Contributive factors for the consolidation of patient safety culture in the hospital environment

Factores que contribuyen a consolidar la cultura de seguridad del paciente en el ámbito hospitalario

Andréia Heidmann Letícia Flores Trindade Catiele Raquel Schmidt Marli Maria Loro Rosane Teresinha Fontana Adriane Cristina Bernat Kolankiewicz About the authors



To understand the contributing factors for the consolidation of the patient safety culture, from a management perspective, in an accredited hospital.


A qualitative study developed in a hospital institution of size IV, accredited by the National Accreditation Organization as level II, located in the northwest region of the State of Rio Grande do Sul/Brazil. The inclusion criteria were the following: having been in the leadership position of the institution for over a year and actively participating in the accreditation process. Leaders on vacation or absent due to illness in August 2018 were excluded. The collection was performed using the Focus Group technique in August 2018. Data were explored by thematic analysis.


The group reported teamwork, professional appreciation, management support, implementation of protocols, professional satisfaction, and working conditions as factors that contributed to the consolidation of the safety culture.

Conclusions and implications for practice:

The identified factors allowed for a cultural change in the institution through participatory management in processes and results that encourage workers to assume significant roles in advancing patient safety by assimilating and taking responsibility for change, which plays a crucial role in developing safe care.

Patient safety; Leadership; Health Services Administration; Focus Group; Multi-professional team.

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