Patient safety culture in the Primary Health Care

Souza, Marina Mazzuco de; Ongaro, Juliana Dal; Lanes, Taís Carpes; Andolhe, Rafaela; Kolankiewicz, Adriane Cristina Bernat; Magnago, Tânia Solange Bosi de Souza

doi:10.1590/0034-7167-2017-0647

Cited by 29 publications

(41 citation statements)

References 18 publications

(25 reference statements)

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“…Besides that, there was a significant difference showing that home care workers gave higher scores of safety culture in their workplace than primary care workers. Although no studies have been found in the literature comparing the perceptions of primary and home care workers about safety culture, SAQ scores given by primary care workers in another study were close to ours [13].…”

Section: Discussionsupporting

confidence: 80%

“…A study conducted in a primary care setting at the southern region of Brazil found negative scores for safety culture in almost all SAQ domains [13]. An opposite result was identified in another study in which primary care providers and oral health workers evaluated safety culture using the Medical Office Survey on Patient Safety Culture (MOSPSC) questionnaire, and rated safety culture positively [12].…”

Section: Discussionmentioning

confidence: 93%

“…The prioritization of patient safety in high complexity services led to a scarcity of studies on the subject in primary and home care settings, representing gaps in research and practices [12,13]. Safety actions must be studied in the way in which they are practiced, and considering the perceptions of health workers to elucidate possible needs for improvements.…”

Section: Introductionmentioning

confidence: 99%

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Patient safety culture in primary and home care services

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Background Safety culture is still a poorly studied subject in primary care and home care, although these settings are considered gateways to access to healthcare. This study aims to evaluate safety culture in primary and home care settings. Methods An observational cross-sectional study was carried out with 147 professionals from nine districts covered by one home care program and six primary healthcare centres. The Safety Attitudes Questionnaire (SAQ) was used to evaluate the safety culture, in which scores ≥75 are indicative of a positive safety culture. Results A total of 56 (86,1%) questionnaires returned from the home care professionals and 91 (86,6%) from the primary care professionals. The Job satisfaction domain was the best evaluated, achieving a score of 88.8 in home care and 75.1 in primary care. The achievement of high scores on Safety Climate, Job Satisfaction, Teamwork Climate, and Total SAQ was related to male gender, and time of professional experience of three to 4 years. Perception of management and Working conditions had the lowest scores, and this result was related with long time of experience. Conclusions It is concluded that professionals working in home care gave higher scores for safety culture in their workplace than the primary care workers.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

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Patient safety culture in primary and home care services

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“…Although no studies have been found in the literature comparing the perceptions of primary and home care workers about safety culture, SAQ scores given by primary care workers in another study were close to ours 13 .…”

Section: Discussionsupporting

confidence: 80%

Patient Safety Culture in Primary and Home Care Services

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Dutra

Silva

et al. 2020

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Background: Safety culture is still a poorly studied subject in primary care and home care, although these settings are considered gateways to access to healthcare. This study aims to evaluate safety culture in primary and home care settings.Methods: An observational cross-sectional study was carried out with 147 professionals from nine districts covered by one home care program and six primary healthcare centres. The Safety Attitudes Questionnaire (SAQ) was used to evaluate the safety culture, in which scores ≥ 75 are indicative of a positive safety culture.Results: A total of 56 (86,1%) questionnaires returned from the home care professionals and 91 (86,6%) from the primary care professionals. The Job satisfaction domain was the best evaluated, achieving a score of 88.8 in home care and 75.1 in primary care. The achievement of high scores on Safety Climate, Job Satisfaction, Teamwork Climate, and Total SAQ was related to male gender, and time of professional experience of three to four years. Perception of management and Working conditions had the lowest scores, and this result was related with long time of experience.Conclusions: It is concluded that professionals working in home care gave higher scores for safety culture in their workplace than the primary care workers.

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“…Considera-se que os EA à saúde são evitáveis, porém é pouco provável que sejam nulos durante a Development, v. 9, n. 10, e9129109335, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i10.9335 assistência à saúde, tendo em vista sua origem multifatorial, como a estrutura organizacional, as condições de trabalho, a demanda de funcionários, a qualificação e o acesso (Cruz et al, 2018) A segurança do paciente tem importância nos diferentes cenários de Atenção Primária à Saúde (APS), observa-se gradativamente, o crescente número de estudos na atenção primária à saúde. Estudos se direcionam em sua maioria, para a avaliação da Cultura de Segurança do paciente na percepção dos profissionais envolvidos (Raimondi et al, 2019;Souza et al, 2019;Webair et al, 2015). Como exemplo, cita-se que no Oriente Médio, o tema de maior enfoque a partir de 2011 foi a avaliação da cultura de segurança na Atenção Primária a Saúde (APS) como um primeiro passo para o entendimento da cultura de segurança de uma organização (Lawati, Dennis, Short & Abdulhdi, 2018).…”

Section: Introductionunclassified

Problemas e estratégias relacionados à segurança do paciente na atenção primária à saúde

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Crozeta

Peres

et al. 2020

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Objetivos: Descrever os principais problemas relacionados à segurança do paciente na Atenção Primária à Saúde na perspectiva dos enfermeiros; elencar estratégias de mudança que fortaleçam a segurança do paciente na Atenção Primária à Saúde. Método: Pesquisa descritiva, de abordagem quanti-qualitativa. Na quantitativa utilizou-se o instrumento Medical Office Survey on Patient Safety Culture e na qualitativa optou-se pelo modelo de cadeia causal e a Teoria do Desenvolvimento Organizacional. A coleta de dados ocorreu de julho a dezembro de 2017, em 14 unidades de saúde de uma cidade do sul do Brasil. Participaram 51 enfermeiros. Resultados: Descreveram-se problemas de segurança do paciente relacionados: aos equipamentos, exames, prontuários, quantitativo profissional, à pressa, ao fluxo de trabalho, à gestão do serviço, à quantidade ser mais importante do que a qualidade, à troca de informação e aos profissionais que acreditam que os erros podem ser usados contra si. Diante destes, foram elaboradas estratégias genéricas, relacionadas à estrutura, como manutenção de equipamentos, aquisição de materiais, aumento do quadro de pessoal e melhorias no sistema informatizado; e e específicas, relacionadas ao processo de gestão, com ações voltadas a melhoria do processo de trabalho local. Conclusão: A descrição dos problemas para a segurança do paciente na Atenção Primária à saúde possibilita elencar estratégias que visam o fortalecimento da cultura de segurança.

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Patient safety culture in the Primary Health Care

Cited by 29 publications

References 18 publications

Patient safety culture in primary and home care services

Patient safety culture in primary and home care services

Patient Safety Culture in Primary and Home Care Services

Problemas e estratégias relacionados à segurança do paciente na atenção primária à saúde

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