Abstract
ABSTRACT Objective: to evaluate the patient safety culture dimensions from the nurses' point of view in a cardiopneumology reference hospital in the city of São Paulo (Brazil). Method: a quantitative, descriptive-exploratory study. Nurses from Inpatient Units and intensive care units participated in this study, which responded to the Hospital Survey on Patient Safety Culture instrument, validated for Brazil. Data was collected from July to September 2017. For data analysis, descriptive and inferential statistics were used; percentages greater than or equal to 75% of positive responses represent satisfactory results regarding to the patient safety culture. Results: of 102 nurses, 52 (51%) worked in inpatient units and 50 (49%) in intensive care units, 90.2% being nursing assistants. Females predominated (85.3%) and the mean age was 37.5 years old. As for the safety culture, the best rated dimension was “Organizational Learning - Continuous Improvement” (59.4%) and the worst, “Nonpunitive Response to Errors” (24.1%). The best evaluations were from inpatient unit’s nurses, regarding items of positive answers at the hospital level (p=0.01), and negative answers at the level of the professional’s unit of work (p=0.04). Conclusion: these findings make it possible to draw up intervention plans to strengthen and solidify components that encompass safety culture in the institution on this research scenario.
Highlights
In their practice, health professionals aim to ensure adequate patient care; in this process, the occurrence of failures, errors and adverse events (AEs), which cannot be disregarded, is inevitable
AEs have been defined by the World Health Organization (WHO) as an incident that results in some harm to the patient, which may result in the impairment of the body function and/or structure and in any harmful effects resulting from injury, suffering, disability and death, which can be physical, social or psychological
An important advance in the country was the creation of the National Patient Safety Program (Programa Nacional de Segurança do Paciente, PNSP), which aims to prevent and reduce incidence of health care-related AEs, through Ordinance MS/GM No.[529], April 1st, 2013
Summary
Health professionals aim to ensure adequate patient care; in this process, the occurrence of failures, errors and adverse events (AEs), which cannot be disregarded, is inevitable. An important advance in the country was the creation of the National Patient Safety Program (Programa Nacional de Segurança do Paciente, PNSP), which aims to prevent and reduce incidence of health care-related AEs, through Ordinance MS/GM No.[529], April 1st, 2013. This program includes strategies such as: creation of a safety culture; systematic and structured execution of risk management processes; integration with all care processes and articulation with organizational processes of health services; best evidence available; transparency, inclusion, accountability and awareness and ability to respond to change.[3]
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