Safety culture and communication about surgical errors from the perspective of the health team

Batista, Josemar; Cruz, Elaine Drehmer de Almeida; Alpendre, Francine Taporosky; Paixão, Danieli Parreira da Silva Stalisz da; Gaspari, Ana Paula; Mauricio, Aline Batista

Acessibilidade / Reportar erro

Brasil

Revista Gaúcha de Enfermagem

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Original Article • Rev. Gaúcha Enferm. 40 (spe) • 2019 • https://doi.org/10.1590/1983-1447.2019.20180192 copy

Safety culture and communication about surgical errors from the perspective of the health team

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

OBJECTIVE

To analyze the safety culture related to the communication dimensions and event notification from the perception of the health team.

METHOD

Survey carried out in a teaching hospital of Paraná through the application of the Survey on Patient Safety Culture questionnaire to 158 professionals working in surgical units from May to September 2017.The analysis of the data was done by descriptive and analytical statistics; dimensions with positive responses ≥75% represent strong areas for patient safety.

RESULTS

No dimension or item/question were considered strong to surgical patient safety. There was a difference, with a less negative perception from nursing in relation to medicine, in the dimensions "Return of the information and communication about the error" and "Frequency of events reports" (p<0.001).

CONCLUSION

The health team perceives that there is fragility in the patient safety in relation to the communication dimension, demanding actions that promote the patient safety.

Keywords:
Organizational culture; Communication; Patient safety; Surgicenters

Variables	n (%)
Gender
Female	91 (57.6)
Male	67 (42.4)
Job/Position
Clinical body physician/assistant physician	41 (26.0)
Resident physician/physician in training	31 (19.6)
Nurse	15 (9.5)
Nursing Technician	24 (15.2)
Nursing Assistant	47 (29.6)
Schooling
Complete high school	26 (16.5)
Incomplete higher education	12 (7.6)
Complete higher education	35 (22.2)
Post-graduation (specialization level)	59 (37.3)
Post-graduation (master's or PhD level)	25 (15.8)
No answer	01 (0.6)
Working time in the hospital
≤ 5 years	65 (41.1)
6 - 15 years	29 (18.4)
≥ 16 years	64 (40.5)
Working time in the unit
≤ 5 years	86 (54.4)
6 - 15 years	21 (13.3)
≥ 16 years	51 (32.3)
Weekly workload
20 - 39 hours	111 (70.2)
≥ 40 hours	47 (29.8)

Dimensions and items/questions	Percentage of responses
Dimensions and items/questions	Negative	Neutral	Positive
Communication openness	26.1	23.1	50.8
Professionals can speak freely if they see something that could negatively affect the patient care	10.3	21.8	67.9
Professionals feel free to question the decisions or actions of their superiors	40.5	23.4	36.1
Professionals are afraid to ask questions when something does not seem to be right	27.2	24.1	48.7
Return of information and communication about the error	30.4	31.8	37.8
We receive information about changes implemented from the event reports	36.1	38.7	25.2
We are informed about the errors that happen in this unit	31.0	26.6	42.4
In this unit, we discuss ways to prevent errors by preventing them from happening again	24.1	30.4	45.6
Frequency of events report	31.9	22.8	45.3
When an error occurs, it is noticed and corrected before it affects the patient, how often is it reported?	34.6	21.2	44.2
When an error occurs but there is no risk of harm to the patient, how often is it reported?	33.1	24.2	42.7
When an error occurs that could cause harm to the patient, but does not cause it, how often is it reported?	28.0	22.9	49.0

Dimension	Percentage of responses Nursing Team			Percentage of responses Medical Team			p- value^* * Chi-square test, p<0.05.
Dimension	Negative	Neutral	Positive	Negative	Neutral	Positive	p- value^* * Chi-square test, p<0.05.
Communication openness (Cronbach alpha=0.55)	26.5	19.8	53.7	25.6	27.0	47.4	0.173
Return of information and communication about the error (Cronbach alpha=0.76)	29.3	25.4	45.3	31.6	39.5	28.8	<0.001
Frequency of events report (Cronbach alpha=0.82)	20.9	22.8	56.3	44.9	22.7	32.4	<0.001

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
E-mail: revista@enf.ufrgs.br

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[1] Corresponding author:
Josemar Batista. josemar.batista@hotmail.com