Abstract

ABSTRACTOBJECTIVE Analyze if the patient safety culture among professionals in the primary health care differs among health care teams.METHODS Cross-sectional and quantitative study conducted in April and May 2017, in a city in Southern Brazil. A total of 144 professionals who responded to the questionnaire “Survey on Patient Safety Culture in Primary Health Care” participated in the study. Data were analyzed in the Statistical Analysis Software program and expressed in percentage of positive responses. The ethical principles established for research with human beings were applied.RESULTS Patient safety culture is positive among 50.81% of the professionals, and the dimensions “your health service” (63.39%) and “patient safety and quality” (61.22%) obtained the highest average of positive responses. Significant differences were found between the family health and oral health teams (α = 0.05 and p < 0.05), in the dimensions “patient safety” (p = 0.0274) and “work at the health service” (p = 0.0058).CONCLUSIONS We concluded that, although close to the average, patient safety culture among professionals in the Primary Health Care is positive and that there are differences in safety culture between family health and oral health teams in comparison with the primary health care teams.

Highlights

  • Primary Health Care (PHC), main gateway of the Brazilian Unified Health System (SUS), is composed of teams that work in defined territory

  • Considering the relationship between patient safety culture and promotion of safe and good care, this study was based on the following questions: What is the existing patient safety culture among professionals of PHC? Is there any difference in the patient safety culture among PHC teams? To answer these questions, this study aimed to identify the patient safety culture among professionals of PHC and analyze if this culture differs among health teams

  • The overall average of positive responses of the dimensions that make up the safety culture was 50.81% among professionals who work in teams associated with PHC, indicating that, very close to the average, the patient safety culture is positive

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Summary

Introduction

Primary Health Care (PHC), main gateway of the Brazilian Unified Health System (SUS), is composed of teams that work in defined territory. The PHC teams have sanitary responsibility, i.e. they have to offer comprehensive care to individuals registered in their area of influence, developing health promotion, disease prevention, diagnosis, treatment, recovery and rehabilitation. They are responsible for coordinating the care to the individual and the planning of the Health care Network[1]. More than 70% of the health care provided to the population are performed by the PHC teams[2], as the health unit is located next to the residence of the patient, and it develops constant assistance at home and in the community. The PHC tends to offer decisive assistance, able to solve up to 85% of the health problems of the population[3]

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