Patient safety culture in the intensive care unit: cross-study

Abstract

Introduction: Patient safety culture has been the reason for great concern for the scientific community due to the high number of failures resulting from the provision of health care. The objective of this study was to evaluate the perception regarding the patient safety culture and their differences between categories, in the professional teams of the adult intensive care unit (ICU).
 Methodology: This is a cross-sectional descriptive study, with a quantitative approach, to evaluate the patient safety culture developed in the unit adult ICU of a public university hospital.
 Results: In this survey, 138 employees of the ICU participated, among them: physicians, psychologists, nutritionists, physiotherapists, nurses, nursing technicians, and secretaries. There was a predominance of nursing technicians (76.8%) and work experience time from 5 to ≥ 21 years (62.3%). The overall mean of the safety culture in the ICU was 57.80, and the domains with the best average were stress perception (73.84) and satisfaction at work (72.38) and with the worst mean was the perception of hospital management (42.69). The perception of safety attitudes in the professional category of physicians presented a general average of 61.63, being strengthened to job satisfaction (77,89) and with a higher perception in relation to nurses.
 Conclusions: The overall ICU average for the patient safety culture was less than 75, which demonstrates a team with weakened safety attitude and, in addition, low perceptions of safety attitudes based on the results of management domains, working conditions and communication failures.

The association between self‐reported workload and perceptions of patient safety culture: A study of intensive care unit nurses

“…The management support for patient safety also had a positive perception when the actions of hospital management exhibited that patient safety is a topmost priority. However, these results are not consistent with those of a previous study (Gomides et al, 2019).…”

“…The fundamentals of developing a PSC in healthcare settings include the decrease of incidents and errors and the improvement of the total quality of healthcare provided to all patients (Rizalar & Topcu, 2017). Moreover, research studies have explored PSC in ICUs and other hospital units across the globe, including countries of Slovakia, Czech Republic (Gurková et al, 2019), Egypt (Salem et al, 2019), Indonesia (Imelda & AdikWibowo, 2018), Croatia, Poland (Gurková et al, 2019) and Iran (Farzi et al, 2017; Gomides et al, 2019). A systematic review has also been conducted (Reis et al, 2018).…”

Vadovų Požiūris Į Saugą Ir Saugumo Klimatą Intensyviosios Terapijos Skyriuose: Darbuotojų Nuomonė

“…Pastaraisiais dešimtmečiais vis daugiau dėmesio skiriama pacientų saugai sveikatos priežiūros įstaigose. Sveikatos priežiūros paslaugos tampa sudėtingesnės, reikalaujančios profesionalesnio ir daugiau žinių reikalaujančio valdymo [12].…”

“…(2018) Brazilijoje ITS atlikto tyrimo metu, kuriame dalyvavo 138 ITS specialistai, taip pat nei viena sritis nebuvo įvertinta teigiamai. Žemiausiais balais šiame tyrime buvo įvertintas vadovų požiūris į saugą − 42,69 balo [12]. R. Agaus ir kt.…”

Hemşirelerin Hasta Güvenliği Kültürü Algıları ve Etkileyen Faktörler

“…Ancak ihmal ya da riske gerçekten aldırış etmeme durumlarında bireylerin sorumlulukları da göz ardı edilmemelidir [2]. "Güvenlik kültürü" terimi ilk olarak 1991'de tanımlanmış ve daha sonra "Güvenlik kültürü, çalışanlar ve kamu güvenliği için herkes için, tüm gruplarda ve bir kuruluşun tüm seviyelerinde yer alan en kalıcı değer ve önceliktir" şeklinde geliştirilmiştir [6]. Hasta güvenliği kültürü (HGK) oluşturmada en önemli adım üst yönetimin onayının alınmasıdır.…”