Abstract

ABSTRACTObjective:to assess patient safety culture in a university hospital. Method:cross-sectional study with data collection through the Hospital Survey on Patient Safety Culture applied in electronic device. A total of 381 employees were interviewed, corresponding to 46% of the sum of eligible professionals. Data were analyzed descriptively. the Cronbach’s alpha was used to calculate the frequency and reliability. Results:most were women (73%) from the nursing area (50%) and with direct contact with patients (82%). The composites related to “teamwork within units” (58%, α=0.68), “organizational learning - continuous improvement” (58%, α=0.63), “supervisor/manager expectations and actions promoting patient safety” (56%, α=0.73) had higher positive responses. Nine composites had low positive responses, with emphasis on “nonpunitive response to error” (18%, α=0.40). Only the item “in this unit, people treat each other with respect” had positive response above 70%. The patient safety assessment in the work unit was positive for 36% of employees, however only 22% reported events in past year. Conclusion:the findings revealed weaknesses in the safety culture at the hospital, with emphasis on culpability.

Highlights

  • Patient safety culture corresponds to values and behaviors of members in an institution and collectively represents the degree of institutional commitment with the safety of its processes[1]

  • The best scores on dimensions regarding safety culture were related to the lower incidence of surgical site infection in hospital[4], reduction of injuries, critical adverse events and risk-adjusted mortality[5]

  • In risk-adjusted morbidity analyses of the patients and characteristics of the hospital, the positive responses of safety culture were not related to mortality in patients with acute myocardial infarction[6], nor was affected after reduction of catheter-associated infections[7]

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Summary

Introduction

Patient safety culture corresponds to values and behaviors of members in an institution and collectively represents the degree of institutional commitment with the safety of its processes[1]. This construct reflects intangible aspects of health care, influenced exceedingly by the leadership, supervision and feedback to professionals[2]. Caregivers recognize to be inserted into an institution in which to follow the procedures is important They mark out their actions by performing the good practices of the area and providing information for its continuous improvement[3]. In risk-adjusted morbidity analyses of the patients and characteristics of the hospital, the positive responses of safety culture were not related to mortality in patients with acute myocardial infarction[6], nor was affected after reduction of catheter-associated infections[7]

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