Culture of Patient Safety in Primary Health Care in a Large Municipality in the Perception of Workers

Abstract

Objective: to characterize patient safety according to the perception of primary health care workers in a large city in Paraná. Method: cross-sectional study, in which information was collected using the "Research on Patient Safety Culture for Primary Care" instrument, which was self-answered by health workers working in primary care, from April to June 2017. The Statistical Package for the Social Sciences program was used for data analysis. Results: it was found that as for the frequency of problems related to patient safety and quality of care, the “medical record/patient record being unavailable when needed” and “patient not getting an appointment within 48 hours was considered as a serious or acute problem”. Regarding the support of managers/administrators/leaders, the overall frequency of positive responses was only 38.4%. The section on global safety assessment showed the highest overall percentage of positive responses (79.0%). Workers in the southern region of the municipality under study had a worse assessment of the work process, communication, monitoring and manager support (45.5%, 61.6% and 29.3% of positive responses, respectively). Conclusion: it is concluded that there is a need to strengthen the culture of patient safety at this level of care, strengthening and valuing the performance of all workers, with the intensification of permanent education and the use of soft technologies.

Nurses’ perceptions about the patient safety climate in Primary Health Care

“…It is noted that the Northwest and Southwest districts are in a territory that has medium- and high-complexity health care services to support SUS professionals and users. Health practices in areas with greater vulnerability and with more users can negatively impact safety, with high workloads and tensions in decision-making, mainly when the region does not have social and health facilities for care continuity ( 33 ) .…”

Segurança do paciente na Atenção Primária à Saúde: percepção da equipe de enfermagem

“…A capacidade de diálogo e o envolvimento dos profissionais nos planejamentos estratégicos das UBS pode ser capaz de reduzir as lacunas existentes entre as teorias científicas e as experiências práticas dos trabalhadores. É preciso que haja um alinhamento entre as ações da gestão e os valores dos profissionais 6,28 .…”

Patient safety culture in Primary Health Care

“…A construção conjunta da cultura de segurança é dependente da compreensão de que o erro acontece devido a uma falha no sistema de saúde e a um processo de trabalho com barreiras ineficientes. Profissionais de saúde precisam ser corresponsáveis pelo diagnóstico de tais falhas e pelo planejamento de estratégias eficientes, devendo ser incluídos na gestão proativa dos riscos assistenciais e não somente na implementação prática das ações de segurança (20) . Portanto, os resultados mostram a necessidade de preparar profissionais de saúde, equipes de apoio e suas lideranças para gerenciar problemas relacionados com a assistência e engajar todos no processo de (re)pensar as práticas profissionais, a fim de fortalecer o cuidado primário seguro.…”