Abstract

To assess the safety climate from the perspective of health professionals in the inpatient and intensive care units of a public hospital specialized in cardiology, in the city of Rio de Janeiro. Quantitative, exploratory, descriptive study, using the Safety Attitudes Questionnaire. The findings were analyzed according to descriptive and inferential statistics, with a significance level of 5%. The general safety climate had a mean of 66.6; the best score corresponded to the Job satisfaction (80.8) domain and the lowest to Hospital management perception (52.5). The means of the scores were statistically significant regarding the employment relationship, gender and professional category. There are weaknesses in the safety climate related to management and having a state job bond, belonging to the male gender and to the nursing team.

Highlights

  • METHODSPatient safety is necessity for the provision of care in health services

  • The safety culture is not about the safety values established by the organization or the individual, but a structural dynamic of the individual and organizational action system

  • A total of 391 health professionals participated in the study, which corresponded to a return rate of 86.8%

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Summary

Introduction

METHODSPatient safety is necessity for the provision of care in health services. International and national data indicate high rates of adverse events (AE) in this area, with an estimated occurrence between 4% and 16% of all hospitalized patients[1,2].Adverse events are related to care and have no association to the underlying disease, resulting in adverse events to patients, such as infections, surgery in the wrong site, incorrect administration of medication, blood and/or blood components, fall during hospitalization, pressure ulcers, among others.The safety culture consists of people’s behavior, values, attitudes, norms, beliefs, practices and policies. Patient safety is necessity for the provision of care in health services. The safety culture is not about the safety values established by the organization or the individual, but a structural dynamic of the individual and organizational action system. Such dynamics corrects for the understanding and the establishment of effective safety measures, associated by elements such as the leadership commitment, effective and trust-based communication, organizational learning, the non-punitive approach to reported and analyzed AE, the teamwork and the shared belief in the importance of safety[4,5]

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