Cultura de segurança do paciente em hospitais públicos de ensino: estudo comparativo

Viana, Keila Ellen; Matsuda, Laura Misue; Pereira, Ana Carolina Simões; Oliveira, João Lucas Campos de; Inoue, Kelly Cristina; Cruz, Elaine Drehmer de Almeida

doi:10.12957/reuerj.2020.51949

Cited by 2 publications

(4 citation statements)

References 14 publications

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Section: Resultsmentioning

confidence: 99%

“…During the quality assessment, two pairs of studies [ 88 , 89 , 90 , 91 ] were found to report analyzed data that were sliced from the same datasets (n = 158, n = 376). As such, the two studies with the more complete data were included for analysis [ 88 , 91 ], and the other two studies were excluded to limit bias [ 89 , 90 ]. Several studies reported small samples with a mixture of clinical and administrative professionals, but the average response rate reported across studies was nearly 80%.…”

Section: Resultsmentioning

confidence: 99%

“…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 systematic reviews that include meta-analysis [ 202 ], this kind of citation check strategy can minimize the potential for bias from multiple analyses of data from the same database [ 203 ] or overlapping portions of data due to salami slicing [ 203 , 204 , 205 ]. During the full-text assessment of reviewed studies, two sets of studies were found to originate from the same data source [ 88 , 89 , 90 , 91 ], which was not disclosed in the subsequent studies despite matching ethical approval numbers.…”

Section: Discussionmentioning

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%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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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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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Cultura de segurança do paciente em hospitais públicos de ensino: estudo comparativo

Cited by 2 publications

References 14 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

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