were delivered physically, but 5 were delivered online [ 67 , 95 , 113 , 114 , 117 ]. The majority of the studies (n = 17) included staff participation from more than one hospital service, including administrative staff and medical residents.…”

Section: Resultsmentioning

confidence: 99%

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Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis

Rodríguez

Baza

Domínguez-Cancino

et al. 2022

IJERPH

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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.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis

Rodríguez

Baza

Domínguez-Cancino

et al. 2022

IJERPH

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“…A recent systematic review by Camacho-Rodriguez et al, 9 confirmed the global concern about the PSC in Latin America, revealing that only 30 studies, limited only to five countries (none from Central America), reported a PSC evaluation. Most of these studies are from Brazil (22 studies), and only three and one from Colombia [39][40][41] and Argentina, 42 respectively. However, no Chilean studies have assessed PSC.…”

Section: Benchmarking In Latin American Settingsmentioning

confidence: 99%

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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“…The descriptive results of this study consider the focus on a highly complex hospital, with the participation of a majority of female nurses with work experience of fewer than five years, similar to research developed in Colombia [ 26 ] and Brazil [ 27 ]. Most of the participants in this research were in an age range of 19 to 63 years old and worked more than 40 h a week, which aligns with another study in Minas Gerais, Brazil [ 28 ].…”

Section: Discussionmentioning

confidence: 92%

Patient Safety Culture from a Nursing Perspective in a Chilean Hospital

Hurtado-Arenas,

Guevara,

González-Chordá

2024

Nursing Reports

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Patient safety culture is relevant both in the delivery of care and in the training of nursing staff, its purpose being to prevent and reduce risks associated with health care. This research aims to evaluate patient safety culture from the perspective of the nursing teams in a highly complex public hospital in the city of Valparaíso, Chile. A cross-sectional study with a quantitative approach applying descriptive, bivariate, and inferential statistical analysis was conducted on 259 nurses and nursing assistants from 13 adult medical–surgical units of the Carlos Van Buren hospital. The participants were obtained through a non-probabilistic convenience sample, answering the hospital survey on Patient Safety Culture version 2.0 (HSOPS 2.0), adapted to the Chilean population. The best-evaluated dimension was communication and receptivity; the worst was the support administrators provide for patient safety. This study identified the weaknesses and strengths of the hospital, the most worrying weakness being the shortage of human capital, material, and financial resources necessary to improve patient safety. This study was not registered.

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Correlación del grado de percepción y cultura de seguridad del paciente en una Institución de tercer nivel 2015-2019

Cited by 5 publications

References 35 publications

Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis

Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis

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

Patient Safety Culture from a Nursing Perspective in a Chilean Hospital

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