Abstract

Objective: Presenting the recommendations of health professionals from an Intensive Care Unit for the improvement of patient safety culture. Methods: Descriptive-exploratory study, with a quantitative approach, resulting from the application of the Survey about Patient Safety in Hospitals, 59 professional staff participated between November 2013 and January 2014. Results: Were obtained 124 recommendations, which were categorized according to aspects of the instrument. Highlighting recommendations related to the support of the hospital management to patient safety, in particular, the supply of material resources; and also to organizational learning and continuous improvement, with suggestions for training and implementation of protocols aimed at standardizing the assistance. Conclusion: The study permitted to list significant recommendations for improvements in patient safety, and made it possible to identify the dimensions of safety culture that have more vulnerabilities.

Highlights

  • The movement for safety and quality in health services has occupied a prominent position in the world

  • It is a questionnaire with closed and open questions covering the dimensions of patient safety culture and that allows the identification of the positive aspects and areas that require improvement

  • Related to working time in the hospital, and practice time in the Intensive Care Unit (ICU), it appears that approximately one third have less than a year of work in the institution and in intensive care

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Summary

Introduction

The movement for safety and quality in health services has occupied a prominent position in the world. It is not a new subject, at no other time there were so many publications on this theme as in the 21st century. In 2008, it is highlighted the pioneering and nursing's concern regarding the safety of the patient, which is expressed through the Brazilian Network of Nursing and Patient Safety, in order to strengthen safe nursing care and with quality[2]. The creation of the National Patient Safety Program in 2013 comes to evidence, revealing an important governmental action towards patient safety in Brazil[1]. In order to facilitate the understanding of the following study, it was presented the definition of important terms related to patient safety. While error is recognized as the failure to execute a plan of action, as desired[3]

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