GESTÃO HOSPITALAR E CULTURA DE SEGURANÇA DO PACIENTE NA PERCEPÇÃO DA EQUIPE DE ENFERMAGEM

2017 ◽  
Vol 40 ◽  
Author(s):  
Edenise Maria Santos da Silva-Batalha ◽  
Marta Maria Melleiro
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Healthcare Research

O objetivo deste estudo foi avaliar a percepção de trabalhadores de enfermagem de um hospital de ensino acerca da cultura de segurança do paciente frente à gestão hospitalar. Trata-se de uma pesquisa quantitativa desenvolvida em um hospital de 900 leitos. A amostra foi composta por 301 profissionais de enfermagem. O instrumento de coleta foi o questionário da Agency for Healthcare Research and Quality, intitulado Hospital Survey on Patient Safety Culture, traduzido para o Português e adaptado da versão original em inglês. A análise deu-se por meio de estatísticas descritivas e testes específicos. Os resultados referentes à dimensão “Apoio da gestão hospitalar para segurança do paciente” evidenciaram que 53,6% dos participantes discordavam que a administração propiciava um clima de trabalho favorável à segurança do paciente, 46% discordavam que a segurança do paciente fosse uma prioridade da administração e 58,3% concordavam que a administração apenas se interessava pela segurança após a ocorrência de eventos adversos. Tais resultados demonstram a necessidade de envolvimento maior da gestão hospitalar para com a segurança dos pacientes, favorecendo o amadurecimento da cultura de segurança. Ainda, a relação entre a enfermagem e a gestão hospitalar deve ser fortalecida, baseando-se em relações mais próximas e lineares. Conclui-se que não é apenas uma parte da organização que é responsável pela cultura de segurança, há, portanto, a necessidade de envolver a gestão e todos os trabalhadores na criação, implementação e fortalecimento dos sentimentos, valores, comportamentos, atitudes e ações que irão fomentar essa cultura. Palavras-chave: Administração hospitalar. Segurança do paciente. Enfermagem.

SBAR Tool Implementation to Advance Communication, Teamwork, and the Perception of Patient Safety Culture

2018 ◽  
Vol 24 (2) ◽  
pp. 116-123 ◽  
Author(s):  
Raymond L. Bonds
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Military Training ◽  
Patient Safety Culture ◽  
Medication Administration ◽  
Healthcare Research ◽  
Current Evidence ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Anesthesia Providers

Current evidence reveals that surgical patients are more prone to adverse events when compared to any other population in the acute care setting. In a military training hospital, handoff communication between surgical intensive care unit (SICU) nurses, physicians, and anesthesia providers (certified registered nurse anesthetists and anesthesiologists) about patients being prepared for surgery was identified as a problem by an initial inquiry of the staff. This article discusses an evidence-based project (EBP) that utilized a standardized multidisciplinary Situation, Background, Assessment, Recommendation (SBAR) tool to improve communication, teamwork, and the perception of a patient safety culture between the SICU nurses and physicians and the anesthesia providers in preparation for surgery. The SICU and anesthesia departments received training on the SBAR tool, followed by a 7-week implementation period. Standardized handoff communication utilizing the SBAR method increased by 100%, and documentation of intraoperative antibiotics on the electronic medication administration record increased by 43%. Postimplementation results from the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture surpassed database benchmarks for handoffs and transitions, overall perception of patient safety culture, and teamwork across units. This project reinforced current evidence supporting the use of standardized handoff communication.

Enhancing a culture of patient safety in an oncologic hospital setting.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 135-135
Author(s):  
Nicole Worthington ◽  
Shannon Bristow
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Medical Center ◽  
Hospital Setting ◽  
Patient Safety Culture ◽  
Healthcare Research ◽  
Staff Members ◽  
Increased Risk ◽  
Regional Medical Center ◽  
A Priority

135 Background: Patient safety is a priority for all hospitals and staff members. With approx. 1:10 hospitalized patients experiencing an adverse event1, healthcare lags behind other industries with regards to safety. Oncology patients have an increased risk of adverse events due to an immunocompromised status, coupled with complex treatments. Cancer Treatment Centers of America at Eastern Regional Medical Center (ERMC) recognized the need to heighten patient safety while maintaining a positive patient experience. Methods: ERMC participates in the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture to assess employee’s perception of the organization’s patient safety, conducted every 18-24 months. The most recent survey was conducted between May 11 - June 1, 2015. Interventions to enhance safety culture from 2013 to 2015 survey results included: daily safety check-ins for all hospital departments for both day and night shifts; sharing safety stories before routine meetings; leadership rounding; and enhanced transparency of safety events that occurred throughout the hospital. Routine in-servicing was also completed to educate staff members on reportable safety events for Pennsylvania and foster ongoing discussions about patient safety. Results: Survey response rate experienced a 236% increase from 2013 to 2015 (218 to 628 responses respectively). Of the 12 patient safety composites, 11 showed an increase in scores from 2013 to 2015, the outlier being “overall perceptions of patient safety” composite score which dropped by two percentage points. Furthermore, ERMC was above the national benchmark in all 12 patient safety composite categories for the 2015 survey. Conclusions: The ERMC staff considers safety a priority, as evidenced by the increase in AHRQ survey scores from 2013 to 2015. Perceptions of safety throughout the system have increased with the initiation of several safety projects. Based on raw comments from the AHRQ culture of safety survey, more work is needed to involve non-clinical staff in hospital safety. Moving forward, ERMC will investigate innovative solutions to involve all staff, clinical and non-clinical alike, to be engaged in patient safety.

scholarly journals Evaluation of the Patient Safety Culture in the Western Amazon

2018 ◽  
Vol 28 (3) ◽  
pp. 307-315 ◽  
Author(s):  
Glauco M. da Silva ◽  
Marcos V. M. de Lima ◽  
Marcos C. Araripe ◽  
Suleima Pedroza Vasconcelos ◽  
Simone Perufo Opitz ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Descriptive Analysis ◽  
Patient Safety Culture ◽  
Well Being ◽  
Healthcare Research ◽  
Cronbach’S Alpha ◽  
Internal Reliability ◽  
Cross Sectional ◽  
Cronbach's Alpha

Introduction: The safety culture of the patient is a contributing factor for the maintenance of the user’s well-being in the health system because, through it, an organized systematization and quality of patient care are obtained, preventing possible intercurrences that can cause damages. Objective: To analyze the Patient Safety Culture (PSC) from the perspective of health professionals at the Reference Hospital of the Upper Juruá River, in the Brazilian Western Amazon. Methods: This is a cross-sectional study developed in a medium-sized public hospital in a municipality in Western Amazonia. The Survey for Patient Safety Culture survey of the Agency for Healthcare Research and Quality was applied to 280 professionals from December 2016 to February 2017. Descriptive analysis of the data and the internal consistency of the instrument were performed. Results: The results indicate the best evaluations in the dimensions of Teamwork in the scopes of the units (60%) and Organizational learning (60%). The aspects with the worst results were the dimensions of non-punitive responses to errors (18%) and frequency of events reported (32%). The internal reliability (Cronbach’s Alpha) analysis of the dimensions ranged from 0.35 to 0.90. Conclusion: The "culture of fear" seems to predominate in this hospital, however, the study showed that there is scope for improvement in all dimensions of CSP. The values of Cronbach’s Alpha presented similarity to the results obtained by the validation process.

Assessment of patient safety culture: a comparative case study between physicians and nurses

2017 ◽  
Vol 23 (4) ◽  
pp. 792-810 ◽  
Author(s):  
Ahmed Mohamed Elsheikh ◽  
Mohammed Abdullah AlShareef ◽  
Bassem Salah Saleh ◽  
Muhammad Abdullah Yassin El-Tawansi
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Positive Response ◽  
Care Delivery ◽  
Patient Safety Culture ◽  
Healthcare Research ◽  
Comparative Case Study ◽  
Content Type ◽  
Survey Tool ◽  
Average Percentage

Purpose This study compares responses of physicians and nurses to patient safety culture assessment in the Security Forces Hospital Program Makkah, Saudi Arabia, using the Agency for Healthcare Research and Quality (AHRQ) survey tool and its referenced benchmarking tool. The purpose of this paper is to measure patient safety culture to improve its perception, reaction, and implementation, leading to improvement in care delivery. Design/methodology/approach This study uses convenience sampling, delivering paper copies. The completed surveys were collected by a designated hospital contact person in QPSD. The total population surveyed was 623: 336 nurses, 174 physicians, 9 pharmacists, and 104 technicians. Findings Composite-level results compared to AHRQ database hospitals show values below minimum positive in “Staffing” and “Non-Punitive response to error” to have decreased values in nursing answers than physician ones. The average percentage positive concerning “staffing” items is below the average percentage positive of database hospitals; in nursing, it decreases more; it shows a low positive response regarding enough staff, work hours, and crisis mode; the last item shows a more negative response. The average percentage positive concerning “No punitive Response to Error” is below average positive of database hospitals; in nursing, it decreases more, with a low positive response concerning feeling responsible for mistakes. Originality/value The approach explained in this paper aims to measure patient safety culture, which can be improved through mentioned recommendations.

scholarly journals Cultura de segurança em uma maternidade pública de ensino: conhecer para intervir

2021 ◽  
Vol 61 (1) ◽  
pp. 1-8
Author(s):  
Claudia Cecília Hernandez Barillas ◽  
Ana Claudia de Brito Passos ◽  
Carlos Augusto Alencar Júnior ◽  
Emeline Moura Lopes ◽  
Eugenie Desiree Rabelo Neri ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Healthcare Research ◽  
Em 12

Objetivo: Avaliar a cultura de segurança dos pacientes na perspectiva dos médicos que atuam em uma maternidade. Método: Trata-se de um estudo transversal e quantitativo, com abordagem descritiva, realizado entre os meses de março e maio de 2016 com 124 médicos atuantes em uma maternidade pública de ensino do município de Fortaleza, Ceará, Brasil. As informações foram obtidas por meio do survey Hospital Survey on Patient Safety Culture (HSOPSC), Criado pela Agency for Healthcare Research and Quality (AHRQ), que avalia as percepções de profissionais em relação à segurança do paciente em 12 dimensões. Resultados: entre as doze dimensões avaliadas, uma apresentou taxa de resposta positiva acima de 75% (área fortalecida): aprendizado organizacional e melhoria contínua (80,4%), e abaixo de 50% (áreas com potencial de melhoria): as dimensões passagens de plantão/turno, transferências internas (45,96%) e frequência de eventos notificados (39,51%). Quanto a percepção geral sobre a segurança do paciente, necessita de melhorias na visão dos médicos. Conclusão: O estudo demonstrou a existência de uma cultura de segurança na instituição, mas com potencial de melhorias em algumas dimensões o que pode ser alcançado através do desenvolvimento de intervenções mais efetivas. Este tipo de investigação é útil pois serve como instrumento eficaz no planejamento, auxiliando os gestores nesta atividade.

scholarly journals Budaya Patient Safety dan Karakteristik Kesalahan Pelayanan: Implikasi Kebijakan di Salah Satu Rumah Sakit di Kota Jambi

2011 ◽  
Vol 6 (2) ◽  
pp. 67
Author(s):  
Solha Elrifda
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Positive Response ◽  
Patient Safety Culture ◽  
Healthcare Research ◽  
System Failure ◽  
Hospital Level ◽  
Cross Sectional ◽  
Technical Errors ◽  
Self Administered Questionnaire

Patient safety adalah salah satu komponen kritis dari mutu pelayanan kesehatan. Banyak kesalahan pelayanan dikaitkan dengan budaya patient safety. Catatan tentang kesalahan pelayanan di berbagai negara menunjukkan angka yang mengkhawatirkan, sementara di Indonesia belum ada catatan resmi. Demikian halnya dengan budaya patient safety dan kesalahan pelayanan di rumah sakit Kota Jambi. Penelitian inibertujuan untuk mengetahui budaya patient safety dan karakteristik kesalahan pelayanan di salah satu rumah sakit di Kota Jambi. Desain penelitian ialah cross sectional dan kualitatif. Populasi dan sampel adalah petugas yang melayani pasien secara langsung di ruang rawat inap rumah sakit yang diteliti (dokter, perawat, dokter gigi, dan bidan) dengan jumlahsampel 191 orang. Data dikumpulkan dengan teknik wawancara tidak langsung dengan menyebarkan angket yang diadopsi dari kuesioner yang telah distandardisasi oleh Agency for Healthcare Research and Quality dengan penambahan untuk pertanyaan tentang kesalahan pelayanan secara kualitatif. Analisis data dilakukan secara univariat dan kualitatif. Hasil penelitian menunjukkan budaya patient safety secara umum direspons positif hanya 14,7% responden pada tingkat unit dan 26,2% pada tingkat rumah sakit. Variasi kesalahan pelayanan menyangkut disiplin, komunikasi, dan kesalahan teknis yang disebabkan oleh faktor manusia dan kegagalan sistem. Kesimpulan dari hasil penelitian ini adalahbudaya patient safety di salah satu rumah sakit di kota Jambi kurang baik dan ditemukan berbagai kesalahan pelayanan. Saran kepada pihak manajemen untuk menetapkan kebijakan pelaksanaan standar keselamatan pasien sesegera mungkin.Kata kunci: Patient safety, pelayanan kesehatan, rumah sakitAbstractPatient safety is one of critical component in healthcare quality. There are so many healthcare errors associated to patient safety culture. Healthcare errors in various countries have shown an alarming rate, but there is no formal record of event in Indonesia including in Jambi. One hundred and ninetyone respondent, who served patients directly (phyisicians, nurses, dentists, and midwifes) participated in this survey. Data collected by self administered questionnaire. The standardized questionnaire Agency for Healthcare and Quality used in this survey combined with open ended questions about healthcare error characteristics. The result is 14,7% of respondent gave a positive response on patient safety culture in the unit level and 26,2% of respondents gave a positive response on hospital level. Variation of healthcare errors found include the discipline, communication, and technical errors caused by human factors and system failure. Suggestions for the management of the hospital to implement the patient safety standard as soon as possible.Key words: Patient safety, healthcare, hospital

Nursing Home Staff Turnover and Perceived Patient Safety Culture: Results from a National Survey

2020 ◽  
Vol 60 (7) ◽  
pp. 1303-1311 ◽  
Author(s):  
Helena Temkin-Greener ◽  
Xi Cen ◽  
Yue Li
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Market Competition ◽  
Patient Safety Culture ◽  
Likert Scale ◽  
Healthcare Research ◽  
Turnover Rates ◽  
High Turnover ◽  
Chi Square ◽  
Strongly Agree

Abstract Background and Objectives We examined the association between turnover of registered nurses (RNs) and certified nurse assistants (CNAs) and perceived patient safety culture (PSC) in nursing homes (NHs). Research Design and Methods In 2017, we conducted PSC survey using the Agency for Healthcare Research and Quality- developed and -validated instrument for NHs. A random sample of 2,254 U.S. NHs was identified. Administrators, directors of nursing (DONs), and nurse unit leaders served as respondents. Responses were obtained for 818 facilities from 1,447 individuals. The instrument contained 42 items relating to 12 PSC domains and turnover rates. PSC domains were based on five-point Likert scale items. A positive response was defined as “agree” or “strongly agree” (4–5 on the Likert scale). For CNAs low turnover was defined as <35%, and for RNs <15%. Facility-level and market-competition characteristics were included. Bivariate comparisons employed analysis of variance and chi-square tests. In multivariable models, we fit separate linear regressions for the average positive PSC score and for each of the 12 PSC domains, including turnover rates, NH, and market factors. Results In NHs with low turnover, the overall PSC scores were 4.04% (RNs) and 6.28% (CNAs) higher than in NHs with high turnover. Teamwork, staffing, and training/skills were associated with CNA but not RN turnover. Discussion and Implications The effect of turnover on PSC depends on who leaves and to a lesser extent on the organizational characteristics. In NHs, improvements in PSC may depend on the ability to retain a well-trained and skilled nursing staff.

scholarly journals Adaptation of the Agency for Healthcare Research and Quality’s ‘Hospital Survey on Patient Safety Culture’ to the Bosnia and Herzegovina context

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e045377
Author(s):  
Šehad Draganović ◽  
Guido Offermanns ◽  
Rachel E Davis
Keyword(s):  
Factor Analysis ◽  
Patient Safety ◽  
Bosnia And Herzegovina ◽  
Safety Culture ◽  
Psychometric Evaluation ◽  
Patient Safety Culture ◽  
Healthcare Research ◽  
Secondary Outcome ◽  
Original Form ◽  
Original Survey

ObjectivesMeasuring staff perspectives on patient safety culture (PSC) can identify areas of concern that, if addressed, could lead to improvements in healthcare. To date, there is no validated measure to assess PSC that has been tested and adapted for use in Bosnia and Herzegovina (BiH). This research addresses the gap in the evidence through the psychometric assessment of the Agency for Healthcare Research and Quality’s: ‘Hospital Survey on Patient Safety Culture’ (HSOPSC), to determine its suitability for the health system in BiH.SettingNine hospitals.ParticipantsHealthcare professionals (n=1429); nurse (n=823), doctors (n=328), other clinical personnel (n=111), non-clinical personnel (n=60), other (n=64), no response (n=43).Primary and secondary outcome measuresA translated version of HSOPSC was used to conduct psychometric evaluation including exploratory factor analysis and confirmatory factor analysis (CFA). Comparison between the original HSOPSC and the newly adapted ‘Hospital Survey on Patient Safety Culture for Bosnia and Herzegovina’ (HSOPSC-BiH) was carried out.ResultsCompared with the original survey, which has 12 factors (42 items), the adapted survey consisted of 9 factors (29 items). The following factors from the original survey were not included in their original form: Communication Openness, Feedback and Communications about error, Overall Perceptions of Patient Safety and Organisational learning—Continuous Improvement. The results of the CFA for HSOPSC-BiH showed a better model fit compared with the original HSOPSC. The absolute and relative fit indices showed excellent model adjustment.ConclusionsThe BiH version of Hospital Survey on Patient Safety Culture demonstrated satisfactory psychometric properties, with acceptable to good internal consistency and construct validity. Therefore, we recommend the HSOPSC-BiH as a basis for assessing PSC in BiH. This survey could provide insight into patient safety concerns in BiH so that strategies to overcome these issues could be formulated and implemented.

scholarly journals Cultura de la seguridad del paciente en seis centros quirúrgicos de Antioquia

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Angela Maria Salazar Maya ◽  
Diana Marcela Restrepo Marín
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Healthcare Research ◽  
Trabajo En Equipo

Introducción: Colombia, como otros países promueve políticas de seguridad al paciente con el fin de evitar situaciones que afecten su bienestar y su salud, asimismo, reducir y, de ser posible, eliminar la ocurrencia de eventos adversos.  Objetivo: Caracterizar la cultura de seguridad del paciente referido por el personal de seis centros quirúrgicos de Antioquia. Materiales y métodos: Estudio multicéntrico transversal descriptivo. Se aplicó el instrumento Hospital Survey on Patient Safety Culture propuesto por la Agency for Healthcare Research and Quality (AHRQ) a 514 trabajadores del área de la salud. Por recomendación de AHRQ, se recodificó la escala de Likert de la encuesta. Resultados: En una escala de cero a diez, el promedio del clima de seguridad en los servicios de cirugía es 8. El 62% de las respuestas sobre la percepción de la cultura de la seguridad fue positiva en aprendizaje organizacional/mejora continua en 81.70% de los trabajadores; en el trabajo en equipo en el servicio, 81.54%. Se encontraron oportunidades de mejora en dotación de personal (49.98%); respuesta no punitiva a errores (45.98%); y franqueza en comunicación (44.28%). Discusión: las dimensiones que son fortalezas y debilidades reportadas en la investigación son comparables con las reportadas en otros estudios y requiere atención del sistema de salud y de las direcciones de las instituciones. Conclusión: Se detectaron fortalezas y debilidades en la cultura de seguridad de los pacientes. En cuanto a las Fortalezas: el Aprendizaje organizacional/mejora continua y el Trabajo en equipo en la Unidad/Servicio; el resto son oportunidades de mejora. Como citar este artículo: Salazar Maya Ángela María, Restrepo Marín Diana Marcela. Cultura de la seguridad del paciente en seis centros quirúrgicos de Antioquia. Revista Cuidarte. 2020; 11(2): e1040. http://dx.doi.org/10.15649/cuidarte.1040

Assessing the culture of safety in cardiovascular perfusion: attitudes and perceptions

Perfusion ◽  
2017 ◽  
Vol 32 (7) ◽  
pp. 583-590 ◽  
Author(s):  
Chad Lawson ◽  
Megan Predella ◽  
Allison Rowden ◽  
Jamie Goldstein ◽  
Joseph J. Sistino ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Healthcare Research ◽  
Near Miss ◽  
Work Unit ◽  
Perceived Safety ◽  
Culture Of Safety ◽  
Hospital Units ◽  
Positive Response Rate

Introduction: The Hospital Survey on Patient Safety Culture was developed by the Agency for Healthcare Research and Quality (AHRQ) to assess the culture of safety in hospitals. The purpose of this study was to identify specific domains of perfusion that are indicators of a high quality culture of safety. Methods: Perfusionists were recruited to participate in the survey through email invitation through Perflist, Perfmail and LinkedIn. The survey consisted of 37 questions across six safety domains. Questions were developed using the AHRQ Hospital Survey on Patient Safety Culture. ‘Positive scores’ were defined as a response that either agreed or strongly agreed with a safety standard. Survey responses that resulted in a 75 percent or higher positive response rate were identified as vital components of a high culture of safety. Logistic regression analysis was used to determine importance components of perceived safety. Results: Four responses were found to have a significant predictive level of a positive safety environment in the work unit: (1) in this unit, we discuss ways to prevent errors from happening again; OR=3.09, (2) in this unit, we treat others with respect; OR=1.09 (3) my supervisor/manager seriously considers staff suggestions for improving patient safety; OR=1.89 and (4) there is good cooperation among hospital units that need to work together; OR=1.77. There were two predictors of a negative work unit safety environment: (1) staff are afraid to ask questions when something does not seem right; OR=0.62 and (2) it is just by chance that more serious mistakes don’t happen around here; OR=0.55. Conclusions: The results from this survey indicate that effective communication secondary to both incident and near-miss reporting is associated with a higher perceived culture of safety. A positive safety environment is associated with being able to speak up regarding safety issues without fear of negative repercussions.

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