Evaluation of the Patient Safety Culture in the Western Amazon

Abstract

Introduction: The safety culture of the patient is a contributing factor for the maintenance of the user’s well-being in the health system because, through it, an organized systematization and quality of patient care are obtained, preventing possible intercurrences that can cause damages.
 Objective: To analyze the Patient Safety Culture (PSC) from the perspective of health professionals at the Reference Hospital of the Upper Juruá River, in the Brazilian Western Amazon.
 Methods: This is a cross-sectional study developed in a medium-sized public hospital in a municipality in Western Amazonia. The Survey for Patient Safety Culture survey of the Agency for Healthcare Research and Quality was applied to 280 professionals from December 2016 to February 2017. Descriptive analysis of the data and the internal consistency of the instrument were performed.
 Results: The results indicate the best evaluations in the dimensions of Teamwork in the scopes of the units (60%) and Organizational learning (60%). The aspects with the worst results were the dimensions of non-punitive responses to errors (18%) and frequency of events reported (32%). The internal reliability (Cronbach’s Alpha) analysis of the dimensions ranged from 0.35 to 0.90.
 Conclusion: The "culture of fear" seems to predominate in this hospital, however, the study showed that there is scope for improvement in all dimensions of CSP. The values of Cronbach’s Alpha presented similarity to the results obtained by the validation process.

Patient Safety Culture From the Perspective of Nursing Professionals

“…These data are in line with other studies carried out in Brazil, compared to the research carried out in three neonatal intensive care units (NICUs) in public hospitals of Belo Horizonte, which obtained a higher percentage of negative answers for the safety culture in 11 of the 12 dimensions evaluated 16 . Another study carried out in a public hospital in the state of Acre evidenced six weak areas for patient safety 17 . In this perspective, the consolidation of the patient safety culture is challenging for the managers of public institutions because there is a need for daily reflections on the implementation and execution of improvements in the care practice 4,[9][10][11][12] .…”

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

“…Tal resultado se equipara a um estudo efetuado no estado do Amazonas, em que "Aprendizado organizacionalmelhoria contínua" obteve 60% de respostas positivas. 15 Em outro estudo realizado em unidades de CC em Teresina/PI, a mesma dimensão obteve um escore de 58,7%. 11 Estes achados atestam que os trabalhadores de enfermagem percebem que nessas instituições existe o objetivo da melhoria contínua, que proporciona o aprimoramento dos colaboradores.…”

Perception of Patient Safety Culture in the Framework of the Psychosocial Care Network in Western Amazon: A Cross-Sectional Study

“…These weaknesses end up negatively impacting patient safety culture [37,38]. It is of utmost importance that all professionals involved in the management and operation of the evaluated units understand that the error is a great learning opportunity and not reprisals to colleagues in the face of situations that may put the patient at risk [37,39].…”