Avaliação da cultura de segurança do paciente na perspectiva dos profissionais de saúde

Abstract

Introduction: patient safety is a set of values, behaviours and actions that an organization cultivates among its members in order to mitigate adverse events and improve the quality of healthcare provided to patients. Objectives: evaluate the patient safety culture from the perspective of health professionals of critical care units in a university hospital. Methods: observational, sectional, quantitative study conducted with 207 healthcare professionals, doctors, nurses and nursing technicians. For data collection, we used the Hospital Survey on Patient Safety Culture questionnaire, an instrument already validated for the Brazilian reality. Results: the best assessed dimension was "Organizational learning - continuous improvement" (64.4%). No dimension was considered a strong area as it did not receive a score ≥ 75%. Eight dimensions were considered weak areas (≤ 50%), with the dimension "Non-punitive response to error" being the worst assessed (20.3%). The patient safety score conferred by the professional in their area of work in the hospital (β=0.502, p<0.001) and the length of time working in the hospital (β=0.135, p=0.032) were statistically significant and when associated with the overall score. Conclusions: the study allowed identifying weaknesses within the institution, with the non-punitive response to error being the most concerning. Leaders should propose interventions that provide a blame-free environment for professionals to report adverse events. Considering patient safety as a management priority can provide better quality services offered by the organization.