La cultura de seguridad del paciente como estrategia para evitar errores médicos

L, María José Gavilanes; Aucatoma, Karina; Piedrahita, Felipe Moreno; Rivas, Alexis

doi:10.31243/mdc.uta.v5i3.1189.2021

Cited by 3 publications

(1 citation statement)

References 2 publications

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“…Los resultados revelaron una comprensión limitada de la cultura de seguridad entre estos estudiantes, quienes mayormente la vinculan con medidas de bioseguridad y el seguimiento de protocolos institucionales. Esta interpretación puede generar confusiones al equiparar estos conceptos 16 .…”

Section: Introductionunclassified

Explorando El Clima De Seguridad Del Paciente en Un Hospital Del Carchi-Ecuador; Una Perspectiva Del Personal De Salud

Mora Tobar,

López-Aguilar,

Espinel Jara

et al. 2024

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INTRODUCCIÓN: En los últimos años el registro de eventos adversos asociados con la atención en salud, constituyen un reto en la gestión del clima de seguridad del paciente. Un aspecto esencial es el clima de seguridad que influye en el comportamiento individual y organizacional reflejado como un conjunto de creencias y valores dirigidos a reducir riesgos asociados con la atención. OBJETIVO: determinar el clima de seguridad del paciente en un hospital público del Ecuador. METODOLOGÍA: estudio descriptivo, transversal, cuantitativo, no experimental, aplicó el instrumento “Encuesta hospitalaria sobre la cultura de seguridad en la paciente 2.0” que evaluó el clima de seguridad, las dimensiones se expresaron en promedios de preguntas afirmativas, negativas y neutras, los resultados se analizaron en el programa estadístico SPSS. RESULTADOS: participaron 157 profesionales que cumplieron con criterios de inclusión. Las dimensiones con alta percepción afirmativa (≥ 45%): aprendizaje organizativo 52,2%, personal y ritmo de trabajo 50,0%, trabajo en equipo 48,2% y respuesta al error 47,7%, consideradas fortalezas, mientras que las dimensiones con percepciones negativas (≥ 35%): apertura de la comunicación 36,0%, junto a comunicación sobre errores, transferencia de información, apoyo en administración, reporte de eventos y apoyo del supervisor con porcentajes (≥ 35%) de respuestas positivas, fueron oportunidades de mejora. CONCLUSIÓN: la percepción de clima de seguridad en general es positiva, aunque existen oportunidades de mejora que pueden ser abordadas para promover un clima de seguridad sólido y comunicación efectiva entre el personal de salud.

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Section: Introductionunclassified

Explorando El Clima De Seguridad Del Paciente en Un Hospital Del Carchi-Ecuador; Una Perspectiva Del Personal De Salud

Mora Tobar,

López-Aguilar,

Espinel Jara

et al. 2024

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Quality of life of cutaneous leishmaniasis suspected patients in the Ecuadorian Pacific and Amazon regions: a cross sectional study

et al. 2022

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Background Yearly, up to 1 million patients worldwide suffer from cutaneous leishmaniasis (CL). In Ecuador, CL affects an estimated 5000 patients annually. CL leads to reduced Health Related Quality of Life (HRQL) as a result of stigma in the Asian and Mediterranean contexts, but research is lacking for Ecuador. The objective of this study was to explore the influence of CL suspected lesions on the quality of life of patients in the Pacific and Amazon regions. Methods Patients for this study were included in the Amazonian Napo, Pastaza, and Morona Santiago provinces and the Pacific region of the Pichincha province. Participating centers offered free of charge CL treatment. All patients suspected of CL and referred for a cutaneous smear slide microscopy examination were eligible. This study applied the Skindex-29 questionnaire, a generic tool to measure HRQL in patients with skin diseases. All statistical analysis was done with SPSS Statistics version 28. Results The skindex-29 questionnaire was completed adequately by 279 patients who were included in this study. All patient groups from the Amazon scored significantly (P < 0.01) higher (indicating worse HRQL) on all the dimensions of the Skindex-29 questionnaire than Mestizo patients from the Pacific region. The percentage of patients with health seeking delay of less than a month was significantly (P < 0.01) lower in the Amazon region (38%) than in the Pacific (66%). Conclusions The present study revealed that the influence of suspected CL lesions on the HRQL of patients in the Ecuadorian Amazon and Pacific depends on the geographic region more than on patient characteristics such as gender, age, number of lesions, lesion type, location of lesions, health seeking delay, or posterior confirmation of the Leishmania parasite. The health seeking delay in the Amazon might result from a lack of health infrastructure or related stigma. Together, the impaired HRQL and prolonged health seeking delay in the Amazon lead to prolonged suffering and a worse health outcome. Determinants of health seeking delay should be clarified in future studies and CL case finding must be improved. Moreover, HRQL analysis in other CL endemic regions could improve local health management.

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Leishmania species and clinical characteristics of Pacific and Amazon cutaneous leishmaniasis in Ecuador and determinants of health-seeking delay: a cross-sectional study

et al. 2023

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Background Cutaneous Leishmaniasis (CL) affects up to 5.000 people in Ecuador each year. L. guyanensis and L. braziliensis are the most common of the eight CL-causing Leishmania species. Earlier CL research concentrated on the easily accessible Pacific region. This study aims to describe the Leishmania species in Pacific and Amazon ecoregions, to analyze regional differences in CL patient clinical presentation, and to identify determinants of health-seeking delay. Methods All cases in this cross-sectional study were diagnosed using smear slide microscopy, PCR, or both. Cytochrome B gene sequencing was used to identify the causative Leishmania species in qPCR-positive samples. Results This study included 245 patients, with 154 (63%) infected in the Pacific region and 91 (37%) infected in the Amazon. Causative Leishmania species were identified in 135 patients (73% of qPCR positives). L. guyanensis was identified in 76% (102/135) of the samples and L. braziliensis in 19% (26/135). The Pacific region had a low prevalence of 6% (5/89) of L. braziliensis. For the first time, we report L. guyanensis from the central Amazon, L. braziliensis from the northern Pacific, and L. lainsoni from both the central Amazon and northern Pacific. Amazon cases had a longer median health-seeking delay in months (2.0, IQR 3.0) than Pacific cases (1.0, IQR 1.5). Prolonged health-seeking delay was associated with older age, Amerindian ethnicity, infection at lower altitudes, non-ulcerative lesions, and lesions on the lower limbs. Conclusions In the Pacific region, health-seeking delay is relatively short and L. braziliensis prevalence remains low. Limited access to health care and stigma might explain the prolonged health-seeking delay in the Amazon. We recommend larger studies on the distribution of Leishmania species in Amazon CL cases and additional regional research into diagnostic test accuracy. Furthermore, the determinants of health-seeking delay in Ecuador should be investigated further.

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La cultura de seguridad del paciente como estrategia para evitar errores médicos

Cited by 3 publications

References 2 publications

Explorando El Clima De Seguridad Del Paciente en Un Hospital Del Carchi-Ecuador; Una Perspectiva Del Personal De Salud

Explorando El Clima De Seguridad Del Paciente en Un Hospital Del Carchi-Ecuador; Una Perspectiva Del Personal De Salud

Quality of life of cutaneous leishmaniasis suspected patients in the Ecuadorian Pacific and Amazon regions: a cross sectional study

Leishmania species and clinical characteristics of Pacific and Amazon cutaneous leishmaniasis in Ecuador and determinants of health-seeking delay: a cross-sectional study

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