Cultura de Segurança do paciente: uma revisão integrativa da literatura

Abstract

Introduction: The importance of investing in Patient Safety Culture is closely linked to good results. The health team, mainly the nursing team, responsible for direct care of patients, occupies a prominent place in reducing the failure and maintaining the quality of care provided. Objectives: To analyze a scientific research on the Patient Safety Culture and its practices adopted for the diffusion of the theme through the integrative review. Methodology: This is an integrative review of the literature, in which 15 articles were selected through the LILACS and MEDLINE databases, using the Descriptors in Health Sciences: Patient Safety; Culture; Adverse reaction; Ensuring the quality of health care. As a criteria of inclusion for the selection of scientific publications, articles published in the last 5 years (2014-2018) were used; available in full; described in Portuguese and English; involving adults and that were original articles. Results: Of the 15 articles found, there was a predominance of publications on international bases (98%); (clinical trial, qualitative approach, cross-sectional, multicenter cross-sectional study). The interventions/ factors described to improve the safety culture were: capacity building; culture level analysis; factors related to leadership; degree of knowledge of the safety climate by professionals; relationship between safety culture and occurrence of adverse events, association between predictors of Patient Safety Culture and outcomes. Conclusion: In the search for the best available evidence, in relation to the Patient Safety Culture, it is concluded that it is necessary to know, to work on continuing education, train the health team, establish programs and stimulate leadership in the best way and with the best resources, in order to acquire a quality of assistance focused on the safety and preservation of the patient's life.