Abstract
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.
Highlights
IntroductionAdvances have been identified in hospital care the last two decades, among them are the institution of patient safety centers (PSC) - organizations that support hospital establishments in the formulation of initiatives that promote patient safety,[2] advances in the development of studies and expanding the discussion on the topic in this care area
Problems related to patient safety care were highlighted in the 1999 report from the Institute of Medicine of the United States of America entitled “To err is human: building a safer health system (To Err is human: Building a safer health system)”
Advances have been identified in hospital care the last two decades, among them are the institution of patient safety centers (PSC) - organizations that support hospital establishments in the formulation of initiatives that promote patient safety,[2] advances in the development of studies and expanding the discussion on the topic in this care area
Summary
Advances have been identified in hospital care the last two decades, among them are the institution of patient safety centers (PSC) - organizations that support hospital establishments in the formulation of initiatives that promote patient safety,[2] advances in the development of studies and expanding the discussion on the topic in this care area. From these advances achieved in hospital care, actions have been outlined which benefit the patient safety culture and prevent events that cause damage to health.[3,4,5] In primary health care (PHC), the subject of patient safety can still denote strangeness to workers, and its applicability and meaning are not so evident, despite this care setting being the user’s gateway to the public health system which contains the majority of health actions. It is of great importance that a safety culture is sustained in these levels of health care, understanding that the safety culture consists of the observation and execution of norms, traditions, values, beliefs regarding patient safety, which can directly influence professional practice, as well as determine the management of attitudes that may or may not promote safety during care.[8,9] Studies and national and international organizations consider that knowledge of the existence or not, construction, and measurement of the patient safety culture in a health institution are very important for establishing safe attitudes.[10,11]
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