Cultura de segurança do paciente em centro cirúrgico na perspectiva da equipe de enfermagem / Patient safety culture in surgical center from perspective of the nursing team

Fagundes, Thaís Ender; Acosta, Adriano da Silva; Gouvea, Pollyana Bortholazzi; Massaroli, Rodrigo; Rangel, Rita de Cássia Teixeira; Andrade, Patrícia Daiana

doi:10.15210/jonah.v11i2.19510

J. nurs. health.

2021

DOI: 10.15210/jonah.v11i2.19510

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Cultura de segurança do paciente em centro cirúrgico na perspectiva da equipe de enfermagem / Patient safety culture in surgical center from perspective of the nursing team

Thaís Ender Fagundes

Adriano da Silva Acosta

Pollyana Bortholazzi Gouvea

et al.

Abstract: Objetivo: analisar a cultura de segurança do paciente em Centro Cirúrgico na perspectiva da equipe de enfermagem. Método: estudo transversal desenvolvido em dois hospitais da região sul do país, com 77 profissionais de enfermagem do Centro Cirúrgico. Os dados foram coletados entre junho e julho de 2019, por meio da aplicação do questionário Hospital Survey on Patient Safety Culture. Na análise e interpretação de dados foi seguido as diretrizes da Agency for Healthcare Research and Quality. Resultados: comparan… Show more

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Cited by 5 publications

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Patient safety culture in South America: a cross-sectional study

Pedroso,

Fernandes,

Tuma

et al. 2023

BMJ Open Qual

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BackgroundEvery year, millions of patients suffer injuries or die due to unsafe and poor-quality healthcare. A culture of safety care is crucial to prevent risks, errors and harm that may result from medical assistance. Measurement of patient safety culture (PSC) identifies strengths and weaknesses, serving as a guide to improvement interventions; nevertheless, there is a lack of studies related to PSC in Latin America.AimTo assess the PSC in South American hospitals.MethodsA multicentre international cross-sectional study was performed between July and September 2021 by the Latin American Alliance of Health Institutions, composed of four hospitals from Argentina, Brazil, Chile and Colombia. The Hospital Survey on Patient Safety Culture (HSOPSC V.1.0) was used. Participation was voluntary. Subgroup analyses were performed to assess the difference between leadership positions and professional categories.ResultsA total of 5695 records were analysed: a 30.1% response rate (range 25%–55%). The highest percentage of positive responses was observed in items related to patient safety as the top priority (89.2%). Contrarily, the lowest percentage was observed in items regarding their mistakes/failures being recorded (23.8%). The strongest dimensions (average score ≥75%) were organisational learning, teamwork within units and management support for patient safety (82%, 79% and 78%, respectively). The dimensions ‘requiring improvement’ (average score <50%) were staffing and non-punitive responses to error (41% and 37%, respectively). All mean scores were higher in health workers with a leadership position except for the hospital handoff/transitions item. Significant differences were found by professional categories, mainly between physicians, nurses, and other professionals.ConclusionOur findings lead to a better overview of PSC in Latin America, serving as a baseline and benchmarking to facilitate the recognition of weaknesses and to guide quality improvement strategies regionally and globally. Despite South American PSC not being well-exploited, local institutions revealed a strengthened culture of safety care.

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Patient safety culture in South America: a cross-sectional study

Pedroso,

Fernandes,

Tuma

et al. 2023

BMJ Open Qual

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Safety climate in the operating room in the pre-pandemic and pandemic period of COVID-19: A mixed method study

Ferreira,

Fassarella,

Ribeiro

et al. 2024

PLoS ONE

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Introduction To verify whether the COVID-19 pandemic has had an impact on the safety climate based on the perception of the multiprofessional team in the operating room and to analyze the domains of the safety climate during the pre-pandemic and pandemic period of COVID-19, demonstrating the intersections of quantitative and qualitative approaches. Methods Mixed-method research using a convergent approach strategy, carried out in the operating room of a university hospital, located in Rio de Janeiro, Brazil. The nature of the quantitative phase was cross-sectional, and the nature of the qualitative phase was descriptive. We used the Pillar Integration Process to integrate the data. This research considered the pre-pandemic period was defined as before March 2020 and for the pandemic period, the 2nd and 3rd global waves. Research was approved by the institution’s board management and ethics committee. Results 145 health professionals participated in the quantitative approach, and 20 in the qualitative approach. The impact of the COVID-19 pandemic was highlighted in the domains ’Perceived stress’ (p-value = 0.017); ’Working conditions’ (p-value = 0.040). Six categories emerged from the qualitative analysis, namely: Stress and professional performance due to COVID-19; Patient safety protocols in the operating room; Responsibility for patient safety, lack of effective communication and performance feedback; Biosafety of the professional staff in the operating room; Security culture maturity; Fair culture, organizational learning, and reporting mistakes. As a result of the data integration, 6 pillars were identified: Perception of communication in the operating room; Evolution of safety culture; Overview of protocol management and implementation; Fair organizational culture; Perception of stress due to COVID-19; Perception of professional performance due to COVID-19. Conclusions The impact that COVID-19 had on the safety climate in the operating room is evident. It underlines the need to implement strategies that support the solidification of attitudes aimed at patient safety, even in emergencies.

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Cultura de Segurança do Paciente Oncológico na Perspectiva da Equipe Multiprofissional

Fagundes¹,

Acosta²,

Peretiatko³

et al. 2022

Rev. Bras. Cancerol.

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Introdução: A cultura de segurança origina-se da cultura organizacional, sendo descrita como o conjunto de percepções, competências, atitudes e valores, tanto individuais quanto coletivas, em prol de uma organização comprometida com a gestão da segurança do paciente. Em cenários como complexos oncológicos/Unidade de Alta Complexidade em Oncologia (Unacon), onde os pacientes estão mais vulneráveis e a rotina diária da equipe multiprofissional e fundamentada por vários processos de trabalho, e necessário que seja avaliada a cultura de segurança em busca de pontos a serem aperfeiçoados. Objetivo: Analisar a cultura de segurança do paciente em um complexo oncológico na perspectiva da equipe multiprofissional. Método: Estudo descritivo-exploratório, de natureza quantitativa, do tipo transversal, desenvolvido em um complexo oncológico no Sul do Brasil, com 46 profissionais da equipe multiprofissional. Os dados foram coletados entre julho e setembro de 2021, por meio da aplicação do questionário Hospital Survey on Patient Safety Culture (HSOPSC). Na analise e interpretação de dados, foram seguidas as orientações da Agency for Healthcare Research and Quality. Resultados: Os dados obtidos demonstraram maior frequência de positividade para “trabalho em equipe da unidade” (61,9%) e “expectativas e ações do supervisor/chefe para a promoção da segurança do paciente” (60,9%). Conclusão: Os resultados indicam que a cultura de segurança precisa ser fortalecida no local do estudo nas 12 dimensões avaliadas, com especial atenção aquelas dimensões com avaliação com menor taxa de positividade.

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Cultura de segurança do paciente em centro cirúrgico na perspectiva da equipe de enfermagem / Patient safety culture in surgical center from perspective of the nursing team

Cited by 5 publications

References 12 publications

Patient safety culture in South America: a cross-sectional study

Patient safety culture in South America: a cross-sectional study

Safety climate in the operating room in the pre-pandemic and pandemic period of COVID-19: A mixed method study

Cultura de Segurança do Paciente Oncológico na Perspectiva da Equipe Multiprofissional

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