Patient safety culture in a teaching hospital: differences in perception existing in the different scenarios of this institution

Silva-Batalha, Edenise Maria Santos da; Melleiro, Marta Maria

doi:10.1590/0104-07072015000192014

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Original Article • Texto contexto - enferm. 24 (2) • Apr-Jun 2015 • https://doi.org/10.1590/0104-07072015000192014 copy

Patient safety culture in a teaching hospital: differences in perception existing in the different scenarios of this institution¹ 1 Article extracted from the dissertation titled - Patient safety culture in the perception of nursing professionals in a teaching hospital, presented to the School of Nursing of the Universidade de São Paulo (USP), in 2012.

Cultura de la seguridad del paciente en un hospital universitario: la percepción de profesionales en diferentes escenarios de esa institución

Authorship SCIMAGO INSTITUTIONS RANKINGS

This quantitative descriptive-exploratory study aimed to evaluate the perception of nursing professionals regarding the patient safety culture and to identify differences in perception in the hospital's units. A total of 301 nursing professionals participated. The collection instrument was the Agency for Healthcare Research and Quality questionnaire, titled 'Hospital Survey on Patient Safety Culture'. Data analysis was undertaken through descriptive and analytical statistics. As a result, it was observed that there were significant differences between the units, emphasis being placed on the pediatric units, which had better perceptions of safety (mean: 3.43 and median: 3.44). These findings make it possible to outline models for quality improvement which are more specific for each department, and the analysis of the contexts makes it possible to build good practices in health which are directed towards each work process performed in the institution.

Quality of health care; Evaluation of health services; Patient safety; Nursing

Dimensions	Definition	α
1 Teamwork within units	The workers support one another in the units, treat each other with respect and work together as a team.	0.68
2 Supervisor/manager expectations and actions promoting patient safety	Supervisors/managers consider the team’s suggestions for improving patient safety, praise the worker or team which follows procedures correctly, and do not neglect patient safety problems.	0.77
3 Organizational learning – continuous improvement	There is a culture of learning, in which errors lead to positive changes, and the changes’ efficacy is evaluated.	0.60
4 Hospital management support for patient safety	Hospital management offers a work climate which promotes patient safety and demonstrates that patient safety is the highest priority.	0.72
5 Feedback and communication about error	Staff are informed about errors which occur, feedback is provided regarding changes implanted, and ways of preventing errors are discussed with the team.	0.67
6 Communication openness	Staff can engage in discussion freely if they observe something which could negatively affect the patient, and feel free to question their superiors.	0.63
7 Teamwork across hospital units	The hospital’s units cooperate and coordinate their activities so as to offer the best care to the patient.	0.56
8 Staffing	There are sufficient numbers of staff for the effective undertaking of the work, and the number of hours worked is appropriate for offering the best care to the patient.	0.66
9 Hospital handoffs and transitions	Important information regarding patient care is transmitted between the hospital’s units and during shift changes.	0.70
10 Nonpunitive response to error	Staff feel that their mistakes and the events reported are not used against them, and that mistakes they make are not kept in their personnel files.	0.40
11 Overall perceptions of safety	The procedures and systems existent in the organization are effective in presenting mistakes and there are no problems regarding patient safety.	0.47
12 Frequency of event reporting	The frequency with which mistakes are notified in the various categories.	0.87

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] Correspondence: Edenise Maria Santos da Silva Batalha Rua Padre Camilo Torrend, 172, ap 12. 40210-650 - Federação, Salvador, BA, Brazil E-mail: edenisemaria@gmail.com